Compliance Analyst II

December 26, 2024

🇺🇸 United States – Remote

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

💵 $85.8k - $128.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

🦅 H1B Visa Sponsor

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Sun Life

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1865

💸 Finance

Description

• Must reside in Florida • Reporting to the Director of Regulatory Compliance & Program Integrity • Accountable for multiple functions within the organization • Responsible for assisting with developing a framework and support system for an effective Anti-Fraud, Waste, and Abuse Compliance Program • Perform in a cross-functional role for Program Integrity Compliance liaison matters specific to the Florida market • Assist with review and update of annual Program Integrity Compliance Plans for State Medicaid Clients • Partner with Fraud Prevention and Recovery 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 • Collaborate with Legal to provide interpretation and guidance regarding legislation and regulations • Work with Operations to prevent improper payments

Requirements

• 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 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 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

Benefits

• Excellent benefits and wellness programs to support mental, physical, and financial well-being • Generous vacation and sick time • Market-leading paid family, parental, and adoption leave • Partially-paid sabbatical program • Medical plans • Company-paid life and AD&D insurance • Disability programs • Retirement and Stock Purchase programs including 401(k) plan with employer-paid match • Employer-funded retirement account • Flexible work environment with a collaborative and inclusive culture