Compliance Consultant - Remote

UnitedHealth Group•De Pere, WI

7h•Remote

About The Position

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 optimized. 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 Federal & State Regulators. You will be an integral part of our 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 and Federal oversight agencies. 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. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

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
Proven solid computer skills with experience with MS Office, Word, Excel, and Adobe Acrobat (minimum of intermediate level of proficiency)
Proven exceptional organizational and communication skills to manage multiple ongoing projects and ad hoc requests with stakeholders
Proven achievement-oriented to meet regulatory deadlines
Proven ability to function independently in a fast-paced environment
Willing to travel a maximum of 10%25 nationally

Nice To Haves

Experience working with Medicare, Medicaid, or Commercial benefits & regulations
Proven accurate and precise attention to detail
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
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
Solid 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

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)
Document, 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
Develop compliance communications and escalate 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/external audits
Educate Medicare, Medicaid and Commercial business partners on regulatory audit processes as needed
Manage, track and report regulatory audits
Perform additional duties as requested or required by management
Travel as necessary