C&S Compliance Officer

About the position

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. If you reside in the state of Idaho, you'll enjoy the flexibility to work remotely as you take on some tough challenges.

Responsibilities

• 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.
• Work 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 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.

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 navigating and influencing a complex matrixed environment across UHC, Optum and other delegated entities.
• Proven solid skills in goal setting and works independently to achieve them.
• Proven excellent skills in verbal and written communication; problem solving.
• 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.

Nice-to-haves

• 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.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution.