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Associate Compliance Analyst - Indianapolis, IN
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Indianapolis, IN Indianapolis, Indiana |
About this job
Position Description:
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)
Interpret
requirements, prepare and submit managed care state filings for multiple
licenses and products, including true individual and association group medical,
dental, vision and pharmacy, and small group fully insured and ASO.
Primary Responsibilities:
- Interpret
new managed care laws and changes to existing laws to determine
applicability. Determine processes to be
implemented; develop implementation plan. - Prepare
filings and information to obtain necessary approvals by state insurance
departments and/or departments of health. - Prepare
written responses to routine objections received from DOI/DOH. Discuss and resolve issues with insurance
department representatives over the telephone, or if needed, in person. - Work
closely with other business units to implement applicable managed care
requirements. - Maintain
manuals and documentation outlining compliance requirements and the Company's
compliance with these requirements. - Conduct
oversight of networks and vendors as required, creating audit reports,
corrective action plans and implementation of corrective actions, to ensure
compliance. - Participate
in LRC representing the interests of Health Services relative to managed care
compliance. - Support
oversight of networks and vendors, including audit reports and corrective
action plans. - Monitor
department regulatory calendar and ensure timely filings and reporting as
required.
Requirements
Required Qualifications:
- High School Diploma/GED.
- 1+ year of experience working in a Government or Healthcare environment with experience in regulatory compliance.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, 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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