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Senior Compliance Analyst - Green Bay, WI or Telecommute Considered

UnitedHealth Group


Location:
Green Bay, WI
Date:
05/23/2017
Job Code:
1745298
Apply on the Company Site
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Job Details


Senior Compliance Analyst - Green Bay, WI or Telecommute Considered(Job Number:713395)
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 Senior Compliance Analyst will be responsible for supporting regulatory audit activities. This individual will be responsible for driving best practices across the company to promote compliance with regulatory audit processes.

 

The Audit Management Department is seeking a confident and analytical professional to join its team. Audit Management leads and coordinates regulatory audits for UnitedHealthcare’s Medicare, Medicaid and some Commercial business. 

 

The Senior Compliance Analyst will be primarily responsible for managing regulatory / external audit activity, including but not limited to audit deliverable coordination, on - site audit coordination and management, and mock audit activities. Regulatory audits include those from Centers for Medicare and Medicaid (CMS), Office of Inspector General, General Accountability Office, State Departments of Insurance, and other regulators responsible for oversight.

 

This role requires collaboration with stakeholders at all levels of the organization, therefore candidates should demonstrate skillful communication, flexibility, and conflict resolution skills.

 

Primary Responsibilities:  

  • Coordinate all aspects of regulatory audits (i.e., pre - site deliverables, mock audits, on - site visits and logistics, written responses to audit reports)
  • Document, retain, report and clearly articulate audit - related information (i.e., scope, findings, recommendations, corrective action plans, and status) and documentation to Compliance and business operations leadership
  • Manage multiple audits and collaborate across multiple business segments
  • Work with various internal groups to gather needed information for regulatory audits
  • Act as the gatekeeper for regulatory audits
  • Conduct state - specific legal research
  • Monitor changes in requirements to mitigate risks and achieve compliance
  • Support the collection of data for regulatory filings
  • Monitor external regulatory audits
  • Create regulatory reporting
  • Develop compliance communications and drive issue resolutions
  • Analyze, understand and articulate regulatory and contractual requirements and apply identified requirements to business operations when supporting regulatory / external audits
  • Educate Medicare, Medicaid and Commercial business partners on Medicare, Medicaid and Commercial regulatory audit processes as needed
  • Manage, track and report regulatory audits
  • Coordinate with Legal Counsel as needed
  • Perform additional duties as requested or required by management
  • Travel as necessary

 


Job Compliance
Primary Location US-WI-Green Bay
Other Location 
Organization UHC LCRA - Compliance
Schedule Full-time
Number of Openings 5
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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