Manager of Compliance - Schaumburg, IL - Full-time / Part-time

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)
 
The Manager of Compliance will manage a team responsible for monitoring changes with internal laws and regulations to ensure compliance 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 conduct state-specific legal research and monitor changes in requirements to mitigate risks and achieve compliance.
Primary Responsibilities:

Coordinate the execution of audits performed by our clients, pharmaceutical manufacturers, and regulatory/government agencies (CMS, OIG, GAO)
Working with the Business Owners and the Auditors to:

Determine the appropriate scope, timing and logistics of the audits
Prepare audit requests as required
Monitor audit progress and resolve potential findings as appropriate
Validate and respond to audit findings
Develop and monitor corrective actions
Develop a consistent audit process to ensure all outside audits are effectively managed
Perform monitoring reviews to obtain assurance on compliance
Plan and executing operational and regulatory audits of various areas within the company
Analyze the root cause of issues and helping to develop appropriate action plans
Develop audit reports that accurately summarize the results of reviews
Assist with various projects related to SOX/SAS, Internal Audits and special projects as directed by the VP of Audit

Required Qualifications:


Bachelor’s degree required or equivalent experience

5+ years of experience in audit (operational, financial, and/or IT related)

3+ years of healthcare operations experience in billing, enrollment, reconciliation and/or call center and experience with Medicare Part D and Medicaid

3+ years experience with HIPAA, state and privacy laws

Exceptional written and verbal communication skills

Superior analytical, organizational and problem solving skills

Strong project management skills

Intermediate level of proficiency with MS Word, Excel and PowerPoint

Ability to manage multiple audits simultaneously while meeting department productivity standards

Must work well under tight timelines and adapt to change in a fast-paced and team-oriented environment
Preferred Qualifications:


Project Management experience

Supervisory experience

Experience leading and implementing a comprehensive compliance program

Experience working with Healthplan, PBM or regulatory agency

Experience with CMS standards

CPA, CIA and/or CISA certification
Careers with OptumRx. We’re one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you’ll fill far more than prescriptions. As a member of one of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You’ll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There’s no better place to help people live healthier lives while doing your life’s best work.(sm)

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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.

Job Keywords: compliance, audit, compliance manager, manager, regulatory, Schaumburg, IL , Chicago, Illinois