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Associate Director of Compliance - Richmond, VA

UnitedHealth Group

Richmond, VA
Job Code:
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Job Details

Associate Director of Compliance - Richmond, VA(Job Number:718252)

Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work.(sm)


The Associate Director of Compliance will monitor changes to laws and regulations to ensure compliance with State & Federal laws, regulations and mandates. This individual will develop, implement and maintain the compliance program within UnitedHealthcare Community & State in order to ensure that we are meeting company guidelines and CMS requirements. They will establish and implement standard policies, procedures, processes and best practices across UnitedHealth Group to promote compliance with applicable laws and contractual obligations. The Associate Director of Compliance will conduct state-specific research and monitor changes to requirements to mitigate risks and achieve compliance. Will also support the collection of data for regulatory filings, coordinate and develop reports, projects, and assessment tools to verify compliance. They will develop compliance communications and drive problem resolution for a business.


Primary Responsibilities:

  • Provides leadership to and is accountable for the performance and results through multiple layers of management and senior level professional staff
  • Develops, implements and maintains the compliance program within UnitedHealthcare Medicare & Retirement Operations in order to ensure that we are meeting company guidelines and CMS requirements
  • Responsible for managing compliance for the Billing, Enrollment, Reconciliation and Call Center functions within Operations in partnership with the business leaders
  • Develop and manage site Compliance Committee meetings
  • Ensure written standards and procedures
  • Provide training, communications and education
  • Ensure proper reporting and response to state stakeholders
  • Conduct auditing and monitoring, to ensure compliance
  • Oversee contract compliance activities and vendor oversight
  • Remain vigilant regarding fraud, waste and abuse
  • Ensure privacy requirements are met within the health plan


Job Compliance
Primary Location US-VA-Richmond
Other Location 
Organization UHC LCRA - Compliance
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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