Maryland Compliance Officer - Columbia, MD

UnitedHealth Group•Columbia, MD

6d•$112,700 - $193,200•Hybrid

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. Ready to make a difference? Join us to start Caring. Connecting. Growing together This Compliance Director will serve in a role providing direct support to UnitedHealthcare Community & State (C&S) compliance program and health plan compliance priority functions as defined.

Requirements

3+ years of experience managing aspects of a compliance program or working in a regulatory position
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
Broad knowledge and experience in: Ability to navigate and influence a complex matrixed environment across UHC, Optum and other delegated entities and drive to resolution
Proven solid skills in: goal(s) setting and works independently to achieve them. Pushes self and others to reach milestones
Proven 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
Proven adept at understanding and resolving complex concepts and situations presented by the business environment; ability to assess complex problems and recommend the appropriate compliance solutions
Located in Eastern time zone
Proven ability to effectively deal with ambiguity - can effectively cope with change, can shift gears comfortably, can decide and act without having the total picture, comfortably handles risk and uncertainty in a manner consistent with UnitedHealth Groups core values, culture and common language of leadership

Nice To Haves

Willing to work from the Columbia, MD office hybrid 4 days a week
Professional certification (Certified in Healthcare Compliance - CHC or similar)
5+ years of healthcare industry or healthcare related industry and government programs experience
Experience with managed care and/or government programs
Experience in a strategic role, ideally leading and/or implementing a comprehensive compliance program

Responsibilities

Ability to manage elements of a health plan compliance program with an understanding of state-based government health care programs and products
Engage in complex remediation strategy & resolution and promote compliance with applicable laws and contractual obligations for various Medicaid products
Ability to flex by working across different markets with varying needs and expectations, as well as across the broader national compliance teams and various compliance program focus areas as needed
Evaluate compliance program functions and offer recommendations for continuous improvement
Conduct product-specific research (in collaboration with other regulatory affairs and legal teams) to identify state Medicaid requirements
Partner with legal, compliance and program integrity professionals to support national and market program integrity activities and communications
Collaborate with other legal, regulatory affairs, and compliance professionals cross-functionally to ensure elements of the compliance program are executed and that regulatory and contractual requirements are met
Evaluate identified compliance issues, including corrective action and mitigation