Vice President, UnitedHealthcare Compliance

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 to start Caring. Connecting. Growing together.

This position is an impactful and strategic role for UHC compliance leading a team of compliance professionals focused on operating key components of an effective compliance program. This position reports to the UHC Chief Compliance Officer and will partner closely with the UHC business segment compliance officers, as well as the Optum and UHG compliance leadership teams. This leadership role is responsible for compliance program operations across all UHC lines of business, including audit readiness, audit management, monitoring and assessments, risk analysis and remediation, regulatory account management and regulatory filings. This leader will be expected to engage directly with federal and state government agencies, include the Centers for Medicare and Medicaid Services (CMS), Office of the Inspector General (OIG), and state regulatory agencies.

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

Primary Responsibilities:

• Manage large team of compliance professionals and engage with legal and business partners to implement an effective compliance program including:
  • Driving timely, thorough and accurate completion of work product required to support UHC-wide government audits, regulatory remediation, and regulatory submissions and responses
  • Developing, implementing and updating strategies to prepare for federal and state government audits, including pre-audit assessments, mock audits and other readiness activities
  • Managing government audits through development and implementation of key audit strategies and effective engagement with government and third-party auditors
  • Developing, implementing and updating strategies for effective compliance monitoring to detect and correct compliance issues or gaps, including regulatory findings
  • Developing, implementing and updating risk analysis and remediation strategies, in coordination with Enterprise and UHC line of business leaders
  • Managing regulatory account management, reporting and filing functions to ensure timely and accurate submissions
• Collaborate with UHC, Optum and Enterprise compliance partners to enhance use of data and automation in compliance activities, including leveraging data analytics and enabling use of technology to drive efficiency
• Serve as strategic partner to UHC line of business (Community & State, Employer & Individual and Medicare & Retirement) compliance officers and teams to deliver a robust and agile compliance program across UHC, including risk-based approaches to resolving compliance issues and deploying compliance resources
• Partner with compliance, legal and business teams to manage communications, issue resolutions and overall compliance engagement with regulators on behalf of UHC businesses
• Influence, lead and collaborate within UHC compliance and legal teams and with business partners across the enterprise
• Lead shared services team with strategic thinking, the ability to influence, solid communication skills (verbal/written) and the ability to translate and execute strategies

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:

• 10+ years of relevant compliance and regulatory experience; JD or advanced degree preferred
• 5+ years of experience supervising and building large teams
• Solid bias for action and proven track record driving outcomes cross-functionally through teams
• Comfortable with the use of data analytics and technology solutions to proactively identify, assess, and mitigate potential compliance risks and enhance the efficiency and effectiveness of compliance processes
• Demonstrated knowledge of compliance and regulatory matters relevant to the health care industry
• Solid communication skills and business acumen
• Experience working with senior executives
• Self-starter with proven track record of driving results in heavily matrixed environment
• Solid leadership skills with demonstrated ability in managing and developing others, including leading large teams
• Collaborative, innovative, accountable and agile team leader
• Excellent strategic decision-making, analytic, influence and communication (written and verbal) skills

Preferred Qualifications:

• Prior health insurance compliance experience would be beneficial
• Previous experience engaging with federal and state agencies such as CMS, OIG, and other state regulatory agencies

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

The salary range for this role is $191,800 to $364,800 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.