UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing 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 Medicare Part D and other pharmacy-related 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 The Centers for Medicare and Medicaid (CMS) Services, 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.

We are looking for a person in our DePere, WI office to work the hybrid model, but telecommuter may be considered.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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 to gather needed information for regulatory audits
• 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 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
  

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:

• Undergraduate degree or equivalent work experience
• 2+ years of experience in compliance, privacy and/or regulatory affairs or with supporting audits in a highly regulated industry; preferably a government, health care or managed care environment
• Medicare Part D or pharmacy knowledge
• Intermediate level of proficiency with MS Word, Excel and PowerPoint
• Willing and able to travel a maximum of 25% nationally
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifcations:

• Experience working with Medicare, Medicaid or Commercial benefits & regulations
  

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 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)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.