At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
This position has responsibilities as the local market health plan compliance officer and is an individual contributor.
This position follows an office-based schedule with three in-office days per week.
Primary Responsibilities:
- Be able to manage a compliance program with an understanding of complex or dual products
- Engages in high risk/complex remediation strategy & resolution and promote compliance with applicable laws and contractual obligations for various Medicaid products
- Collaborate with a team that conducts product-specific legal research and monitors changes to requirements to mitigate risks and achieve compliance
- Interpret complex, technical, professional, regulatory or legal information and publications distilling into actions as needed
- Collaborate with other legal, regulatory affairs, and compliance professionals cross-functionally to ensure regulatory and contractual requirements are met
- Investigate identified compliance matters, including corrective action and mitigation
This role requires a unique ability to develop relationships, analyze information 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.
Required Qualifications:
- Bachelor’s degree or equivalent work experience
- 3+ years of experience in a role directly managing key aspects of a compliance program
- 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: Ability to navigate and influence a complex matrixed environment across UHC, Optum and other delegated entities and drive to resolution
- Proven solid skills in: goal(s) setting and works independently to achieve them. Pushes self and others to reach milestones
- Proven excellent skills in: verbal and written communication; problem solving
- Demonstrates advanced writing/presentation skills. 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; ability to assess complex problems and recommend the appropriate compliance solutions
- Proven ability to effectively deal with ambiguity – can effectively cope with change, can shift gears comfortably, can decide and act without having the total picture, comfortably handles risk and uncertainty in a manner consistent with UnitedHealth Groups core values, culture and common language of leadership
- Located in State of Nevada
Preferred Qualifications:
- Professional certification (Certified in Healthcare Compliance – CHC or similar)
- 5+ years of Healthcare industry or Healthcare related industry experience and government programs
- Experience with Nevada managed care and/or government programs
- Experience in a strategic role, ideally leading and/or implementing a comprehensive compliance program
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 – $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.