Associate Director, Regulatory Adherence – Telecommute

UnitedHealth Group
Published
April 30, 2021
Location
Atlanta, GA
Category
Job Type

Description

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)

Focusing on ancillary products (Dental, Financial Protection, Hearing, and Vision) the Associate Director of Regulatory Adherence will gain strong understanding regulatory requirements and will bring together leaders on compliance issues or gaps on processes to minimize process exposure.  

This role is available as a telecommute role to the appropriate candidate.  Business travel up to 25% may be required.

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

Primary Responsibilities:

  • Ownership of audit/CAP response strategy for business, engagement of business leaders for business or client specific requirements, alignment to enterprise compliance model, risk assessment and development of monitoring plans
  • Responding as regulations come in, will take interpretations from legal and engage business leaders on how new regulations will be handled, risk mitigation, gap analysis, development of new policies and procedures
  • Conduct and manage outcomes of various studies that include analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning
  • Develop and implement effective/strategic business solutions through research and analysis of data and business processes
  • Provides leadership to and is accountable for driving regulatory adherence performance of managers and/or senior level professional staff
  • Support short and long term operational/strategic business activities - by developing, enhancing and maintaining operational information and models that drive regulatory adherence
  • Develop and implement effective/strategic business solutions through research and analysis of data and business processes
  • Own driving regulatory adherence in end to end processes
  • Collaborate with business and technical stakeholders (e.g., business owners, process owners, domain experts) to identify specific business requirements
  • Seek opportunities to improve operating efficiencies/effectiveness (e.g., downstream impacts, role/responsibility realignment, enhanced business value)
  • Develop functional, market level, and/or site strategy, plans, production and/or organizational priorities
  • Identifies and resolves technical, operational and organizational problems outside own team
  • Maintain awareness of best practices/approaches related to quality and productivity (e.g., process improvement, DMAIC, Lean)

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:

  • 5+ years of experience in the medical/ancillary insurance business (Specialty - Dental, Vision, Hearing, Financial Protection)
  • 5+ years of Leadership providing functional market level or site strategy
  • 5+ years of Business Development/Project planning leadership
  • 5+ years of full life cycle project management experience
  • 5+ years of compliance related experience
  • 3+ years of Medicare and/or Medicaid regulatory, audit and benefit application experience
  • Experience collaborating across the business to move large projects forward
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

  • Undergraduate degree or higher level
  • Experience with Commercial, Individual, Medicare and Medicaid
  • IT PM experience 
  • Medicare and/or Medicaid benefit application experience
  • Dental experience

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

Colorado Residents Only: The salary range for Colorado residents is $94,500 to $171,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*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.

Job Keywords: Associate Director Regulatory Adherence, Program Manager, Project Manager, Regulatory Adherence, Medicare, Medicaid, Audit, Specialty Benefits, Dental, Ancillary Insurance, Project Management, Program Management, Compliance, Work From Home, Telecommute, UnitedHealthcare, UHC, UnitedHealth Group, UHG

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