What are the responsibilities and job description for the Learning & Quality Specialist position at Sun Life Financial?

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

Job Description :

Location : We support US flexible working arrangements in the contiguous 48 states.

At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you'll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America.

The opportunity : We're looking for a dedicated Learning & Quality Specialist to support the Operational Quality Assurance Team. You'll be responsible for comprehensive coaching, quality assurance assessments and audits to identify deviations, defects and non-conformities with processes.

Core Working Hours : Monday through Friday 8 : 30 AM to 5 : 00 PM EST

How you will contribute :

Conduct comprehensive quality assurance assessments and audits to identify deviations, defects and non-conformities with processes.
Perform root cause analysis and corrective actions to address quality issues.
This position reports to the Health & Risk Solutions Operations Manager of Quality Assurance and is responsible for preparing, inspecting and complying with Health Information Management's policies and procedures.
The Quality Assurance Specialist will help validate and / or develop improved standards, identify training needs, including root-cause analysis, and correction actions / recommend solutions for the Operations Department within Health & Risk Solutions.
The Health Information Team is responsible for collecting, compiling, organizing, maintaining and protecting all patient health information.
The Medical Intelligence Team is responsible for producing deliverables that assist in creating knowledgeable patients, advocates and researchers to align with member specific needs and conditions.
The Quality Assurance Specialist verifies that each HIM & MedIntel Team Member is meeting these responsibilities.

What you will bring with you :

Bachelors or High School Diploma with a minimum of 3 years of experience

Prior Quality Assurance experience preferred

Solid understanding of quality control roles, preferably in Med intel and HIM space.

Detail oriented and organized with the ability to prioritize tasks and meet deadlines.

Strong analytical and problem-solving skills with the ability to conduct root cause analysis and implement corrective actions.

Accountable for contributing to a workplace environment that fosters mutual respect, cooperation, information sharing and commitment to delivering the expected service.

Broad knowledge of Health & Risk Solutions products and processes.

Broad knowledge of Health Insurance Portability and Accountability Act (IPAA) and processes.

Knowledge of federal and state laws / regulations applicable to Health Information practices and processes

Ability to think creatively to resolve the more complex or non-routine issues.

Strong written and verbal communication skills and experience.

Ability to effectively coach, develop and motivate team member to achieve Department and SLF goals

Strong negotiation, decision making and problem solving skills and experience

Ability to develop and maintain effective, professional business relationships across all levels of the organization and external TPA administrators and customers

Strong PC Proficiency

Ability to successfully meet deadlines and achieve goals

Knowledge of company computer systems and products a strong plus

Do you see yourself in this role even if you haven't checked all the boxes above? We welcome all talented candidates and are committed to a culture that represents diversity in all forms. If you think you might thrive in this setting, we would love to hear from you.

Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!

Life is brighter when you work at Sun Life

Excellent benefits and wellness programs to support the three pillars of your well-being - mental, physical, and financial - including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more

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

A flexible work environment with a friendly, caring, collaborative and inclusive culture

Great Place to Work® Certified in Canada and the U.S.

Named as a "Top 10" employer by the Boston Globe's "Top Places to Work" two years running

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.

Salary Range : $50,800-$68,600

We consider various factors in determining actual pay including your skills, qualifications, and experience. In addition to salary, this position is eligible for incentive awards based on individual and business performance as well as a broad range of competitive benefits.

Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter -for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com / us to learn more.

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

LI-remote

Our Affirmative Action Program affirms our commitment to make reasonable accommodation to the known physical or mental limitation 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.

Job Category :

Customer Service / Operations

Posting End Date : 20 / 02 / 2025

Salary : $50,800 - $68,600

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