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 Sr Compliance Auditor will be responsible for managing/overseeing reconciliation efforts that are implemented by corporate/matrix partner or by the health plan. This individual will be responsible to establish, mandate and implement standard policies, procedures and best practices across the company to promote compliance with applicable laws and contractual obligations. They will conduct stat...
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Position Description:Positions in this function are responsible for the production of client contracts, agreements, negotiating summary plan descriptions (SPD's) and/or related employee plan documents. May draft policies, certificates of coverage (COC), riders, amendments and agreements within established standards. Advise and consult with internal and external customers, brokers and account management teams on issues relating to the content and administration of contract documents and/or regulatory or legislative matters. Keep abreast of state and federal regulations as they relate to ins...
Position Description:This position is responsible for assisting management in evaluating internal processes and providing independent analysis of compliance. This position assists in strengthening the internal process in the CLC team by providing assistance with the development of procedures to provide independent checks for validity, accuracy, completeness, and reconciliation of data; ensuring that the self-monitoring of internal processes include policies and procedures for prompt resolution of findings identified in related audits and other reviews; ensuring that CLC co...
The Senior Investigator will be responsible for triaging, investigating and resolving instances of healthcare fraud and/or abusive conduct by the medical profession or insured members. This individual will be utilizing information from claims data analysis, plan members, employee's conduct confidential investigations and document relevant findings. They will report any illegal activities in accordance with all laws and regulations. The Senior Investigator may also conduct onsite provider claim and/or clinical audits (utilizing appropriate personnel) to gather and analyze all necessary info...
Primary Responsibilities:
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 ...
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 Manager, Compliance will manage a team responsible for monitoring changes with internal laws and regulations to ensure compliance with State and Federal guidelines. This individual will be responsible to establish, mandate and implement standard policies, procedures and best practices across the company to promote compliance with applicable laws and contractual obligations. They will conduct state-spec...
What makes your Regulatory Affairs 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 Director, Regulatory Affairs will developing relationships with representatives of federal and state regulatory and enforcement agencies to ensure effective communication and partnership / cooperation. This individual will coordinate with various internal departments and committees to assure operational and procedural compliance with state and federal regulations. The Director will oversee data...
The Regulatory Analyst will monitor, track and report on recommendations made in response to Federal (& State) government agency Notices of Proposed Rulemaking (NPRMs), draft regulatory guidance and sub-regulatory guidance affecting the Medicare Part C and Part D Programs and the Medicaid Program; Monitor, track and report advocacy activities with government agencies regarding Medicare Part C and D Program policy and Federal Medicaid Program policy. Duties would include: -Monitoring of government publications and websites to identify topics pertinent to business units,-...
Primary responsibilities include:
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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