Jobs at United Healthcare – C&S Health Plan Compliance Officer

Job Description:

UnitedHealthcare is a company that’s on the rise. We’re expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn’t about another gadget, it’s about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life’s best work.(sm)

This position has responsibilities as the local market health plan compliance officer and is an individual contributor.

Job Responsibilities:

• Ability 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

Job Requirements:

• 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
• Advanced Degree (JD or Master’s)
• Experience with managed care and/or government programs
• Experience in a strategic role, ideally leading and/or implementing a comprehensive compliance program
• Professional certification (Certified in Healthcare Compliance – CHC or similar)
• 5+ years of Healthcare industry or Healthcare related industry experience and government programs.
• Ability to navigate and influence a complex matrixed environment across UHC, Optum and other delegated entities and drive to resolution
• Strong skills in goal(s) setting and works independently to achieve them; Pushes self and others to reach milestones
• 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
• If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Job Details:

Company: United Healthcare

Vacancy Type:  Full Time

Job Location: Winston-Salem, NC, US

Application Deadline: N/A

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