Regulatory Adherence Analyst – Telecommute

UnitedHealth Group
May 13, 2022
Atlanta, GA
Job Type


Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)
The Regulatory Adherence Analyst - Eden Prairie, MN or Telecommuters who are qualified will manage a portfolio of Medicaid and Medicare provider enrollments for OptumRx /Genoa pharmacies.  
The Regulatory Adherence Analyst will be part of the OptumRx Government Programs Licensing team, a great team of experienced licensing specialists that help support our Genoa and Optum pharmacies. In this role, you will monitor, analyze and handle requests from the Centers for Medicare and Medicaid Services (CMS) regarding provider enrollment applications, revalidations, pharmacy license updates, changes of information, voluntary relinquishments and other related inquiries. You will ensure the timely submission of materials to state Medicaid agencies and to Medicare via the Provider Enrollment, Chain, and Ownership System (PECOS) in order to maintain enrollments. You will have considerable contact with state Medicaid agencies and Medicare Administrative Contractors (MACs). You will engage in updating records and producing reports via our internal proprietary licensing databases and maintaining electronic files. You will monitor, review and appropriately route all incoming email inquiries that are received in the Government Programs licensing group mailbox. You will assist in resolving licensing issues as needed and communicate with the manager on complex issues and licensing improvements and recommendations. Build partnerships and work collaboratively to meet shared objectives.      

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

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:

  • 1+ years of regulatory filings experience and/or past experience with CMS or a State Medicaid agency 
  • Experience interacting and collaborating with a variety of stakeholders (colleagues, internal business partners, and management)
  • General understanding of Medicaid and Medicare enrollments as it relates to pharmacies 
  • Intermediate or better proficiency with MS Word, MS Excel, and MS Outlook 
  • Full COVID-19 vaccination is an essential requirement 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

Preferred Qualifications:

  • Bachelor’s Degree preferred, or commensurate direct licensing experience  
  • Notary designation 
  • Paralegal certificate 
  • Experience with Microsoft Teams 
  • Experience in a pharmacy setting
  • Solid problem solving and analytical skills
  • Solid verbal and written communication skills 
  • Self-motivated contributor who takes ownership of a task from start to finish  
  • High degree of time management and organizational skills
  • Proven ability to manage high-volume and be part of a fast-paced environment

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 Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $21.68 to $38.56. The salary range for Connecticut / Nevada residents is $23.94 to $42.40. 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/AffirmativSe 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 bylower 48 law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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