Regulatory Affairs Consultant - Remote- PST

UnitedHealth Group•Irvine, CA

2d•$91,700 - $163,700•Remote

About The Position

The Regulatory Affairs Consultant leads regulatory initiatives that support organizational strategy, compliance, and operational excellence. This role serves as a subject matter expert on healthcare regulatory requirements, providing guidance to stakeholders, managing regulatory projects, coordinating audits, and ensuring compliance with federal and state regulations, contractual obligations, and accreditation standards. Working closely with leadership and cross-functional teams, the consultant drives implementation of regulatory requirements and process improvements across the organization. Reports to the Vice President, DMHC Affairs Department. If you are located in PST, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

5+ years of experience in healthcare regulatory affairs, compliance, or related functions, including knowledge of managed care operations and industry trends
3+ years of experience leading complex, cross-functional projects with aggressive timelines and multiple contributors
Experience managing multiple projects simultaneously and delivering successful outcomes
Solid knowledge of healthcare regulations and the ability to interpret requirements from CMS, DMHC, DHCS, and related regulatory bodies
Demonstrated success driving operational compliance and achieving regulatory objectives through collaboration and influence
Demonstrated solid relationship-building skills with the ability to lead change and gain stakeholder alignment
Demonstrated ability to navigate ambiguity, analyze complex issues, and develop practical solutions across functional areas
Demonstrated solid analytical, organizational, and problem-solving capabilities
Proven ability to manage multiple priorities in a fast-paced, evolving environment
Proven excellent verbal and written communication skills, including presenting to leadership and diverse stakeholder groups
Proven strategic thinker with the ability to translate organizational priorities into executable initiatives
Proven collaborative, adaptable, and results-oriented approach in dynamic, high-growth environments
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

Maintain expertise in current and emerging healthcare regulations, legislation, and industry requirements
Lead cross-functional efforts to assess, implement, and monitor regulatory initiatives, providing regular status updates and risk assessments
Contribute to regulatory engagement and operational strategies aligned with organizational goals
Translate complex regulatory and business requirements into clear, actionable guidance for diverse audiences
Provide regulatory interpretation and consultation to stakeholders; develop and manage work plans to support compliance objectives
Prepare and coordinate responses to health plans, regulatory agencies, and other external entities regarding regulatory inquiries and directives
Serve as the primary point of contact for regulatory audits and coordinate organizational participation
Ensure policies, procedures, and operational practices align with CMS, DMHC, DHCS, NCQA, and other applicable requirements
Analyze and resolve business challenges affecting clinical operations, workflows, and functional requirements
Develop reports, presentations, and executive-level communications on regulatory activities, risks, and compliance status
Identify opportunities for process improvement and recommend innovative, cost-effective solutions across departments
Perform additional duties and responsibilities as assigned