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UnitedHealth Group

UnitedHealth Group is looking for a Senior Director, Compliance West Coast  #JobBoardNearPagosaSprings #OnlineJobApplicationNearPagosaSprings #DirectorJobsPagosaSprings

As Senior Director of Compliance, you will manage a team of regulatory/compliance professionals and provide strategic leadership to our business partners. This role will be responsible for the compliance oversight of Optums Pacific West care delivery organizations supporting operations in CA, Oregon and Washington, as well as any expansion. The position will also partner with others across the Optum enterprise in enhancing downstream oversight and delegation processes. The director will assist in the design, implementation, and maintenance of the compliance and audit programs as well as policies and procedures and will assist in ensuring adequate internal controls and compliance with all applicable laws and regulatory requirements. Optums care delivery organization is a nationwide health care delivery organization that is reinventing health care, unlike anyone else in the marketplace, to help keep everyone healthier and feeling their best.  Optum Care is comprised of primary and specialty care practices as well as ambulatory care centers across the United States.  This leadership role will oversee compliance related activities in the Pacific West and be responsible for continuing to establish and improve compliance programs and processes to address the compliance risks associated with growing and changing care delivery organization. Primary Responsibilities: Establish, advocate and implement standard policies, procedures and best practices to promote compliance with applicable laws and contractual obligations Oversee a team of compliance professions supporting compliance at the Pacific West market level through state/federal research, monitoring of key compliance indicators as well as changes to requirements to mitigate risks and achieve compliance Drive adherence to compliance programs Develop compliance communications and drive problem resolution for a business segment Collaborate with operations to review, analyze and develop/oversee initial implementation project plans and/or corrective action plans to ensure compliance with new or existing laws and regulations and company, customer and accreditation requirements Provide guidance on delegated function oversight, including dashboard development and assist in enhancing metrics related to delegation oversight to ensure compliance with regulatory and plan requirements Respond to complex operational challenges with innovative solutions supported by understanding and managing the complex regulatory filing and reporting requirements. Consult and coordinate with new business/sales/product development to determine all regulations pertaining to any products being offered in the marketplace Strategically evaluate the regulatory landscape and drive proactive engagement across business partners to advocate for, or implement changes to processes, controls, products and services that align with the regulatory landscapeYoull 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: Bachelor’s degree or equivalent experience; 10+ years of experience working in a government, legal, healthcare, managed care and/or health insurance environment in a regulatory, privacy, compliance or clinical role 5+ years of experience supervising and leading a team 5+ years of experience leading and implementing a comprehensive compliance program Experience working in large complex matrixed organization Ability to manage and coordinate multiple projects simultaneously Proven track record of both strategic and tactical capabilities, demonstrating both the ability to innovate and execute. Must possess excellent communication, presentation and negotiation skills 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:  Experience working with Medicare, Medicare Advantage, and/or Medicaid managed plans Understanding of California Department of Managed Health Care (DMHC) Knox Keene regulations. 5+ years of experience working within a care delivery organization Experience working is a non-compliance related business roleUnitedHealth Group serves more than 85 million people, and provides wellness services to more than half of the Fortune 500. If you’re looking for impact and meaning, you’ll find all that and more. Help us shape the future of health care and start doing your life’s best work.SMUnitedHealth Group is working to create the health care system of tomorrow.Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we’re doing a lot of good.Through our family of businesses and a lot of inspired individuals, we’re building a high-performance health care system that works better for more people in more ways than ever. Now we’re looking to reinforce our team with people who are decisive, brilliant – and built for speed.Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.*All Telecommuters will be required to adhere to UnitedHealth Groups 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: Sr. Director Compliance Recommended SkillsManaged CareLeadershipMedicaidMedicare AdvantageMedicarePresentationsRecommended JobsCompliance ManagerManagerAtlanta,GaManager, Atlanta,GaSenior Director, Compliance West CoastUnitedHealth GroupWork From HomeFull Time
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