[Hiring] Compliance Officer @UnitedHealth Group

Role Description

This Compliance Director will serve in a role providing direct support to UnitedHealthcare Community & State (C&S) compliance program and health plan compliance priority functions as defined.

If you reside in Virginia, you will have the flexibility to work remotely* as you take on some tough challenges. For all hires in Minneapolis, MN or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Manage elements of a health plan compliance program with an understanding of state-based government health care programs and products.
• Engage in complex remediation strategy & resolution and promote compliance with applicable laws and contractual obligations for various Medicaid products.
• Flex by working across different markets with varying needs and expectations, as well as across the broader national compliance teams and various compliance program focus areas as needed.
• Evaluate compliance program functions and offer recommendations for continuous improvement.
• Conduct product-specific research (in collaboration with other regulatory affairs and legal teams) to identify state Medicaid requirements.
• Partner with legal, compliance and program integrity professionals to support national and market program integrity activities and communications.
• Collaborate with other legal, regulatory affairs, and compliance professionals cross-functionally to ensure elements of the compliance program are executed and that regulatory and contractual requirements are met.
• Evaluate identified compliance issues, including corrective action and mitigation.

This role requires an ability to develop relationships, analyze information, recommend process improvements and influence multiple stakeholders to increase engagement and get the needed results. You will be working in a matrixed environment with multiple groups while ensuring that resources are used effectively to mitigate risks and achieve compliance.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Qualifications

• 3+ years of experience managing aspects of a compliance program or working in a regulatory position.
• 3+ years of experience working in a government, legal, healthcare, managed care and/or health insurance environment in a regulatory, privacy or compliance role.
• Experience managing teams, major program initiatives or working with regulatory agencies.
• Broad knowledge and experience in navigating and influencing a complex matrixed environment across UHC, Optum and other delegated entities and driving to resolution.
• Proven solid skills in goal setting and works independently to achieve them.
• Proven excellent skills in verbal and written communication; problem solving.
• Demonstrates advanced writing/presentation skills and easily shifts style based on audience.
• Demonstrated ability to make decisions even when information is limited or unclear.
• Proven adept at understanding and resolving complex concepts and situations presented by the business environment.
• Proven ability to effectively deal with ambiguity and cope with change.
• Currently reside in Virginia.

Preferred Qualifications

• Professional certification (Certified in Healthcare Compliance - CHC or similar).
• 5+ years of healthcare industry or healthcare related industry and government programs experience.
• Experience with managed care and/or government programs.
• Experience in a strategic role, ideally leading and/or implementing a comprehensive compliance program.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.