Director, Medicaid Compliance

Sun Life • Hartford, CT

3d • $133,600 - $200,400 • Hybrid

About The Position

Sun Life U.S. is hiring a Director, Medicaid Compliance to lead regulatory compliance activities for its U.S. Dental Business Unit. The role oversees the Dental Regulatory Compliance Management Program, helping the business identify, assess, and manage compliance risks and meet applicable federal and state requirements. The Director serves as a trusted advisor to business leaders on complex regulatory matters and works across the organization to strengthen compliance controls and processes.

As a subject matter expert in Medicaid and commercial dental compliance, the Director partners with Privacy, Financial Crimes, Conduct, and Enterprise Compliance teams on enterprise initiatives, regulatory examinations, audits, and risk management activities. The position operates under Sun Life’s hybrid work model, balancing in-office collaboration with virtual work, and may be performed in the contiguous states plus Alaska.

The role offers a base salary range of $133,600–$200,400 and eligibility for a discretionary annual incentive award based on individual and business performance. Sun Life describes a comprehensive benefits package and an inclusive, collaborative work environment that supports employee well-being and career growth.

Requirements

• Bachelor’s 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.
• 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.
• Strong analytical, critical-thinking, communication, research, and presentation skills, including the ability to influence and collaborate across diverse stakeholder groups.
• Proficiency with Microsoft Office applications.
• Experience using artificial intelligence, data visualization, and business intelligence tools responsibly and compliantly.
• Ability to manage competing priorities, adapt to changing business needs, work independently, and maintain compliance expertise through professional development and industry engagement.

Nice To Haves

• Familiarity with regulations governing the practice of dentistry.
• Experience with Archer.

Responsibilities

• Lead and maintain the Dental Regulatory Compliance Management Program, including regulatory inventories, risk assessments, compliance issue management, control development, testing, and monitoring.
• Identify, interpret, and analyze emerging laws and regulations affecting Medicaid, Medicare, and commercial dental products, translating requirements into practical business processes and controls.
• Partner with first-line business leaders to strengthen compliance risk management, support control ownership, and provide guidance on regulatory obligations.
• Collaborate with Enterprise Compliance and oversight programs, including Privacy, Financial Crimes, and Conduct, to support effective implementation of compliance requirements in the Dental Business Unit.
• Support regulatory examinations, audits, and other regulatory matters by coordinating information requests, preparing responses, tracking commitments, and facilitating remediation.
• Develop and deliver management reporting on compliance program effectiveness, key risks, emerging regulatory issues, testing results, trends, and remediation progress.

Benefits

• Generous vacation and sick time.
• Paid family, parental, and adoption leave.
• Medical coverage.
• Company-paid life and AD&D insurance.
• Disability programs.
• Partially paid sabbatical program.
• 401(k) employer match.
• Stock purchase options.
• Employer-funded retirement account.
• Flexible, inclusive, and collaborative work environment supporting career growth.
• Discretionary annual incentive award based on individual and business performance.

What This Job Offers

• Job Type: Full-time
• Career Level: Director