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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:

Regulatory and Compliance


United States

Postal Code:


Approximate Salary:

Not Specified

Position Type:

Full Time

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Compliance Consultant - Eden Prairie, MN or Green Bay, WI

UHG - Green Bay, Wisconsin

Posted: 09/24/2018

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. As a Compliance Consultant with us, you will monitor changes to laws and regulations to ensure compliance with State and Federal mandates. It’s an exhilarating pace where you can develop your career while you help to make the health system work better for everyone.

The Compliance Consultant works closely with leadership to implement the Optum Compliance Exam Management Program and activities to ensure effective, appropriate and timely identification, management, oversight, response, trending and reporting for all types of exams or audits across Optum businesses.  In addition, the position engages in a variety of activities that the team is accountable for including: 
Primary Responsibilities:
  • Centrally identify and manage Regulatory and Client Exams of Optum businesses for both direct regulatory exams and client regulatory audits, along with client oversight exams
  • Collaborate with business to provide audit deliverables and manage exam through corrective action
  • Interface with the external auditors and regulators to coordinate audit activities and provide maximum benefit to the organization
  • Ensure documentation of exam submissions and reports are centrally maintained and available as necessary for institutional knowledge of past exams and outcomes
  • Build and maintain detailed knowledge of business products, solutions, systems, and processes in order to effectively manage exams
  • Represent the Optum Compliance Exam Management function on significant cross-functional teams, at times providing leadership to these efforts
  • Track, trend and report on exam details and outcomes and identify both targeted and systemic recommendations for appropriate corrective action
  • Receive and evaluate exam/audit outcomes and communicate with Regulators or other auditors on Optum's behalf for draft findings where additional information may impact the audit outcome
  • Ensure appropriate business response / action plan for identified findings as appropriate
  • Collaborate with Compliance Operations team and the business to ensure effective implementation of recommendations or process improvements resulting from reviews

Required Qualifications:
  • 5+ years of experience working in a government or healthcare environment with experience in compliance
  • 2+ years of experience working with regulator audits
  • 2+ years of experience performing data analysis
  • Knowledge of exam management methodologies and tools, including ability to identify and manage resources
  • Ability to assess complex problems and recommend the appropriate compliance solutions;
  • Strong problem solving skills
  • Excellent organizational and time management skills
  • Superior oral, written communication and interpersonal skills required
  • Intermediate or Advanced level of proficiency with MS Word, Excel and PowerPoint

Preferred Qualifications:

  • Bachelor's degree
  • Experience working with Medicare, Medicare Advantage, Medicare Part D, Medicaid and/or Tricare regulations
As a Fortune 6 leader, UnitedHealth Group has created an environment that brings out the best in every single one of our 188,000 employees. And our mission couldn’t be more critical. Take this opportunity to help millions live healthier lives and do your life’s best work.(sm)


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.



Key words: compliance, regulatory, legal, regulations, healthcare, health, insurance, audits, marketing, privacy, Green Bay, Wisconsin, WI, Eden Prairie, MN, Minnesota

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