3 open positions available
Assist with developing and updating healthcare compliance programs, conduct investigations, and interpret regulations to ensure organizational adherence. | Bachelor’s degree, 3+ years in compliance or regulatory functions, healthcare or insurance benefits experience, strong communication and analytical skills. | 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 6,400 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 Iowa The 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: 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 Strong PowerPoint and advanced Excel capabilities preferred Must reside in the state of Iowa, USA Not 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 Life At 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. We’re proud to be recognized in our communities as a top employer. Proudly Great Place to Work® Certified in Canada and the U.S., we’ve also been recognized as a "Top 10" employer by the Boston Globe's "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 thebrightside@sunlife.com 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: Compliance Posting End Date: 14/01/2026 Shine together At Sun Life, you can be your most brilliant self. Our supportive, flexible, and inclusive work environment is one where you – and your career – can thrive. Whatever your aspirations, collaborative leaders and colleagues are ready to help you learn, grow, and succeed. Make life brighter We’re a global company with a passion for people. Our purpose is to help Clients achieve lifetime financial security and live healthier lives. As a team of 30,000 across 26 countries, our impact is far-reaching, and locally relevant There’s power in numbers. As part of Sun Life’s growing team, you have an impact on people in your community and around the world. Shape the future With an optimistic eye on a brighter future, we drive to innovate. Be part of leading change, push boundaries and try new ways of working. Use data to drive bold actions. Be agile and pivot as we test and learn. At Sun Life, we’re driving transformation, sustainability and innovation for our Clients, employees, partners, and communities. Join us. Together, we can make the future brighter. Join a top employer for a brighter future. Visit Sun Life Careers
Conduct quality assurance assessments, ensure compliance with healthcare quality standards, prepare reports, and coordinate projects across departments. | Strong communication, analytical skills, knowledge of healthcare quality regulations, project management experience, and proficiency in Microsoft Office. | 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 6,400 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 live in Iowa The opportunity: Join our Quality Management team as a Quality Oversight Senior Specialist, where your attention to detail and analytical thinking will directly impact our organization's compliance and quality objectives. This key position requires someone who thrives in a dynamic environment, can adapt to shifting priorities, and has a passion for identifying and resolving process improvements. The ideal candidate excels at pivoting between tasks, thinks creatively to solve complex challenges, and contributes to our commitment to exceptional service delivery. You'll thrive if you're naturally curious, detail-oriented, and passionate about continuous improvement. How you will contribute: Conduct comprehensive quality assurance assessments to identify process deviations and service level metric gaps Track quality contractual requirements and ensure ongoing compliance Identify potential compliance issues and communicate findings effectively to management Review and enhance documentation for clarity and accuracy Prepare and deliver quality reports to senior management and clients Coordinate quality assurance projects across multiple departments Participate in client meetings and maintain professional relationships across all organizational levels Foster a collaborative environment focused on mutual respect, cooperation, and information sharing What you will bring with you: Strong writing and communication skills with proven ability to articulate complex information clearly Keen observational skills and analytical curiosity, with talent for identifying and communicating process discrepancies or anomalies Critical thinking abilities and willingness to challenge existing processes Solid understanding of NCQA and/or URAC requirements Knowledge of federal and state healthcare quality regulations Beyond basic-level proficiency in Microsoft Word, PowerPoint, and Excel Demonstrated ability to manage competing priorities and adapt to changing requirements Advanced writing proficiency and technical communication experience Project management or coordination experience Healthcare data analysis and visualization skills Knowledge of healthcare quality management systems Not 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 Life At 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. We’re proud to be recognized in our communities as a top employer. Proudly Great Place to Work® Certified in Canada and the U.S., we’ve also been recognized as a "Top 10" employer by the Boston Globe's "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 thebrightside@sunlife.com 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: Customer Service / Operations Posting End Date: 15/01/2026 Shine together At Sun Life, you can be your most brilliant self. Our supportive, flexible, and inclusive work environment is one where you – and your career – can thrive. Whatever your aspirations, collaborative leaders and colleagues are ready to help you learn, grow, and succeed. Make life brighter We’re a global company with a passion for people. Our purpose is to help Clients achieve lifetime financial security and live healthier lives. As a team of 30,000 across 26 countries, our impact is far-reaching, and locally relevant There’s power in numbers. As part of Sun Life’s growing team, you have an impact on people in your community and around the world. Shape the future With an optimistic eye on a brighter future, we drive to innovate. Be part of leading change, push boundaries and try new ways of working. Use data to drive bold actions. Be agile and pivot as we test and learn. At Sun Life, we’re driving transformation, sustainability and innovation for our Clients, employees, partners, and communities. Join us. Together, we can make the future brighter. Join a top employer for a brighter future. Visit Sun Life Careers
Manage and resolve client inquiries related to employee benefits, coordinate with stakeholders, assist with claims and benefit administration, and provide training and reporting to improve client experience. | 4+ years related experience with knowledge of group insurance products, disability and leave administration, strong customer service and communication skills, and proficiency in Microsoft Office. | 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 6,400 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: On-site at Client Office in La Crosse, Wisconsin The opportunity: In the role of Dedicated Client Liaison, you will be responsible for the intake and resolution of inquiries, issues, and/or general service requests related to the Client’s employee benefits package, including life insurance, short- and long-term disability, applicable PFMLs, and voluntary supplemental benefits as well as other services provided by Sun Life to the Client. The position is accountable for bringing all customer issues to resolution accurately, efficiently and in full communication to all appropriate individuals and teams at Sun Life. You will partner with various stakeholders such as the payroll department, human resources, benefits department, managers, and other personnel as needed to field questions and provide training/information regarding the services for the Client. How you will contribute: The essential functions of the role include but are not limited to the following: • Develop and maintain relationships with Client staff, vendors, consultants, Sun Life contacts, as well as team members in other offices. • Master knowledge of the Client’s in force Sun Life benefits and integrate knowledge into benefit plans, internal processes, and products to address the needs of the Client. • Manage and resolve all inquiries, issues, and concerns to the satisfaction of the person/group inquiring. • Coordinate with relevant stakeholders to ensure accurate processing of employee benefits. • Assist with benefit claims submission and monitor claim progression, providing status updates as needed. • Process and respond to Employer Verification Forms related to Short-Term Disability (STD) and Minnesota Paid Family and Medical Leave (MN PFML) claims. • Participate in various Client team meetings to answer questions regarding Sun Life’s benefits. • Proactively share insight and guidance on benefit administration, disability coverages, paid leave administration, and other plan management with Client’s HR/benefits team members and when applicable, employees. • Understand and potentially operate within Client’s administration systems to gather employee status information. • Maintain strict confidentiality and discretion when handling sensitive information, including Protected Health Information (PHI) and other confidential data, in compliance with HIPAA and Client organizational policies. • Create and deliver Client-facing training and/or presentations, including developing visual content, structuring information for clarity and impact, etc.. • Analyze and leverage available reports, conduct thorough audits, and effectively communicate relevant information to clients in a clear, concise, and easily digestible format. • Perform root cause analysis and proactively communicate with Sun Life service team regarding trends, needs, and employee level experience to continuously improve the Client experience. • Identify and implement ways to make the benefit administration process more understandable for employees. • Identify areas for Sun Life to bolster performance of the services and meaningful ways to measure and value the Client relationship. • Define and expand the scope of this role to best support the Client's evolving needs. What you will bring with you: • Bachelor’s degree (preferred) and a minimum of 4+ years of related work experience. • Ability to navigate and demonstrate sensitivity to the dynamic of being a Sun Life employee dedicated to the Client’s worksite. • In-depth knowledge of group insurance products/processes and paid leave administration programs, particularly knowledge on upcoming MN PFML. • Experience administering disability (STD/LTD) benefit programs. • A deep understanding of the leave of absence process, including eligibility requirements, documentation, and coordination with other benefits. • Excellent customer services skills and superior written and oral communication skills. • Strong self-motivation, adaptability, and initiative while supporting team efforts. • Ability to work with a diverse range of people and handle difficult customer service situations. • A strong understanding of systems and technology, including proficiency in Microsoft Office programs such as Word, Excel, PowerPoint, and Outlook. • Thorough understanding of utilizing reports and basic data analysis to support benefit administration. At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Salary: 56,100-84,200 Not 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 Life At 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. We’re proud to be recognized in our communities as a top employer. Proudly Great Place to Work® Certified in Canada and the U.S., we’ve also been recognized as a "Top 10" employer by the Boston Globe's "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 thebrightside@sunlife.com 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: Absence / Leave Management Posting End Date: 29/09/2025
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