Optum
Overview
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
This compliance leadership position is an impactful and strategic role leading the compliance program for several key Optum Health Optum Business - Helping to Create Better Healthcare Solutions businesses while also supporting the Optum Health CCO across the broader Optum Health compliance program. It will span multiple business areas within Home & Community Care Solutions, Whole Health Solutions, and LHC Group, and it will require coordinating with Optum Health compliance leaders and the UnitedHealthcare/UnitedHealth Group compliance leadership teams.
Responsibilities
Lead and manage a large team of compliance professionals focused on operating an effective compliance program and providing strategic leadership to business partners. This position reports to the Optum Health Chief Compliance Officer (CCO) and will partner closely with other Optum Health compliance leaders and enterprise teams.
Support Optum Health CCO with creation and implementation of comprehensive compliance strategy, risk assessment, and a detailed compliance workplan for Optum Health in collaboration with enterprise compliance and business partners.
Provide influential, collaborative leadership and guidance to Optum Health executive leadership and business teams on compliance, ethics, and regulatory issues to reduce risk and enable broader business growth objectives.
Create strategy to establish and measure a top-down culture of compliance and ethics; partner with Optum Health business leadership to further enhance culture of compliance throughout Optum Health organization.
Manage a large team of compliance professionals dedicated to Optum Health compliance across the highlighted business lines, including robust performance management and talent development processes.
Support Optum Health CCO and partner with Optum and enterprise compliance teams to deliver an effective compliance program designed to detect, prevent, and correct compliance issues across Optum Health, including:
Lead annual and ongoing compliance risk assessment with enterprise risk management and enterprise compliance teams.
Oversee quarterly management compliance committees with key stakeholders and provide analysis for executive leadership and board reporting.
Develop, implement, and update policies, procedures, processes, and best practices to promote compliance with laws and contractual obligations.
Develop, implement, and update training and educational materials to support compliance and ethics agendas.
Develop, implement, and update routine monitoring to ensure ongoing compliance with laws, regulations, policies, and procedures.
Partner with enterprise compliance audit team to develop and oversee annual OH audit plan, scope of audits, and corrective actions as needed.
Partner with enterprise compliance investigations team to enable timely investigations and support disciplinary guidelines with HR and business teams.
Oversee and support communications, issue resolution, and overall compliance engagement with regulators on behalf of Optum Health businesses in partnership with exam management, legal and business teams.
Collaborate with business, operations, and other functional areas to review, analyze and develop initial implementation project plans and corrective action plans to ensure compliance with new or existing laws and regulations.
Qualifications
Required Qualifications:
10+ years implementing and leading comprehensive compliance programs
5+ years supervising and leading a team including performance management and talent development
Experience working with senior executives and driving results in a heavily matrixed environment
Strong verbal and written communication skills with ability to identify risks and propose mitigation solutions
Proven leadership with ability to manage and develop others, including leading large teams
Preferred Qualifications:
JD, MBA, or other relevant advanced degree or certification
CPA, CHC, CCEP, CFE, or other relevant certifications
Experience with healthcare provider and/or MA health plan compliance programs
Experience at law firm, Big 4, or other consulting firm
Experience with key healthcare laws and regulations: FCA, AKS, Stark, No Surprises Act, Medicare Advantage, Antitrust, telehealth
Experience using data analytics in compliance programs
Knowledge of Medicare Advantage and risk adjustment (coding skills not required)
Knowledge of home health and hospice regulations and compliance best practices
Additional Information All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on factors including local labor markets, education, experience, and certifications. Benefits include a comprehensive package, incentive programs, equity, 401k, and more, subject to eligibility requirements. The salary range for this role is $196,600 to $337,100 annually based on full-time employment. UnitedHealth Group complies with all minimum wage laws.
Application Deadline: This posting will be up for at least 2 business days or until a sufficient candidate pool is collected. The posting may close early due to volume of applicants.
EEO and Workplace Disclosure UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will receive consideration regardless of race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, 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.
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This compliance leadership position is an impactful and strategic role leading the compliance program for several key Optum Health Optum Business - Helping to Create Better Healthcare Solutions businesses while also supporting the Optum Health CCO across the broader Optum Health compliance program. It will span multiple business areas within Home & Community Care Solutions, Whole Health Solutions, and LHC Group, and it will require coordinating with Optum Health compliance leaders and the UnitedHealthcare/UnitedHealth Group compliance leadership teams.
Responsibilities
Lead and manage a large team of compliance professionals focused on operating an effective compliance program and providing strategic leadership to business partners. This position reports to the Optum Health Chief Compliance Officer (CCO) and will partner closely with other Optum Health compliance leaders and enterprise teams.
Support Optum Health CCO with creation and implementation of comprehensive compliance strategy, risk assessment, and a detailed compliance workplan for Optum Health in collaboration with enterprise compliance and business partners.
Provide influential, collaborative leadership and guidance to Optum Health executive leadership and business teams on compliance, ethics, and regulatory issues to reduce risk and enable broader business growth objectives.
Create strategy to establish and measure a top-down culture of compliance and ethics; partner with Optum Health business leadership to further enhance culture of compliance throughout Optum Health organization.
Manage a large team of compliance professionals dedicated to Optum Health compliance across the highlighted business lines, including robust performance management and talent development processes.
Support Optum Health CCO and partner with Optum and enterprise compliance teams to deliver an effective compliance program designed to detect, prevent, and correct compliance issues across Optum Health, including:
Lead annual and ongoing compliance risk assessment with enterprise risk management and enterprise compliance teams.
Oversee quarterly management compliance committees with key stakeholders and provide analysis for executive leadership and board reporting.
Develop, implement, and update policies, procedures, processes, and best practices to promote compliance with laws and contractual obligations.
Develop, implement, and update training and educational materials to support compliance and ethics agendas.
Develop, implement, and update routine monitoring to ensure ongoing compliance with laws, regulations, policies, and procedures.
Partner with enterprise compliance audit team to develop and oversee annual OH audit plan, scope of audits, and corrective actions as needed.
Partner with enterprise compliance investigations team to enable timely investigations and support disciplinary guidelines with HR and business teams.
Oversee and support communications, issue resolution, and overall compliance engagement with regulators on behalf of Optum Health businesses in partnership with exam management, legal and business teams.
Collaborate with business, operations, and other functional areas to review, analyze and develop initial implementation project plans and corrective action plans to ensure compliance with new or existing laws and regulations.
Qualifications
Required Qualifications:
10+ years implementing and leading comprehensive compliance programs
5+ years supervising and leading a team including performance management and talent development
Experience working with senior executives and driving results in a heavily matrixed environment
Strong verbal and written communication skills with ability to identify risks and propose mitigation solutions
Proven leadership with ability to manage and develop others, including leading large teams
Preferred Qualifications:
JD, MBA, or other relevant advanced degree or certification
CPA, CHC, CCEP, CFE, or other relevant certifications
Experience with healthcare provider and/or MA health plan compliance programs
Experience at law firm, Big 4, or other consulting firm
Experience with key healthcare laws and regulations: FCA, AKS, Stark, No Surprises Act, Medicare Advantage, Antitrust, telehealth
Experience using data analytics in compliance programs
Knowledge of Medicare Advantage and risk adjustment (coding skills not required)
Knowledge of home health and hospice regulations and compliance best practices
Additional Information All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on factors including local labor markets, education, experience, and certifications. Benefits include a comprehensive package, incentive programs, equity, 401k, and more, subject to eligibility requirements. The salary range for this role is $196,600 to $337,100 annually based on full-time employment. UnitedHealth Group complies with all minimum wage laws.
Application Deadline: This posting will be up for at least 2 business days or until a sufficient candidate pool is collected. The posting may close early due to volume of applicants.
EEO and Workplace Disclosure UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will receive consideration regardless of race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, 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.
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