Quality Oversight Senior Specialist jobs in United States
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Sun Life · 1 month ago

Quality Oversight Senior Specialist

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. The Quality Oversight Senior Specialist will conduct quality assurance assessments, ensure compliance with contractual requirements, and enhance documentation while fostering professional relationships across departments.

FinanceFinancial ServicesInsurance
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Culture & Values
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H1B Sponsor Likelynote

Responsibilities

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

Qualification

NCQA requirementsHealthcare quality regulationsHealthcare data analysisProject management experienceTechnical communicationAnalytical thinkingMicrosoft Office proficiencyWriting skillsCritical thinking

Required

Must live in Iowa
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

Benefits

Generous vacation and sick time
Market-leading 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

Company

Sun Life

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Sun Life is a leading financial services organization dedicated to helping people achieve lifetime financial security and live healthier lives.

H1B Sponsorship

Sun Life has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (22)
2024 (27)
2023 (18)
2022 (18)
2021 (12)
2020 (13)

Funding

Current Stage
Public Company
Total Funding
$1.05B
2024-05-13Post Ipo Debt· $548.79M
2023-07-04Post Ipo Debt· $500M
2000-03-24IPO

Leadership Team

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Kevin Strain
President & CEO
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Luc Nhon Ly
Chief Executive Officer
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Company data provided by crunchbase