Sun Life Financial
Compliance Analyst II, DentaQuest (Iowa Resident)
Sun Life Financial, Myrtle Point, Oregon, United States, 97458
Employer Industry: Employee Benefits and Insurance
Why consider this job opportunity
Opportunity for career advancement and growth within the organization
Comprehensive benefits package, including generous vacation and sick time, paid family leave, and medical coverage
Strong emphasis on work‑life balance with options for flexible work arrangements
Recognition as a top employer in the community, fostering a supportive and inclusive work environment
Engaging work culture that encourages collaboration and innovation
What to Expect (Job Responsibilities)
Assist with the review and update of annual Program Integrity Compliance Plans for State Medicaid Clients
Collaborate with Fraud Prevention and Recovery to conduct investigations and address compliance reports or related complaints
Partner with Legal to interpret legislation and regulations, providing guidance to cross‑functional teams
Work with Operations to prevent improper payments and ensure compliance with payment regulations
Manage and review entity disclosure of ownership and control interest information to State Agencies
What is Required (Qualifications)
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
Strong writing skills with extensive policy and procedure writing experience
How to Stand Out (Preferred Qualifications)
Strong PowerPoint and advanced Excel capabilities
Ability to interface with various levels of management and external clients
Meticulous organizational skills and attention to detail
We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.
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Why consider this job opportunity
Opportunity for career advancement and growth within the organization
Comprehensive benefits package, including generous vacation and sick time, paid family leave, and medical coverage
Strong emphasis on work‑life balance with options for flexible work arrangements
Recognition as a top employer in the community, fostering a supportive and inclusive work environment
Engaging work culture that encourages collaboration and innovation
What to Expect (Job Responsibilities)
Assist with the review and update of annual Program Integrity Compliance Plans for State Medicaid Clients
Collaborate with Fraud Prevention and Recovery to conduct investigations and address compliance reports or related complaints
Partner with Legal to interpret legislation and regulations, providing guidance to cross‑functional teams
Work with Operations to prevent improper payments and ensure compliance with payment regulations
Manage and review entity disclosure of ownership and control interest information to State Agencies
What is Required (Qualifications)
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
Strong writing skills with extensive policy and procedure writing experience
How to Stand Out (Preferred Qualifications)
Strong PowerPoint and advanced Excel capabilities
Ability to interface with various levels of management and external clients
Meticulous organizational skills and attention to detail
We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.
#J-18808-Ljbffr