Compliance Referral Analyst at Universal Health Group

Plymouth, Minnesota, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Aug, 26

Salary

107400.0

Posted On

03 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Compliance monitoring, Regulatory research, Data analysis, Regulatory reporting, Fraud investigation, Communication, Problem resolution, Policy implementation, Risk mitigation, MS Word, MS Excel, MS Outlook, Audit support, Legal research

Industry

Hospitals and Health Care

Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The evolution we're seeing in health care is happening fast and furious. But UnitedHealth Group is unfazed. In fact, we make a revolution happen every day. After all, when you're helping drive the future, you need to go all out. As a Compliance Referral Analyst with us, you will monitor changes to laws and regulations to ensure compliance with State and Federal mandates. It will be a whirlwind, but it will also be the place where you can help make the health system work better with the support and resources of a Fortune 6 leader. If you call yourself a data guru, then you'll be perfect for this role. As you respond to inquiries, requests and actions, you'll need to be able to communicate research and data findings in a meaningful way. You will also be responsible for monitoring internal and external regulatory audits. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Establish and implement standard policies, procedures processes and best practices across the company to promote compliance with applicable laws and contractual obligations Conduct state-specific legal research and monitor changes in requirements to mitigate risks and achieve compliance Support the collection of data for regulatory filings, coordinate and develop reports, projects and use assessment tools to verify compliance Create regulatory reporting Develop compliance communications and drive problem resolution for a business segment across UnitedHealth Group Support Special Investigations Unit for referring Fraud, Waste, Abuse and Error to Regulatory Agencies You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma/GED 3+ years of experience working in a government, legal, health care, managed care and/or health insurance environment in a regulatory, privacy or compliance role 3+ years of experience communicating complex information via phone conversations and emails to non-technical clients, external customers, internal customers and executives 3+ years of experience working independently and researching state regulations 2+ years of experience writing fraud, waste & abuse investigation findings to state regulators 2+ years of experience balancing multiple competing priorities & deadlines Intermediate level of proficiency with MS Word, MS Excel and MS Outlook Preferred Qualifications: Bachelor's Degree *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO, #GREEN

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Responsibilities

The Compliance Referral Analyst monitors changes to laws and regulations to ensure organizational compliance with State and Federal mandates. They also conduct legal research, support regulatory audits, and manage the reporting of fraud, waste, and abuse to regulatory agencies.