573627: Healthcare Associate Director of Compliance - Seattle, WA

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)

UnitedHealthcare, part of the UnitedHealth Group family of companies, is looking for an experienced Associate Director of Compliance to join our dynamic Compliance team. Things are exciting at UHG as we are experiencing unprecedented growth, and looking for someone with the right stuff for our team at our Seattle, WA location.

The Associate Director is an individual contributor role responsible for supporting all aspects of the compliance program for our Medicare & Retirement Healthplans. This position reports directly to the Region Compliance Director, and is accountable for the performance and results through multiple layers of management and senior level professional staff. The Associate Director of Compliance will monitor changes to laws and regulations to ensure compliance with State & Federal laws, regulations and mandates. This individual will establish and implement standard policies, procedures, processes and best practices across UnitedHealth Group to promote compliance with applicable laws and contractual obligations. The Director will oversee a team that conducts state-specific legal research and monitor changes to requirements to mitigate risks and achieve compliance. Will also support the collection of data for regulatory filings, coordinate and develop reports, projects, assessment tools to verify compliance. They will develop compliance communications and drive problem resolution for a business.

Primary Responsibilities:

• Provides leadership to and is accountable for the performance and results through multiple layers of management and senior level professional staff


• Develops, implements and maintains the compliance program within UnitedHealthcare Medicare & Retirement Operations in order to ensure that we are meeting company guidelines and CMS requirements


• Responsible for managing compliance for the Billing, Enrollment, Reconciliation and Call Center functions within Operations in partnership with the business leaders


• Ensure written standards and procedures


• Provide training, communications and education


• Conduct auditing and monitoring, to ensure compliance


• Oversee contract compliance activities and vendor oversight


• Remain vigilant regarding fraud, waste and abuse


• Ensure privacy within the healthplan

Required Qualifications:

• Bachelor's degree or equivalent experience


• 3+ years of experience in at least one of the following areas: Legal / Compliance / Regulatory / Investigations / Privacy


• Experience in a strategic role, ideally leading and implementing a comprehensive compliance program


• Experience developing and presenting training programs


• Solid experience in managed care and government programs


• Experience leading audits and major program initiatives


• Experience developing relationships with regulatory agencies


• Ability to identify root cause issues and ensure appropriate corrective action


• Experience and understanding of HIPAA and state privacy laws


• Experience managing multiple projects/tasks


• Proven history of successful results in managing issues and driving strategic program initiatives


• Experience working as a Subject Matter Expert in a large, highly-matrixed organization, working with various business segment and/or stakeholders


• Proven ability to think strategically and to translate strategic directives into tactical initiatives


• Proven ability to drive cross-functional teams to deliver operational compliance


• Adept at understanding complex concepts and situations presented by the business environment


• Ability to assess complex problems and provide the appropriate compliance solutions


• Objective, collaborative approach


• Ability to adapt in a dynamic and high-growth environment


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


• Superior analytical, organizational and problem solving skills


• Intermediate or better proficiency using MS Excel and MS Word

Preferred Qualifications:

• Master's degree or JD


• 3+ years of experience in a role directly managing a compliance program

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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, healthplam, hospital, insurance, legal, medical, compliance, Seattle, WA