Associate Director, Healthcare Pricing, DentaQuest

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.

DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.

Job Description

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our leaders are expected to foster connection and teamwork by being present in the office 2 to 3 days per week.

The opportunity

Under the guidance of leadership, the Associate Director, Pricing manages the pricing methodology for different business segments. This includes but is not limited to recommending and establishing Target Loss Ratios for different business segments and providing analysis and pricing recommendations to current and new product initiatives. The position also requires collaboration with other departments in support of pricing as well as coordinating and providing actuarial services to all business units. In addition to risk management, pricing, and data analysis, the position provides implementation of current business and new business to assure the benefits.

How you will contribute

• Set pricing for Current and New Business in accordance with meeting target loss ratios and regulatory requirements.
• Collaborate with Business Units and Core Operational Areas in providing financial risk analysis and underwriting services for clinical policy initiatives, operational initiatives, product initiatives, as well as entry into new markets.
• Support key initiatives by collaborating with business owners, users and information technology operations. Meet business requirements for all business units by developing sound pricing in order to achieve the financial goals.
• Collaborate with the Business Unit’s and Core Operational areas in support of RFP / RFI’s for existing client and prospect.
• Manage regulatory requirements with the Insurance Regulators as needed.
• Manage requirements by internal and external auditors.
• Document, monitor, and develop training materials and deliver training of departmental staff and SOPs.
• Coach, mentor, and direct the development of the underwriting team to ensure high service quality and proficiency.
• Provide pricing expertise in support of new marketing, clinical, and product initiatives.
• Collaborate with Product Teams in the design, pricing, and implementation of new products.
• Fulfill all departmental projects and initiatives by coordinating and communicating with staff, directors, and executives.
• Participate on ad hoc task forces and corporate projects and initiatives.
• In alignment with strategic direction set by senior leadership, support the development and implementation of underwriting and actuarial plans to meet DQ strategic and business objectives.
• Hire, train, coach, counsel, and evaluate performance of direct reports. Ensure regulatory and legal compliance within department.
• Other duties as assigned.

What you will bring with you

Salary

Salary Range : $108,900 - $163,400

At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.

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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.com to 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.

Job Category

Underwriting - Group

Posting End Date

04 / 12 / 2025

Seniority level

Not Applicable

Employment type

Full-time

Job function

Health Care Provider

Industries

Financial Services and Insurance

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