Compliance Analyst II, DentaQuest (Iowa Resident) at Sun Life

Sun Life U.S. is one of the largest providers of employee and government benefits helping approximately 50 million Americans access the care and coverage they need. Through employers industry partners and government programs Sun Life U.S. offers a portfolio of benefits and services including dental vision disability absence management life supplemental health medical stop-loss insurance and healthcare navigation. We have more than 6400 employees and associates in our partner dental practices and operate nationwide.Visit our website to discover how Sun Life is making life brighter for our customers partners and communities. Job Description: Location: Must reside in IowaThe opportunity:Reporting to the Director of Program Integrity & Regulatory Compliance the Compliance Analyst II is accountable for multiple functions within the organization. The Compliance Analyst II is responsible for assisting with developing a framework and support system for an effective Anti-Fraud Waste and Abuse Compliance Program which serves as the catalyst for Program Integrity Compliance initiatives. Ultimately the Compliance Analyst II will perform in a cross functional role for Program Integrity Compliance liaison matters specific to our Iowa market which may include additional Program Integrity Compliance activities.How you will contribute: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.What you will bring with you:Bachelors degree is required3 years of experience in compliance legal or regulatory functions1 years of health care or insurance benefits experienceWorking knowledge of HIPAA Medicare/Medicaid and commercial insurance regulations.Ability to attend additional training as requested/deemed necessaryAbility to attend in-person regulatory meetings with Agency personnelAbility to evaluate laws and regulations and identify and prioritize relevant content for updating policies and proceduresAbility to interpret laws and regulations and communicate that information to management and line personnelAbility to research and investigate regulatory issues as they relate to the companys operating subsidiaries and businessesAbility to discern risks and recommend controls to mitigate regulatory complianceAbility 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 structureAbility to interface with various levels of management as well as with internal and external clients and subject matter expertsStrong writing skills with extensive policy and procedure writing experience requiredStrong verbal communication skillsStrong collaborative skills as well as analytical problem-solving and decision-making skillsMeticulous organizational skills and attention to detailStrong PowerPoint and advanced Excel capabilities preferredMust reside in the state of Iowa USANot ready to apply yet but want to stay in touch Join our talent community to stay connected until the time is right for you!We are committed to fostering an inclusive environment where all employees feel they belong are supported and empowered to thrive. We are dedicated to building teams with varied experiences backgrounds perspectives and ideas that benefit our colleagues clients and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.Life is brighter when you work at Sun LifeAt Sun Life we prioritize your well-being with comprehensive benefits including generous vacation and sick time market-leading paid family parental and adoption leave medical coverage company paid life and AD&D insurance disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match stock purchase options and an employer-funded retirement account. Enjoy a flexible inclusive and collaborative work environment that supports career growth. Were proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S. weve also been recognized as a Top 10 employer by the Boston Globes Top Places to Work for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans unless the accommodation would impose an undue hardship on the operation of our business. Please email to request an accommodation.For applicants residing in California please read our employee California Privacy Policy and Notice.We do not require or administer lie detector tests as a condition of employment or continued employment.Sun Life will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of applicable state and local laws including applicable fair chance ordinances.All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or status as a protected veteran.Job Category: CompliancePosting End Date: 14/01/2026Required Experience:IC Key Skills Abinitio,Apprentice,Dermatology,Cost Estimation,Data Networking,Liaison Employment Type : Full-Time Experience: years Vacancy: 1