Compliance Investigator - Telecommute

UnitedHealth Group

Eden Prairie Minnesota

United States

Government
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

No other industry is changing as rapidly or as broadly as health care. But to us, change is invigorating. It gives us a chance to continue to innovate as we shape the future.

This position is for a Compliance Investigator, investigating allegations of non-compliance within Optum. The Investigative Compliance Consultant will join a talented, high performing Investigation team that assesses reported allegations, identifies applicable governing laws, regulations, and policies, and conducts investigations through analyzing documents and other evidence, and interviewing witnesses. The Investigative Compliance Consultant must analyze facts uncovered through the investigation, apply them against controlling statutes, laws, regulations, policies and guidance, and make a merit determination for all allegations.

The Investigative Compliance Consultant must be a very strong writer and prepare high quality written summaries for the investigation and witness interviews, and for business leadership briefings. The Consultant will work collaboratively with legal, compliance, Human Capital, and business partners throughout the investigation, and will also work with UHG Enterprise Compliance leadership. The Consultant will help business compliance partners identify and recommend process improvements and best practices to promote compliance. The Consultant should have very strong investigative, analytical, communication, writing skills, and oral presentation skills. The Investigator should be prepared to manage a high workload, and to handle sensitive, complex, or escalated issues. It's an exhilarating pace where you can develop your career while you help to make the health system work better for everyone.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Conduct timely, unbiased, thorough and effective investigations of allegations of misconduct and ethical and compliance violations
  • Collaborate with the business, Legal, Privacy, Human Capital, and other functions to identify and help the business implement appropriate corrective action
  • Provide succinct, high quality briefings to leadership and other parties concerning individual investigation matters as well as trends and issues
  • Prepare succinct, sound, well-reasoned, and high-quality interview and investigation summaries and reports
  • Help drive problem resolution and compliance related remediation for all business segments across UnitedHealth Group

You may have worked in compliance and/or corporate investigations already. But that's not like operating on a global scale. The stakes are high and the changes breathtaking. You will be challenged with thinking strategically as you implement an effective compliance investigation function. You will be responsible for conducting and managing a caseload of complex and challenging investigations and monitoring internal and external compliance improvement plans and remediation. And you will be expected to solve unique and complex problems with broad impact on the business.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Bachelor's or associate degree
  • Demonstrated experience conducting investigations in a corporate, government, legal, or law enforcement, or military environment
  • Experience analyzing, communicating and presenting complex information and issues
  • Experience interacting & collaborating with a variety of stakeholders (other functional support areas, customers, business leaders and executives)
  • Intermediate or better proficiency with MS Word, MS Excel and MS Outlook

Preferred Qualifications:

  • Advanced degree
  • 5+ years of experience conducting investigations in a corporate, government, legal, law enforcement, or military environment.
  • Investigation experience with health care, managed care, health insurance, or insurance issues
  • Working knowledge of and experience in the health care and/or insurance industries, including knowledge of and experience with Medicare, Medicare Advantage, Medicare Part D, Medicaid and/or Tricare regulations
  • Certified Fraud Investigator or similar industry accreditation
  • Excellent writing skills and solid verbal presentation skills

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)

Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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 Investigator, investigation, compliance, regulatory, legal, regulations, healthcare, health, insurance, audits, marketing, privacy, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote

Compliance Investigator - Telecommute

UnitedHealth Group

Eden Prairie Minnesota

United States

Government

(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

No other industry is changing as rapidly or as broadly as health care. But to us, change is invigorating. It gives us a chance to continue to innovate as we shape the future.

This position is for a Compliance Investigator, investigating allegations of non-compliance within Optum. The Investigative Compliance Consultant will join a talented, high performing Investigation team that assesses reported allegations, identifies applicable governing laws, regulations, and policies, and conducts investigations through analyzing documents and other evidence, and interviewing witnesses. The Investigative Compliance Consultant must analyze facts uncovered through the investigation, apply them against controlling statutes, laws, regulations, policies and guidance, and make a merit determination for all allegations.

The Investigative Compliance Consultant must be a very strong writer and prepare high quality written summaries for the investigation and witness interviews, and for business leadership briefings. The Consultant will work collaboratively with legal, compliance, Human Capital, and business partners throughout the investigation, and will also work with UHG Enterprise Compliance leadership. The Consultant will help business compliance partners identify and recommend process improvements and best practices to promote compliance. The Consultant should have very strong investigative, analytical, communication, writing skills, and oral presentation skills. The Investigator should be prepared to manage a high workload, and to handle sensitive, complex, or escalated issues. It's an exhilarating pace where you can develop your career while you help to make the health system work better for everyone.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Conduct timely, unbiased, thorough and effective investigations of allegations of misconduct and ethical and compliance violations
  • Collaborate with the business, Legal, Privacy, Human Capital, and other functions to identify and help the business implement appropriate corrective action
  • Provide succinct, high quality briefings to leadership and other parties concerning individual investigation matters as well as trends and issues
  • Prepare succinct, sound, well-reasoned, and high-quality interview and investigation summaries and reports
  • Help drive problem resolution and compliance related remediation for all business segments across UnitedHealth Group

You may have worked in compliance and/or corporate investigations already. But that's not like operating on a global scale. The stakes are high and the changes breathtaking. You will be challenged with thinking strategically as you implement an effective compliance investigation function. You will be responsible for conducting and managing a caseload of complex and challenging investigations and monitoring internal and external compliance improvement plans and remediation. And you will be expected to solve unique and complex problems with broad impact on the business.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Bachelor's or associate degree
  • Demonstrated experience conducting investigations in a corporate, government, legal, or law enforcement, or military environment
  • Experience analyzing, communicating and presenting complex information and issues
  • Experience interacting & collaborating with a variety of stakeholders (other functional support areas, customers, business leaders and executives)
  • Intermediate or better proficiency with MS Word, MS Excel and MS Outlook

Preferred Qualifications:

  • Advanced degree
  • 5+ years of experience conducting investigations in a corporate, government, legal, law enforcement, or military environment.
  • Investigation experience with health care, managed care, health insurance, or insurance issues
  • Working knowledge of and experience in the health care and/or insurance industries, including knowledge of and experience with Medicare, Medicare Advantage, Medicare Part D, Medicaid and/or Tricare regulations
  • Certified Fraud Investigator or similar industry accreditation
  • Excellent writing skills and solid verbal presentation skills

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)

Colorado Residents Only: The salary range for Colorado residents is $79,700 to $142,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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 Investigator, investigation, compliance, regulatory, legal, regulations, healthcare, health, insurance, audits, marketing, privacy, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote