Compliance Analyst II

December 27, 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 - $137.6k / 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

• Location: Must reside in Florida. • The Compliance Analyst II is 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. • 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. • Collaborate with Legal to provide focused interpretation and guidance regarding legislation and regulations.

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 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.

Benefits

• Excellent benefits and wellness programs to support the three pillars of your well-being – mental, physical and financial. • 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 as well as disability programs. • Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account. • Flexible work environment with a friendly, caring, collaborative and inclusive culture.