Maryland Compliance Officer - Columbia, MD

Primary Responsibilities

• Manage elements of a health plan compliance program with an understanding of state-based government health care programs and products
• Engage in complex remediation strategy & resolution and promote compliance with applicable laws and contractual obligations for various Medicaid products
• Evaluate compliance program functions and offer recommendations for continuous improvement
• Conduct product-specific research (in collaboration with other regulatory affairs and legal teams) to identify state Medicaid requirements
• Partner with legal, compliance and program integrity professionals to support national and market program integrity activities and communications
• Collaborate with other legal, regulatory affairs, and compliance professionals cross-functionally to ensure elements of the compliance program are executed and that regulatory and contractual requirements are met
• Evaluate identified compliance issues, including corrective action and mitigation

Required Qualifications

• 3+ years of experience managing aspects of a compliance program or working in a regulatory position
• 3+ years of experience working in a government, legal, healthcare, managed care and/or health insurance environment in a regulatory, privacy or compliance role
• Experience managing teams, major program initiatives or working with regulatory agencies
• Broad knowledge and experience in: navigating and influencing a complex matrixed environment across UHC, Optum and other delegated entities and driving to resolution
• Proven solid skills in: goal(s) setting and works independently to achieve them. Pushes self and others to reach milestones
• Proven excellent skills in: verbal and written communication; problem solving
• Demonstrated advanced writing/presentation skills. Easily shifts style based on audience
• Proven ability to make decisions even when information is limited or unclear
• Proven adept at understanding and resolving complex concepts and situations presented by the business environment; ability to assess complex problems and recommend the appropriate compliance solutions
• Located in Eastern time zone
• Proven ability to effectively deal with ambiguity - can effectively cope with change, can shift gears comfortably, can decide and act without having the total picture, comfortably handles risk and uncertainty in a manner consistent with UnitedHealth Groups core values, culture and common language of leadership

Preferred Qualifications

• Willing to work from the Columbia, MD office hybrid 4 days a week
• Professional certification (Certified in Healthcare Compliance - CHC or similar)
• 5+ years of healthcare industry or healthcare related industry and government programs experience
• Experience with managed care and/or government programs
• Experience in a strategic role, ideally leading and/or implementing a comprehensive compliance program

Pay and Benefits

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).

The salary for this role will range from $112,700 to $193,200 annually based on full-time employment.

We comply with all minimum wage laws as applicable.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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