Compliance Consultant - Remote

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

Supports compliance program administration for clinical operations of Optum’s West Region businesses

Supports the development, implementation, and oversight of metrics related to compliance functions across care delivery organizations.

Researches, reviews, and analyzes regulatory requirements related to Medicare, Medicaid, Affordable Care Act (ACA), Health Insurance Portability and Accountability Act (HIPAA), and other matters to ensure compliance with state and federal regulations and internal policies

Conducts regulatory research and analysis to support compliance inquiries, investigations, health plan and regulatory audits, and business partners across care delivery organizations

Assists with the development, update, revision, and/or implementation of policies, procedures, and practices for general compliance and operations

Support the development of risk assessment tools and implementation of compliance risk work plans

Supports the development and delivery of materials and presentations to Compliance Committees, Board of Directors, and other key leadership meetings

Imparts framework and knowledge of the seven areas of an effective compliance program to internal and external stakeholders

Supports the compliance review of external facing materials to ensure compliance with all regulatory requirements and internal policies

Ensures standard processes are appropriately documented, implemented and updated as required

Makes recommendations to key internal stakeholders for process improvements and/or remediation plans aligned to regulatory requirements and internal policies

Establishes and maintains open lines of communication, both internal and external, to effectively present department services, policies, procedures, and programs

Ideal candidates will demonstrate ability to work independently

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:

High school diploma

3+ years of experience working in a government, health care, or health compliance

Direct experience in compliance programs supporting provider / clinical / operations

Experience interacting and collaborating with a variety of stakeholders (other team members, internal and external customers, and executives)

Familiarity with Microsoft Office (Word, Excel and PowerPoint)

Preferred Qualifications:

CHC (Certified in HealthCare Compliance)

Experience in compliance, audit, or other regulatory working experience in the health industry, government programs, compliance programs, or related fields

Experience with Microsoft Teams/SharePoint

Knowledge of healthcare regulatory compliance with Commercial, Medicare, and Medicaid

Demonstrated exceptional interpersonal and communication skills

Proven ability to be detail-oriented

Demonstrated ability to prioritize, plan, and handle multiple tasks/demands simultaneously

Solid project management skills

Ability to gather, analyze, and present data to key internal and external stakeholders

Demonstrated solid problem solving, conflict resolution, negotiating and decision-making skills

Presentation, training, and strong communication skills

All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.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.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.