562949: Healthcare Compliance and Audit Analyst - Phoenix, AZ

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. Come help us heal and strengthen the health care system as you do your life's best work. (sm)

Are you the type of person who can critically analyze complex matters and identify interdependencies? Someone who can strategically approach challenges and suggest recommended solutions? A true multi- tasker with excellent organizational and time management skills (think juggler)? Can you successfully interact with stakeholders in many operational units and at all levels within the organization? Got experience in a compliance role in healthcare, managed care and/or health insurance? Knowledgeable of Medicaid and/or Medicare regulations? Are you passionate about improving our healthcare system? 

Optum, part of the UnitedHealth Group family of companies, is looking for an experienced Healthcare Compliance and Audit Analyst to join our dynamic team in Phoenix, AZ (Las Vegas NV is another possible location). Things are exciting at UHG as we are experiencing unprecedented growth, and looking for someone with the right stuff for our Operations team. The Analyst is an individual contributor role in a matrixed work environment who will be assigned to work supporting multiple operating units within the organization. The Analyst will be responsible for monitoring changes with laws and regulations to ensure our operations comply with State and Federal guidelines. This individual will be responsible to establish, mandate and implement standard policies, procedures and best practices across the company to promote compliance with applicable laws and contractual obligations. They will also be responsible for periodic reviews and audits of our operations.

Primary Responsibilities:

• Conduct state-specific contractual or statutory research


• Monitor changes in requirements to mitigate risks and achieve compliance


• Support the collection of data for regulatory filings


• Monitor and/or coordinate internal and external regulatory audits


• Create internal regulatory reporting and analyze and quality check external reports


• Develop compliance communications and drive problem resolution for a business segment across United Health Group

Required Qualifications:

• Bachelor's degree or equivalent experience


• 3+ years of experience working in a government, healthcare, managed care or health insurance environment


• 3+ years of experience working in a compliance or regulatory affairs role


• Intermediate or better proficiency using MS Word, MS Excel and MS PowerPoint


• Demonstrated ability to communicate in effectively in written & verbal English


• Ability to manage multiple projects


• Ability to stay organized and use time management skills


• Ability to work effectively and congenially with employees at all levels


• Objective, collaborative approach; consensus builder who strives to build partnerships

Preferred Qualifications:

• Professional certification in Healthcare Compliance (CHC or similar)


• Experience in claims, provider relations, or another area of healthcare operations

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to 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: healthcare, health, medical, insurance, compliance, regulatory, regulations, laws, legal, consultant, analyst, audit, operations