: Director, Regulatory Adherence Program - Minnetonka, MN (other possible locations) Legal & Paralegal - Minnetonka, MN at Geebo

: Director, Regulatory Adherence Program - Minnetonka, MN (other possible locations)

Company Name:
UnitedHealth Group
Position Type:
Full-time
Do you have a regulatory compliance background in the health insurance industry? Have project management experience? Experience working in a large, highly matrixed work environment? Want to work with an elite team of some of the brightest and most inventive people in the healthcare & technology industries? Work alongside us today and discover a culture of integrity, compassion, relationships, innovation and performance. Our team enjoys conversation-changing, life-changing, world-changing opportunities throughout their careers. Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Join us and see what it's like to do
your life's best work.(sm)
UnitedHealthcare, part of the UnitedHealth Group family of companies, is looking for an experienced Director, Regulatory Adherence Program to join our dynamic team. Things are exciting at UHG as we are experiencing unprecedented growth, and looking for someone who will interface with Benefit Operations, regulatory compliance and legal leadership to drive consistent regulatory adherence across all platforms and lines of business for Benefit Operations. Reporting to the Vice President, Regulatory Implementation Office and directly managing the existing Regulatory Adherence team, this individual will oversee the intake and assessment process for new regulatory mandates and existing remediation projects to evaluate the impact and execute required changes across benefit operations.
The Director will also monitor and establish controls to ensure ongoing adherence to regulations, streamline the process to eliminate redundancies and anticipate required changes effectively, develop and maintain a consistent process to leverage regulatory adherence across all platforms, and identify risks and implement remediation where required for all lines of business. This position will directly contribute to compliance, cost transformation and change readiness priorities. Drive improvements and reduce costs by creating a standard process, monitors and controls for government programs.
Ideal candidates will be located in our Minnetonka, MN offices, but we'll also consider you if you're a stellar internal candidate located elsewhere in the United States.
Primary
Responsibilities:
Oversee and maintain effective governance structure for Benefit Operations Regulatory Adherence that includes communication, proactive identification of regulatory changes and clear accountabilities for ensuring compliance within benefit operations across all platforms supporting government programs
Conduct a formal monthly review of Regulatory Adherence status with senior Benefit Operations leadership for each line of business
With the compliance and legal leadership for C&S, E&I and M&R, manage an intake process to Benefit Operations that incorporates changes from all regulatory entities; identify synergies to simplify execution across all lines of business and platforms
Maintain criteria to assess regulatory impact across all benefit operations functions and all lines of business
Work with each functional area within Benefit Operations to execute and monitor all changes
With Quality (BPQM), develop standards to identify risks and likelihood of breakdown and evaluate and monitor adherence including identification of risks and likelihood of breakdown; initiate and oversee process to remediate areas which are not compliant or where there is significant risk
Lead the ongoing expansion of Regulatory Adherence to support additional programs as needed
Requirements
Required
Qualifications:
Bachelor's degree
10
years of healthcare or related experience managing large programs or departments and/or leading multi-departmental workgroups
5
years of experience with increasing responsibility in a legal, compliance, or regulatory affairs role
5
years of experience working in a large virtual/matrixed environment with various levels of employees from senior level executives to Subject Matter Experts (SMEs)
Demonstrated ability to lead and influence in a large, matrixed organization
Proven success leading change initiatives, solution teams and execution against financial targets
Demonstrated team leadership, project management and analytical skills
Exemplary communication, collaboration and organization skills; will lead executive presentations to senior leadership
High energy, detail-oriented and creative individual with roll up your sleeves attitude
Preferred
Qualifications:
Advanced degree
Project Management Institute (PMI) PMP certification
Experience with HIPAA, state, and international privacy mandates, including experience working with a variety of government entities and industry associations
Experience in UHG's Community & State (C&S), Employer & Individual (E&I), and Medicare & Retirement (M&R) segments, products, operations, and regulatory environments
Careers with UnitedHealthcare.
Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do
your life's best work.(sm)
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Job Keywords: health, healthcare, medical, insurance, regulatory, compliance, legal, Minnetonka, MNEstimated Salary: $20 to $28 per hour based on qualifications.

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