Compliance Consultant - Minnetonka, Mn Or Remote

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together.

No other industry is changing as rapidly or as broadly as health care. But to us, change is invigorating. It gives us a chance to continue to innovate as we shape the future.

The Compliance Consultant will focus on investigating allegations of misconduct and non-compliance with law and company policies (including company policies on non-retaliation, non-discrimination and non-harassment) across UnitedHealth Group and its various businesses. The Compliance Consultant will join a talented, high-performing Investigation team that assesses reported allegations, identifies applicable governing laws, regulations, and policies, and conducts investigations through interviewing witnesses and analyzing documents and other evidence. The Compliance Consultant must analyze facts uncovered through the investigation, apply them against controlling statutes, laws, regulations, policies and guidance, make a merit determination for all allegations, and brief applicable business partners in order to ensure any identified issues have been assessed for remediation.

The Investigative Compliance Consultant must be a very strong writer and prepare high quality written summaries for the investigation and witness interviews, and for business leadership briefings. The Compliance Consultant will work collaboratively with Legal, Compliance, People Team, and business partners throughout the investigation, and will also work with UHG Enterprise Compliance leadership. The Compliance Consultant will help business compliance partners identify and recommend process improvements and best practices to promote compliance. The Compliance Consultant should have very strong investigative, analytical, communication, writing skills, and oral presentation skills. The Compliance Consultant should be prepared to manage a high workload, and to handle sensitive, complex, or escalated issues. The Compliance Consultant should also be prepared to assist with team or department projects as they arise. It’s an exhilarating pace where you can develop your career while you help to make the health system work better for everyone.

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

Primary Responsibilities:

• Conduct timely, unbiased, thorough, and effective investigations of allegations of misconduct as well as ethical and compliance violations
• Ability to work independently, confidently, and with initiative
• Collaborate with the business, Legal, Privacy, People Team, and other functions to identify and help the business implement appropriate corrective action
• Provide succinct, persuasive, and well-informed briefings to business partners and leadership at all levels concerning individual investigation findings and recommendations, as well as trends and issues
• Prepare succinct, sound, well-written, and high-quality interview and investigation summaries and reports
• Help drive problem resolution and compliance-related remediation for all business segments across UnitedHealth Group
• Assist leadership with additional projects (ex. training, P&P development, creating resource materials, reporting, and/or assisting other teams in the department)
• Provide subject matter expert support for team members and business partners, as well as backup support for team leadership

NOTICE: Other duties and responsibilities, not specifically described, may be defined or assigned from time to time, consistent with knowledge, skills, and abilities of the incumbent.

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:

• 3+ years of experience in a government, legal, military, health care, managed care, health insurance, or corporate environment in an investigative, audit, compliance, legal research, or similar role
• Experience analyzing, communicating, and presenting complex information and issues
• Experience interacting & collaborating with a variety of stakeholders (other functional support areas, customers, business leaders and executives)
• Intermediate or better proficiency with MS Word, MS Excel, and MS Outlook

Preferred Qualifications:

• Certified Fraud Examiner or similar industry accreditation
• Investigative experience
• Solid experience in an investigative role, personally conducting or supervising investigations
• Working knowledge of and experience in the health care and/or insurance industries, including knowledge of and experience with Medicare, Medicare Advantage, Medicare Part D, Medicaid and/or Tricare regulations
• Proven excellent writing skills and solid verbal presentation skills

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $88,000 to $173,200 annually. 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.