Compliance Consultant – Remote

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

 

As health care continues on its journey of transformation, UnitedHealth Group is seated at the front of the bus, helping drive the future. It’s a good thing we have 260,000 smart people working to make that happen. As a Compliance Consultant with us, you will monitor regulator requests and contract deliverables to ensure compliance with accurate and timely responses to our Medicaid Regulators.  You will be an integral part of our C&S Compliance Regulatory Audit Management Team. This is a place that will bring out the best in you!

 

The Compliance Consultant will be responsible for managing regulatory audit activities across multiple Medicaid markets. This individual will be responsible for driving best practices across the company to promote compliance with regulatory audit processes.

 

The Audit Management Department is seeking a confident and analytical professional to join its team. Audit Management leads and coordinates regulatory audits for UnitedHealthcare’s Medicare, Medicaid and some Commercial business.  

 

The Compliance Consultant will be primarily responsible for managing regulatory/external audit activity, including but not limited to audit deliverable coordination, virtual review and on-site audit coordination and management, and mock audit activities. Regulatory audits include those from The Centers for Medicare and Medicaid Services (CMS), Office of Inspector General, General Accountability Office, State Medicaid agencies, Departments of Insurance, and other regulators responsible for oversight.

 

This role requires collaboration with stakeholders at all levels of the organization; therefore, candidates should demonstrate skillful oral and written communication, flexibility, and conflict resolution skills.

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

 

Primary Responsibilities:

• Manage all aspects of regulatory audits (i.e., kick-off calls, pre-site deliverables, mock audits, virtual reviews, on-site visits and logistics, written responses to audit reports or requests)
• Document, track, retain, report and clearly articulate audit-related information (i.e., notices, scope, review period, audit deliverables, prior audit findings, recommendations, and audit status) and documentation to Compliance and business operations leadership
• Manage multiple audits and collaborate across multiple business segments to gather needed information for regulatory audits, including the development of compliance communications and escalation of audit-related issues
• Coordinate with Compliance, Regulatory Affairs, and Legal to analyze, understand, and articulate regulatory and contractual requirements and apply identified requirements to business operations when supporting regulatory audits
• Educate Medicare, Medicaid and Commercial business partners on regulatory audit processes as needed
• Perform additional duties as requested or required by management
• Travel as necessary 

 

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:

• 3+ years of experience in compliance, privacy and/or regulatory affairs or with supporting audits in a highly regulated industry; preferably a government, health care or managed care environment
• Proficient computer skills with experience with MS Office, Word, Excel, and Adobe Acrobat
• Proven exceptional organizational and communication skills to manage multiple ongoing projects and ad hoc requests with stakeholders
• Proven achievement-oriented to meet regulatory deadlines and accurate and precise attention to detail
• Proven ability to function independently and prioritize tasks in a fast-paced environment
• Must be willing to travel a maximum of 10% nationally

 

Preferred Qualifications:

• Experience working with Medicare, Medicaid, or Commercial benefits & regulations
• Experience responding to inquiries from a variety of stakeholders (regulators and internal business partners/leaders)
• Experience communicating complex information via meetings, phone conversations, and emails to internal Compliance, business partners/leaders, and regulators
• Proven project management experience from start to finish, including timely submissions and/or completion
• Ideal candidate will possess and demonstrate analytical, problem solving, decision-making, and time management skills; ability to exercise sound judgment, including when to escalate or seek guidance

 

Required Soft Skills:

• Ability to work collaboratively in accordance with the applicable audit model as work is generally self-directed; works independently to gather required data and/or information for submission to regulator(s)
• Solid verbal and written communication skills
• Demonstrated ability to build and maintain relationships with leaders, Compliance, business contacts across the organization, and team members
• Strong research skills
• Demonstrated ability to prioritize and organize workload to meet multiple hard deadlines
• Ability to make sound decisions in a fast-paced environment
• Collaborate with peers to share best practices

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

 

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 re 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 $89,800 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

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.

 

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.