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. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.

Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.

Location: Must live in Iowa

The opportunity:
Join our Quality Management team as a Quality Oversight Senior Specialist, where your attention to detail and analytical thinking will directly impact our organization's compliance and quality objectives. This key position requires someone who thrives in a dynamic environment, can adapt to shifting priorities, and has a passion for identifying and resolving process improvements.
The ideal candidate excels at pivoting between tasks, thinks creatively to solve complex challenges, and contributes to our commitment to exceptional service delivery. You'll thrive if you're naturally curious, detail-oriented, and passionate about continuous improvement.

How you will contribute:

• 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

What you will bring with you:

• 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
  

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We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.

Life is brighter when you work at Sun Life

At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.

We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.comto request an accommodation.

For applicants residing in California, please read our employee California Privacy Policy and Notice.

We do not require or administer lie detector tests as a condition of employment or continued employment.

Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.