This position will serve as the primary attorney for Special Needs Plans. Positions in this function provide legal advice and services on issues concerning the rights, obligations, and privileges of the organization. Protect the organization's rights in contract negotiations, settlements and litigation. Provides a full range of legal advice and services and may specialize in one of more areas such as mergers and acquisitions, commercial law, contracts law, benefit law, securities, anti-trust investigations, tax law, regulatory and complianc...
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Ingenix is part of the family of companies that make UnitedHealth Group, one of the leaders across most major segments of the US health care system. If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix. We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services. As a vital member of...
Position Description:This position assists in preparation for and presentation of Medicaid appeal and claim dispute cases in administrative hearings before AHCCCS, DES and CRSA. Primary Responsibilities:
The Consumer Affairs Lead / Project Manager receives, documents, processes and resolves member appeals and grievances, provider disputes and regulatory complaints. This individual will serve as a primary resource to senior management, plan sponsors, enrollees, legal and regulatory agencies across all states in resolution of oral and written complaints and appeals.Primary responsibilities include:
This position will report to the Director of Regulatory Reporting within the PSMG Corporate Responsibility and Compliance Team Responsibilities include:
The Audit Management Department is seeking a confident, analytical professional with internal audit management experience to join its Internal Compliance Audit Team, which is primarily located in Minnetonka, MN. This team is part of the Audit Management Department, which also leads and coordinates regulatory audits for the Public and Senior Markets Group (PSMG), and reports to the Chief Compliance Officer. The Internal Compliance Audit Team is responsible for developing, coordinating, conducting and managing all aspects of the internal compliance audit work plan for PSMG, which includes conduc...
What makes your Compliance career greater with UnitedHealth Group? Growth opportunities with the potential to impact the health care system ensure it will always be challenging and exciting. The Medicaid Compliance Officer will monitor changes to laws and regulations to ensure compliance with State and Federal laws, regulations and mandates. This individual will establish and implement standard policies, procedures, processes and best practices across UHG to promote compliance with applicable laws and contractual obligations. The Compliance Officer will oversee a team that condu...
We currently have an opportunity available for an Associate General Counsel in Hartford, Connecticut. Primary responsibilities will include providing legal counsel and expertise to UnitedHealthcare's Lines of Business organization. This individual will frequently interact with senior company leaders and/or outside representatives on complex issues having impact across UnitedHealthcare. Specific responsibilities include:
Responsible for overseeing all regulatory compliance for the Houston CAC (Care Advocacy Center) including state and federal regulatory mandates, statutory requirements, audits and reports. Responsible for overseeing the corporate and internal audits. Supervises the required compliance coordinators. As the compliance director, responsible for the oversight of regulatory compliance at the state and federal level. Reviews state and federal statutes, keeps up on regulatory changes, writes policy in accordance with the laws, and coordinates all audit activity and responses for ...
This position will work to establish and implement standard policies, procedures, processes and best practices across OptumHealth to promote compliance with applicable laws and contractual obligations related to assigned functional areas. The position is expected to partner with business leaders and other compliance leaders to mitigate risks and achieve compliance.Primary responsibilities of the Compliance Consultant are:-Coordinate compliance activities for assigned business functional areas. Develop reports, projects and assessment tools to verify compliance.-Build and maintain knowledge of ...
Associate Director of Compliance - Golden Valley, MN(324409)Full-time with OptumHealth in Golden Valley, MinnesotaPosted 4/7/2010
Health Care Reform, Regulatory Affairs Director - USA(325658)Full-time with UHC Shared Services in Greensboro, North CarolinaPosted 4/23/2010
Associate Director of Regulatory Affairs(326843)Full-time with UHC Shared Services in Greensboro, North CarolinaPosted 5/4/2010
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