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Associate Director of Program Regulations and Auditing - Telecommute U.S.

UnitedHealth Group

Eden Prairie, MN
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Job Details

738815 Associate Director of Program Regulations and Auditing Telecommute US

Associate Director of Program Regulations and Auditing - Telecommute U.S. (738815)

Position Description

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 Program Regulations and Auditing will monitor changes to laws and regulations to ensure compliance with State & Federal laws, regulations and mandates. This individual 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 will oversee a team that conducts state - specific legal 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


Required Qualifications:

  • Bachelor’s degree 
  • SOCI or SOCII Audits experience
  • Spanish speaking
  • Exceptional written and verbal communication skills
  • Superior analytical, organizational and problem solving skills

Preferred Qualifications:

  • Post - graduate degree 
  • 2+ years of experience in a regulatory / compliance environment
  • 3+ years of healthcare operations experience in IT or claims 
  • 3+ years of experience leading and implementing a comprehensive compliance program
  • 3+ years supervisory experience
  • 3+ years of experience with HIPAA, state and international privacy laws
  • Enrollment, reconciliation, call center experience
  • Travel to Puerto Rico for first 2 years up to 50%
  • CMS experience

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)



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.



Job Keywords: Associate Director of Program Regulations and Auditing, Regulatory, Compliance, IT, Claims, HIPAA, Telecommute, Telecommuter, Telecommuting, Remote, Work from home, Travel


Job Details

  • Contest Number738815
  • Job TitleAssociate Director of Program Regulations and Auditing - Telecommute U.S.
  • Job FamilyRegulatory and Compliance
  • Business SegmentOptumInsight

Job Location Information

  • Eden Prairie, MN
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelDirector
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionYes
  • Overtime StatusExempt

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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