Director, Medicaid Compliance

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week.

The Opportunity

Are you a compliance professional with extensive experience navigating Medicaid Medicare and commercial dental regulations Join Sun Lifes U.S. Compliance team and play a key role in leading the Regulatory Compliance Management Program for the U.S. Dental Business Unit.

In this role you will oversee regulatory compliance activities that help the business identify assess and manage compliance risks while supporting adherence to applicable federal and state requirements. You will serve as a trusted advisor to business leaders providing guidance on complex regulatory matters and collaborating across the organization to strengthen compliance controls and processes.

As a subject matter expert in Medicaid and commercial dental compliance you will partner closely with Privacy Financial Crimes Conduct and Enterprise Compliance teams to support enterprise initiatives regulatory examinations audits and risk management activities. This position offers the opportunity to influence business decisions improve operational effectiveness and help ensure a strong culture of compliance across the organization.

How You Will Contribute

• Lead and maintain the Dental Regulatory Compliance Management Program including regulatory inventories risk assessments compliance issue management control development testing and monitoring activities.

• Identify interpret and analyze emerging laws and regulations impacting Medicaid Medicare and commercial dental products and translate requirements into practical business processes and controls.

• Partner with first-line business leaders to strengthen compliance risk management support ownership of controls and provide guidance on regulatory obligations.

• Collaborate with Enterprise Compliance and key oversight programs including Privacy Financial Crimes and Conduct to ensure compliance requirements are effectively implemented within the Dental Business Unit.

• Support regulatory examinations audits and other regulatory matters by coordinating information requests preparing responses tracking commitments and facilitating remediation activities.

• Develop and deliver management reporting on compliance program effectiveness key risks emerging regulatory issues testing results trends and remediation progress.

What You Will Bring With You

• Bachelors degree and at least 7 years of experience in regulatory compliance risk management controls or a related function within a regulated healthcare organization or an equivalent combination of education certifications and professional experience.

• Deep knowledge of Medicaid Medicare and commercial dental regulatory requirements; familiarity with regulations governing the practice of dentistry is preferred.

• Demonstrated ability to interpret complex regulatory requirements and implement sustainable compliance processes controls and risk mitigation strategies.

• Experience working directly with regulators and managing regulatory commitments examinations audit responses and remediation activities.

• Experience conducting compliance testing auditing operational processes and controls and applying statistical analysis to evaluate results and identify trends.

• Working knowledge of governance risk and compliance systems with Archer experience strongly preferred.

• Strong analytical critical-thinking communication research and presentation skills with the ability to influence and collaborate across diverse stakeholder groups.

• Proficiency with Microsoft Office applications and experience using artificial intelligence data visualization and business intelligence tools in a responsible and compliant manner.

• Demonstrated ability to manage competing priorities adapt to changing business needs work independently and continuously maintain compliance expertise through professional development and industry engagement.

Salary Range: $132600 - $198900

At our company we are committed to pay transparency and equity. The salary range for this role is competitive nationwide and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills qualifications experience education and geographic addition to your base salary this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.