Director, Medicaid Compliance

Sun Life • Hartford, CT

2d • 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 and helps the business identify, assess, and manage compliance risks while adhering to applicable federal and state requirements. The Director serves as a trusted advisor to business leaders and collaborates 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. The position provides an opportunity to influence business decisions, improve operational effectiveness, and support a strong culture of compliance. Sun Life uses a hybrid work model that balances in-office collaboration with virtual work in the contiguous states plus Alaska.

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, 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 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, and translate 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 implement 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 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 that supports career growth.
• Discretionary annual incentive award based on individual and business performance.

What This Job Offers

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