Regulatory Adherence Analyst

UnitedHealth Group•Minnetonka, MN

1d•$60,200 - $107,400•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 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 will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

3+ years of experience in PBM or health plan
2+ years of experience in a legal, regulatory or compliance role in healthcare or managed care
2+ years of experience working in a government, healthcare, managed care, or health insurance environment
1+ years of Medicaid or Medicare audit experience
Ability to travel up to 10% as needed

Nice To Haves

Working knowledge in coverage determinations and exceptions
Intermediate level of proficiency using MS Word, MS Excel, and MS PowerPoint
Experience managing multiple projects and competing deadlines
Ability to communicate clearly and professionally in both oral and written communication
Demonstrated ability to communicate effectively in written & verbal English
Demonstrated ability to manage multiple projects
Demonstrated ability to stay organized and practice effective time management skills
Demonstrated ability to work effectively and congenially with employees at all levels

Responsibilities

Serving as primary lead on audits performed by our clients and regulatory / government agencies
Working with internal business partners and government auditors
Serve as a resource for team members
Determine the appropriate scope, timing and logistics of the audits
Prepare audit requests for documentation or data universes as required
Developing a consistent audit process to ensure all outside audits are effectively managed
Analyzing the root cause of issues and aiding in development of appropriate action plans
Actively engaged in process improvement projects
Providing reporting to management
Providing updated statuses on audits assigned
Creating audit documentation
Creating and giving internal and external presentations
Assisting in or leading various special projects as directed by the Manager of Government Programs Audit Support

Benefits

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution