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Compliance Consultant - Eden Prairie, MN

UnitedHealth Group

Eden Prairie, MN
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Job Details

744853 Compliance Consultant Eden Prairie MN

Compliance Consultant - Eden Prairie, MN (744853)

Position Description

No other industry is changing as rapidly or as broadly as health care. But to us, change is invigorating. It gives us a chance to continue to innovate as we shape the future. As a Compliance Consultant with us, you will monitor changes to laws and regulations to ensure compliance with State and Federal mandates. It’s an exhilarating pace where you can develop your career while you help to make the health system work better for everyone.


You may have worked in compliance already. But that’s not like operating on a global scale. The stakes are high and the changes breathtaking. You will be challenged with thinking strategically as you implement effective compliance programs. You will be responsible for monitoring internal and external regulatory audits. And you will be expected to solve unique and complex problems with broad impact on the business.


Primary Responsibilities:

  • Establish, mandate, and implement policies, procedures and best practices across the company to promote compliance with applicable laws and contractual obligations
  • Conduct federal and state - specific research to identify security and privacy compliance requirements including NIST 800-53, FISMA, CMS MARS-E, IRS 1075, HIPAA, and SOC 1 & 2 deliverables and monitor changes in requirements to mitigate risks and achieve compliance
  • Identify security and compliance requirements within commercial and government requests for information (RFI) and requests for proposal (RFP) and monitor changes in requirements to mitigate risks and achieve compliance
  • Develop and approve security and privacy compliance communication for RFI / RFP responses, sales proposals, and client deliverables
  • Provide leadership, guidance, direction, problem resolution, and accountability for security, privacy, and compliance within commercial and government sales processing including requirement identification, solution delivery model selection, solution development, RFP development, and contract review
  • Provide education of applicable security and privacy laws, regulations, and contractual commitments with translation into control requirements
  • Leverage diversity and inclusion to foster teamwork, collaboration, and drive employee engagement
  • Support the collection of data for regulatory filings, coordinate and develop reports, projects and use assessment tools to verify compliance
  • Predict emerging customer needs and develops innovative solutions to meet them
  • Develop compliance communications and drive problem resolution for a business segment across UnitedHealth Group

Required Qualifications:

  • Bachelor’s Degree
  • Previous experience with large government information technology projects with Authority to Operate (ATO) or Authority to Connect (ATC) requirements
  • Previous experience creating and editing RFP responses containing NIST 800 - 53 or FISMA detailed capability and commitment narratives
  • Previous experience in a role requiring leadership skills with the ability to influence without authority
  • Previous experience writing and editing documents larger than 100 pages
  • 5+ years of experience working in a government, legal, health care, managed care and / or health insurance environment in a regulatory, privacy or compliance role
  • Experience communicating complex information via phone conversations and emails to non - technical clients, external customers, internal customers and executives
  • Experience interacting & collaborating with a variety of stakeholders (other team members, internal customers, and executives)
  • Intermediate or better proficiency with MS Word, MS Excel and MS Outlook

Preferred Qualifications:

  • Previous experience creating and editing RFP responses containing HIPAA detailed capability and commitment narratives
  • Experience interpreting the CMS Minimum Acceptable Risk Standards for Exchange (MARS - E) control framework, its four volumes,  law, and regulation
  • Experience working with Medicare, Medicare Advantage, Medicare Part D, Medicaid and / or Tricare regulations

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: Compliance, ATO, ATC, RFP, Telecommute, Telecommuter, Telecommuting, Remote, Work from home

Job Details

  • Contest Number744853
  • Job TitleCompliance Consultant - Eden Prairie, MN
  • Job FamilyRegulatory and Compliance
  • Business SegmentOptum Corporate

Job Location Information

  • Eden Prairie, MN
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • 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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