Associate Director, Pricing & Underwriting, 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.

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

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, Underwriting 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 the risk management, pricing, and data analysis, the position provides implementation of current business and new business to assure the benefits and rates that is sold is correct. The position entails management and development of direct reports to support the governance and objectives set forth by the organization.

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.

• Manages regulatory requirements with the Insurance Regulators as needed

• Manages requirements by internal and external auditors

• Documents, monitors, and develops training materials and delivers training of departmental staff.

• Coaches, mentors, and directs the development of the underwriting team to ensure high service quality and proficiency.

• Providing pricing expertise in support of new marketing, clinical, and product initiatives

• Collaborates 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.

• Participation on ad hoc task forces and corporate projects and initiatives.

• In alignment with strategic direction set by senior leadership, supports the development and implementation of underwriting and actuarial plans to meet DQ strategic and business objectives.

• Hires, trains, coaches, counsels and evaluates performance of direct reports. Ensures regulatory and legal compliance within department.

• Other duties as assigned.

What you will bring with you:

• BA/BS degree.

• 10 years industry experience with a minimum of 5 years large group underwriting experience.

• PC skills required, MS Windows environment. MS