Associate Director, Quality and Compliance
Sun Life
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Salary
💰 $101,800 - $152,700 per year
Job Level
About the role
- Provides operational guidance in the effective delivery of services to clients, members, and stakeholders
- Collaborates on service delivery, corporate and division strategic priorities and compliance with implementation of all regulatory requirements
- Reports to the director within the Compliance department
- Handles contractual and regulatory quality and compliance for California government program clients
- Serves as the compliance subject matter expert (SME) to the operational leads in implementation of compliant processes
- Administers an organizational quality management system and monitors progress against strategic and contractual quality-related goals
- Develops training programs to ensure compliance with legal and contractual obligations
- Coordinates and communicates all compliance activities and programs to internal departments and external clients
- Maintains up-to-date knowledge of developments in all legislative and regulatory implications for DentaQuest California
- Oversees the operational aspects of California compliance and Quality, providing audit and monitoring oversight
Requirements
- Five years’ experience in government programs product management, regulatory affairs, operations or other similar healthcare related government programs function preferably in health care/managed care environment
- Up-to-date knowledge of state and federal laws and regulations, including Medicare/Medicare Advantage and Medicaid requirements
- Proven ability to influence cross-functional teams without formal authority
- Excellent communication skills (verbal, written and presentation)
- Ability to read statutes and regulations and interpret them in order to identify compliance needs/risks
- California Regulatory knowledge, preferred
- Reasoning skills to interpret, predict and improve process and performance creations and analytic skills of Charts and Graphs
- Attention to detail
- Strong verbal and written communication skills
- Strong knowledge of Microsoft Office 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
- Flexible, inclusive and collaborative work environment
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
regulatory compliancequality managementcontractual compliancegovernment programshealthcare complianceMedicareMedicaiddata analysisprocess improvementtraining program development
Soft Skills
communicationinfluenceattention to detailreasoninganalytical skillscollaborationorganizational skillspresentation skillsproblem-solvingcross-functional teamwork