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Sun Life · 3 weeks ago

Sr. Compliance Analyst, DentaQuest (Iowa)

Des Moines, Iowa

Full-time

Onsite

Mid, Senior Level

3+ years exp

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 Senior Compliance Analyst will provide a broad range of compliance services in support of DentaQuest, focusing on the end-to-end servicing of state and health plan contract work.

FinanceFinancial ServicesInsurance

Culture & Values

Responsibilities

Manage approval process for new contracts and amendments, including scheduling meetings with subject matter experts, legal and clients as required

Capture internal and external revisions throughout the drafting process

Prepare final contracts/amendments for execution

Quality check and ensure appropriate SME approvals are captured for all amendments and contracts prior to obtaining signature(s). Identify any inconsistencies in SME approvals and amendment changes and escalate

Maintain database or other storage solution for executed contracts

Intake client audit requests, including audit tools, from clients and disseminate deliverable requirements with appropriate background and context to internal subject matter experts

Review and ensure complete and accurate audit responses prior to client submission

Host onsite and desktop audits with clients, including the coordination of SME interviews with the clients

Audit contract compliance and metric requirements

Cultivate and maintain professional relationships with DentaQuest clients

Intake or generate new contracts and amendments to analyze and assign sections to appropriate departments

Other duties as needed or required

Qualification

Compliance experienceHIPAA knowledgeContract analysisHealth care experienceRegulatory functionsAnalytical skillsPowerPoint proficiencyExcel proficiencyWriting skillsVerbal communicationInterpersonal skillsOrganizational skillsProblem-solving skillsDecision-making skills

Required

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 analyze laws and regulations and identify and prioritize relevant content for updating policies and procedures

Ability to interpret contract provisions, laws and regulations and communicate that information to management and line personnel

Ability to analyze contract risks and recommend controls to solution for risk

Ability to assume a reasonable level of individual responsibility, to handle multiple projects and responsibilities at the same time and to work collaboratively in a non-hierarchical 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 interpersonal and collaborative skills, as well as analytical, problem-solving and decision-making skills

Meticulous organizational skills and attention to detail