UnitedHealth Group
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
Positions in this job family are responsible for regulatory compliance process and audits. This function would include regulatory filing costs, cost associated with the DOI (Dept of Insurance), insurance commissioners, and other regulatory agencies.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Conduct state – specific contractual, regulatory research
Participates in the development of business strategy
Monitor changes to requirements to mitigate risks and achieve compliance
Provide training, communications, and education
Support the collection of data for Utilization Review and other regulatory filings
Ensure proper reporting and response to state stakeholders
Conduct auditing and monitoring, to ensure compliance
Provide support for external regulatory audits
Solves problems and develops innovative solutions
Performs conceptual analyses
Monitor changes to laws and regulations to ensure compliance with State & Federal laws, regulations, and mandates
Follow standard policies, procedures, processes, and best practices across UHG to promote compliance with applicable laws and contractual obligations
Conduct state-specific legal research and monitor changes to requirements to mitigate risks and achieve compliance
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.
Required Qualifications:
3+ years of experience in a legal, regulatory or compliance role in healthcare or managed care
3+ years of experience working in a government, healthcare, managed care or health insurance environment
Intermediate or better proficiency using MS Word, MS Excel and MS PowerPoint
Demonstrated ability to communicate effectively in written & verbal English
Proven ability to manage multiple projects
Proven ability to stay organized and practice effective time management skills
Proven ability to work effectively and congenially with employees at all levels
Proven objective, collaborative approach; relationship builder who strives to build partnerships
Skills You Will Develop:
Serving as a key resource on complex and/or critical issues
Anticipating customer needs and proactively develops solutions to meet them
Motivating and inspires other team members
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New York, New Jersey, Rhode Island, Washington or Washington, D.C. Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
UnitedHealth Group
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