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
Required Qualifications: Bachelor's degree or equivalent experience 5+ years of experience in a regulatory / compliance environment 3+ years of experience leading and implementing a comprehensive compliance program 3+ years of experience with HIPAA, state and international privacy laws 3+ years of experience in a role directly managing a compliance program Experience managing multiple projects / tasks Experience working as a Subject Matter Expert in a large, highly - matrixed organization, working with various business segment and / or stakeholders Ability to assess complex problems and provide the appropriate compliance solutionsPreferred Qualifications: Bachelor's, Master's or JD degree 3+ years of experience and knowledge working with state level regulators Experience developing and presenting training programs Solid experience in managed care and government programs Experience leading audits and major program initiatives Ability to identify root cause issues and ensure appropriate corrective action Proven history of successful results in managing issues and driving strategic program initiatives Proven ability to think strategically and to translate strategic directives into tactical initiatives Proven ability to drive cross - functional teams to deliver operational compliance Adept at understanding complex concepts and situations presented by the business environment Objective, collaborative approach Ability to adapt in a dynamic and high - growth environmentCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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 Compliance, Compliance, Regulatory, HIPAA, Richmond, VA, Virginia
Our mission is to help people live healthier lives and to help make the health system work better for everyone.
- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities.
- We work with health care professionals and other key partners to expand access to quality health care so people get the care t...hey need at an affordable price.
- We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.