Responsible for conducting investigations into allegations of misconduct and non-compliance with law and company policies. This role works with operational and clinical staff as well as other stakeholders across the organization to monitor and support observance of compliance standards, policy, and regulatory requirements. May assist with the design and implementation of corrective actions through observing and participating in functional committee meetings, conducting preliminary investigations and fact finding, examining medical records and business unit reports, and by interacting directly with field personnel
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities: - Conducts investigations of compliance issues that arise through the compliance hotline, exit interviews, direct referrals or based on personal observation. Creates reports supporting compliance investigations
Interviews individuals who are potential witnesses to compliance violations or who have knowledge or information relevant to compliance investigations including current and former employees and third parties - Conducts audits and reviews of clinical records, business records and other documentation relevant to compliance investigations
- Serves as a liaison with other investigative resources as needed. Collaborates effectively with internal and external department staff including legal counsel to investigate compliance issues
- Assists with the monitoring of Compliance hotline. Multi-task and prioritize multiple compliance investigations and ensure that corrective action plans/mitigation plans are fully implemented
- Supports compliance audits with special emphasis on Risk Mitigation Audits ("RMA") audits including remedial education and implementation of corrective action plans
- Provides educational support to staff based on identified compliance issues and key compliance risk areas
- Maintains confidentiality of all information related to patients, employees, integrity issues, audits and other information. Interfaces with patients and/or legally responsible parties in response to adverse clinical events
- Performs other duties as assigned
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: - Experience performing investigations
Preferred Qualifications: - Certification in healthcare compliance ("CHC")
Soft Skills:- Ability to foster an environment of trust and integrity among field personnel
- Promotes an attitude of partnership between compliance and the operational and clinical staff
- Excellent decision-making skills and analytical skills
- Solid computer skills, organizational and file management skills
- Excellent written, verbal and interpersonal skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
