At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

The Compliance & Contract Consultant is an individual contributor role that will be responsible to support Compliance programs spanning financial, licensing, regulatory filing, data use (Artificial Intelligence/Machine Learning), and governance compliance matters across all UHC lines of business.

Accountabilities will include monitoring changes to the regulatory environment to ensure compliance with state and federal law, regulations, mandates, and contractual requirements. The position will establish and implement standard policies, procedures, and best practice across UHC. Other duties may include conducting legal research, supporting regulatory filings, and preparing contract amendments relating to intersegment agreements.

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

Primary Responsibilities:

• Collaborate cross-functionally with legal, regulatory affairs, business partners and other compliance professionals to promote compliant outcomes and mitigate risk with applicable regulatory and contractual requirements across multiple products
• Evaluate Compliance program function and infrastructure to offer recommendations to drive improvement and build monitoring processes
• Project manage multiple work plan initiatives as assigned by leadership that strive to achieve desired objectives under structured timeframes
• Conduct research to identify applicable requirements relating to different product offerings, license types, use of data, and financial reporting requirements
• Draft regulatory appendices and supporting process to ensure they are in accordance with all applicable regulation. Also will peer review other intersegment agreements to ensure quality
• Influence, lead and collaborate within a matrixed Compliance, Legal and Regulatory team and with highly matrixed business partners across UHC, Optum and other delegated entities
  

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:

• Degree or equivalent experience: Bachelors in Healthcare or Business and/or regulatory managed care experience
• 5+ years of experience working in a government, healthcare, managed care and/or health insurance environment in a regulatory, or compliance role
• Experience with MS Office Suite (Word, Excel, PowerPoint)
• Knowledge of data privacy, governance, licensing, filing and financial regulations that govern HMOs and other regulated license types
  

Preferred Qualifications:

• Professional certification (Certified in Healthcare Compliance (CHC) or similar)
• Contracting experience
• Legal research / paralegal experience
• Knowledge of Medicaid, Medicare, and Commercial health insurance products
  

Competencies:

• Goal(s) setting and works independently to achieve them. Pushes self and others to reach milestones
• Excellent verbal and written communication; problem solving, driving results, collaboration, and presentations to leadership
• Demonstrated ability to work within a matrix organization, accomplishing work through influencing and managing multiple priorities
• Demonstrates advanced writing/presentation skills. Easily shifts style based on audience
• Demonstrated ability to make decisions even when information is limited or unclear
• Demonstrated ability to understand and resolve complex concepts and situations presented by the business environment; ability to assess complex problems and recommend the appropriate compliance solutions
  

Careers with UnitedHealthcare. Work with a Fortune 5 organization that’s serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $85,000 to $167,300. 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.

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.

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.