Compliance Manager - Colorado

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)If you are located in Colorado, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities:Works collaboratively with various functional departments and individuals at various levels of the organization to provide related coordination and support in accordance with the Mission and Values of the companyRespect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees. The ability to maintain confidentiality is a critical and essential component of this positionUses organizational and project management skills to coordinate department projects related to compliance, quality, and operational excellence. Sets timelines, facilitates meetings, and tracks deliverables. Coordinates a variety of projects related to CMS and other regulatory/contractual requirements, vendor oversight, auditing and Medicare program managementCoordinates or provides implementation of necessary documentation and training, including drafting internal and external communication. Creates PowerPoint presentations as well as other educational presentations for use with providers, community partners, vendors and internal staffReviews department processes as assigned to identify changes needed to comply with regulatory or accreditation requirements. Utilizes independent thought to research, organize, and evaluate data to identify trends and opportunities for improvement. Provides findings to management and may make recommendations based upon findings to improve or correct department and/or interdepartmental work flows, methods, processes and/or procedures. Frequently explains detailed information, using tact and diplomacy to resolve disputed itemsUtilizes Excel and other database programs to input, update, verify, track, and maintain data. Examines and manipulates data to produce reports that are summarized by a variety of variables. Creates, modifies, validates, or generates scheduled and ad hoc reports and illustrative diagrams. Transmits data to appropriate departments or individuals within established guidelines and timeframesPartners with other departments to ensure that the reporting needs of the department are fully supported and that data gathered is appropriately and accurately reviewed. Explains findings in a detailed manner, working with appropriate staff to relay all pertinent information. Communicates findings back to the requesting party, to Management Staff and other appropriate personnel with recommendations for corrective actions plan(s)Develops an operational knowledge of management tasks through active participation in the current business environment, and other learning venues, to develop skills that would assist in supporting managementThis position may require travel. Requires independent, reliable, flexible, and on-demand, transportation at the incumbent’s expense for travel between various locations and timely arrival and departure from various locations. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverageYou’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:Bachelor’s degree or equivalent work experience3+ years of experience in a role directly managing key aspects of a compliance program3+ years of experience working in a government, legal, healthcare, managed care and/or health insurance environment in a regulatory, privacy or compliance roleExperience managing teams, major program initiatives or working with regulatory agenciesBroad knowledge and experience in: Ability to navigate and influence a complex matrixed environment across UHC, Optum and other delegated entities and drive to resolutionFull 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 accommodationPreferred Qualifcations:Advanced Degree (JD or Master’s)Professional certification (Certified in Healthcare Compliance - CHC or similar)5+ years of Healthcare industry or Healthcare related industry experience and government programsExperience with managed care and/or government programsExperience in a strategic role, ideally leading and/or implementing a comprehensive compliance programSolid skills in: goal(s) setting and works independently to achieve them. Pushes self and others to reach milestonesExcellent skills in: verbal and written communication; problem solvingDemonstrates advanced writing/presentation skills. Easily shifts style based on audienceDemonstrated ability to: make decisions even when information is limited or unclearDemonstrated ability to: Adept at understanding and resolving complex concepts and situations presented by the business environment; ability to assess complex problems and recommend the appropriate compliance solutionsOther: Ability to effectively deal with ambiguity - can effectively cope with change, can shift gears comfortably, can decide and act without having the total picture, comfortably handles risk and uncertainty in a manner consistent with UnitedHealth Groups core values, culture and common language of leadershipTo 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 employmentCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)Colorado Residents Only: The salary range for Colorado residents is $82,100 to $146,900. 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.Brand: Community & StateJob ID: 2086442Employment Type: Full-timeJob Area: Corporate Services