Associate Director, Compliance and Regulatory - Remote

Company: UnitedHealth Group
Location: Eden Prairie
Posted on: January 18, 2023

Job Description:

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) Optum is a health services business dedicated to making the health system work better for everyone. We serve people throughout the entire health system. This allows us to bring a uniquely broad, yet experienced, perspective. We have the ability and scale to help our clients both envision and implement new approaches that drive meaningful, enduring and positive change. Beyond just a company and a brand, Optum is a unique and valuable collection of people, capabilities, competencies, technologies, perspectives and partners. The Optum Associate Compliance Director is responsible for supporting all aspects of the compliance program with focus on clinical operational compliance in brick-and-mortar clinic operations, behavioral care delivery, practice health and safety, and investigations home health and hospice, and care in the home. As a key member of the Compliance team, this position provides compliance leadership and oversight within assigned businesses across Optum health and serves as a first point of contact for employees on clinical compliance matters. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:

• Partner with national teams and business leaders to oversee compliance program implementation and effectiveness
• Develop business profile and work plans and ensuring timely completion of key milestones
• Develop program scope documents and project plans, and reporting tools including KPI dashboards and scorecards
• Work cross-functionally and across multiple teams and leaders to accelerate implementation of strategic clinical quality and patient safety priorities and clinical model transformation in alignment with business strategies
• Develop/maintain regulatory and operational knowledge for assigned businesses
• Provide subject matter expertise and support for key regulatory implementation initiatives
• Participate in annual compliance risk assessment and support remediation as necessary. Risk assessment will include validation of standards, accountabilities and outcomes
• Deliver targeted compliance training and communications as necessary
• Provide subject matter expertise for compliance investigations, assessments, audits and reviews
• Manage compliance committees (where required) and deliver periodic compliance reports to leadership
• Oversee remediation and corrective action plans resulting from audits, investigations, compliance reviews, and self-identified issues
• Assist with high-risk implementations
• Interface with regulators as needed
• Conduct compliance reviews of marketing materials, regulated documents and other external materials as required
• Conduct acquisition due diligence and manage compliance integration of acquired entities
• Ensure Vendor/Delegate Standards and Oversight support in alignment with Compliance Program Administration team
• Provide Subject Matter expertise for clinical compliance operations within the provider care delivery environment
• Align coding, documentation and billing processes with the Optum Coding Compliance Program and standards 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:
  • Unencumbered, active Registered Nurse license in the state of residence
  • 5+ years of demonstrated experience leading and implementing a comprehensive clinical practice Compliance Program, based on the seven elements
  • Ability to travel to business locations 25% - 50% Preferred Qualifications:
    • Professional certification in compliance
    • Experience in developing and validating Compliance in clinic and physician practice environments
    • Solid foundation in evidence-based medicine, clinical guideline development and management, utilization management, and population health
    • Demonstrated ability to lead a team and influence in a large, matrixed organization
    • Self-starter with proven ability to drive cross-functional teams to deliver operational compliance
    • Proven ability to think strategically and to translate strategic directives into tactical initiatives
    • Adept at understanding complex concepts and situations presented in the business environment
    • Proven ability to assess complex problems and recommend the appropriate compliance solutions
    • Objective, collaborative approach. Ability to adapt in a dynamic and high-growth environment
    • Exceptional written, verbal, analytical, organizational, problem solving and presentational skills Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges. California, Colorado, Connecticut, Nevada, Washington or New York City Residents Only: The salary range for California, Colorado, Connecticut, Nevada, Washington or New York City residents is $101,200 to $184,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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. *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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.

Keywords: UnitedHealth Group, Eden Prairie , Associate Director, Compliance and Regulatory - Remote, Executive , Eden Prairie, Minnesota