Full-Time

Compliance Analyst II

Dentaquest

Posted on 1/29/2025

Sun Life

Sun Life

10,001+ employees

Global financial services for insurance and investments

Fintech
Financial Services

Mid

Remote in USA

Must reside in Florida.

Category
Risk & Compliance
Legal & Compliance
Required Skills
Data Analysis

You match the following Sun Life's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • Bachelor’s degree is required
  • 3+ years of experience in compliance, legal or regulatory functions
  • 1+ years of health care or insurance benefits experience
  • Working knowledge of HIPAA, Medicare/Medicaid, and commercial insurance regulations
  • Ability to attend additional training as requested/deemed necessary
  • Ability to attend in-person regulatory meetings with Agency personnel
  • Ability to evaluate laws and regulations and identify and prioritize relevant content for updating policies and procedures
  • Ability to interpret laws and regulations and communicate that information to management and line personnel
  • Ability to research and investigate regulatory issues as they relate to the company’s operating subsidiaries and businesses
  • Ability to discern risks and recommend controls to mitigate regulatory compliance
  • Ability to assume a reasonable level of authority, to handle multiple projects and duties at the same time and to work collaboratively in a nonhierarchical department structure
  • Ability to interface with various levels of management, as well as with internal and external clients and subject matter experts
  • Strong writing skills, with extensive policy and procedure writing experience required
  • Strong verbal communication skills
  • Strong collaborative skills, as well as analytical, problem-solving and decision-making skills
  • Meticulous organizational skills and attention to detail
Responsibilities
  • Assist with review and update of annual Program Integrity Compliance Plans for State Medicaid Clients
  • Partner with Fraud Prevention and Recovery (Special Investigations Unit – SIU) to develop content for Program Integrity Compliance Plans
  • Assist with the management and review of entity disclosure of ownership and control interest information to State Agencies
  • Partner with Fraud Prevention and Recovery to conduct necessary investigations and follow-up of any compliance reports or related complaints
  • Collaborate with Legal to provide focused interpretation and guidance regarding legislation and regulations to advance the growth, innovation, and performance goals of the program to cross functional teams
  • Work with Operations to prevent improper payments, such as ensuring no payments to prohibited providers, entities, and individuals
Desired Qualifications
  • Strong PowerPoint and advanced Excel capabilities preferred
  • Must reside in the state of Florida, USA

Sun Life offers a variety of financial services, including life insurance, health insurance, financial planning, and investment solutions. Their products are designed to help individuals, businesses, and institutions achieve financial security and improve their overall well-being. Sun Life operates in multiple regions, including Canada, the United States, Asia, and Europe, which allows them to serve a diverse client base. The company generates revenue through premiums from insurance policies, fees for financial planning services, and returns from investment products. A key aspect that sets Sun Life apart from its competitors is its commitment to sustainability, with a goal of reaching net zero emissions by 2050.

Company Stage

IPO

Total Funding

N/A

Headquarters

null, null

Founded

1865

Simplify Jobs

Simplify's Take

What believers are saying

  • Sun Life's focus on digital health aligns with rising demand for telehealth services.
  • Sustainable investment products are gaining traction, benefiting Sun Life's eco-friendly initiatives.
  • AI integration in financial services enhances Sun Life's customer experience and efficiency.

What critics are saying

  • Digital-first insurers pose a competitive threat to Sun Life's market share.
  • Rising interest rates globally may impact Sun Life's investment product profitability.
  • Climate-related events could increase claims and underwriting losses for Sun Life.

What makes Sun Life unique

  • Sun Life's global presence spans North America, Asia, and Europe, enhancing market reach.
  • Commitment to sustainability with a net zero emissions goal by 2050 sets Sun Life apart.
  • Strong partnerships, like with the Boston Celtics, bolster community engagement and brand visibility.

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Benefits

Health Insurance

Life Insurance

Disability Insurance

Paid Vacation

Paid Sick Leave

Parental Leave

401(k) Retirement Plan

401(k) Company Match

Flexible Work Hours

Hybrid Work Options

Wellness Program

Mental Health Support

Company Equity

Stock Options

INACTIVE