Compliance Referral Analyst

UnitedHealth Group • Plymouth, MA

7d • Remote

About The Position

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The evolution we're seeing in health care is happening fast and furious. But UnitedHealth Group is unfazed. In fact, we make a revolution happen every day. After all, when you're helping drive the future, you need to go all out. As a Compliance Referral Analyst with us, you will monitor changes to laws and regulations to ensure compliance with State and Federal mandates. It will be a whirlwind, but it will also be the place where you can help make the health system work better with the support and resources of a Fortune 6 leader.
If you call yourself a data guru, then you'll be perfect for this role. As you respond to inquiries, requests and actions, you'll need to be able to communicate research and data findings in a meaningful way. You will also be responsible for monitoring internal and external regulatory audits.
You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.
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.

Requirements

• High School Diploma/GED
• 3+ years of experience working in a government, legal, health care, managed care and/or health insurance environment in a regulatory, privacy or compliance role
• 3+ years of experience communicating complex information via phone conversations and emails to non-technical clients, external customers, internal customers and executives
• 3+ years of experience working independently and researching state regulations
• 2+ years of experience writing fraud, waste & abuse investigation findings to state regulators
• 2+ years of experience balancing multiple competing priorities & deadlines
• Intermediate level of proficiency with MS Word, MS Excel and MS Outlook

Nice To Haves

• Bachelor's Degree

Responsibilities

• Establish and implement standard policies, procedures processes and best practices across the company to promote compliance with applicable laws and contractual obligations
• Conduct state-specific legal research and monitor changes in requirements to mitigate risks and achieve compliance
• Support the collection of data for regulatory filings, coordinate and develop reports, projects and use assessment tools to verify compliance
• Create regulatory reporting
• Develop compliance communications and drive problem resolution for a business segment across UnitedHealth Group
• Support Special Investigations Unit for referring Fraud, Waste, Abuse and Error to Regulatory Agencies

Benefits

• In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees