Job Description

Compliance Consultant

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

No other industry is changing as rapidly or as broadly as health care. But to us, change is invigorating. It gives us a chance to continue to innovate as we shape the future. As a Compliance Consultant with us, you will be responsible for conducting risk management, supporting client/regulator attestations and audits, responding to corrective /remediation action plans, supporting business critical issues, and monitoring changes to laws and regulations to ensure compliance with State and Federal mandates. It's an exhilarating pace where you can develop your career while you help to make the health system work better for everyone. The Compliance Consultant will conduct compliance oversight activities with a focus on client and regulator attestations and audits across all lines of business and help to support ongoing compliance program requirements.

You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Establish, mandate and implement standard policies, procedures and best practices across the company to promote compliance with applicable laws and contractual obligations
• Respond to client, accreditation, and regulatory compliance program effectiveness audit requests which includes communicating compliance with regulatory standards as well as support any remedial actions
• Respond to and manage client and regulatory compliance attestations related to Medicare, Medicaid, Commercial and Exchange and Pharmacy lines of business
• Conduct state/federal-specific research and monitor changes in requirements to mitigate risks and achieve compliance
• Drive compliance communication requirements which includes development and execution of a compliance communication work plan and marketing material reviews
• Support the collection of data for regulatory and/or client filings, coordinate and develop reports, projects and (i.e. This includes but is not limited to client specific training reports, escalation and monitoring of required enterprise new hire and annual training completion rates, etc.)
• Predict emerging customer needs and develops innovative solutions to meet them

You may have worked in compliance already. But that's not like operating on a global scale. The stakes are high and the changes breathtaking. You will be challenged with thinking strategically as you implement effective compliance programs. You will be responsible for monitoring internal and external regulatory audits. And you will be expected to solve unique and complex problems with broad impact on the business.

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 3+ years healthcare compliance related experience
• 5+ years of experience working in a government, legal, healthcare, managed care and/or health insurance environment
• Experience communicating complex information via phone conversations and emails to non-technical clients, external customers, internal customers and executives
• Experience interacting & collaborating with a variety of stakeholders (other team members, internal customers, and executives)
• Intermediate or better proficiency with MS Word, MS Excel and MS Outlook

Preferred Qualification:

• Experience working with or in Legal, Regulatory, and/or Compliance arena

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $85,000 to $167,300. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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