[Remote] Compliance Consultant, Medicare Audit Management - Hybrid in De Pere/Green Bay WI or Remote
Note: The job is a remote job and is open to candidates in USA. UnitedHealthcare is dedicated to simplifying the health care experience and creating healthier communities. The Compliance Consultant will manage regulatory audit activities, ensuring compliance with Medicare regulations and coordinating with various stakeholders to promote best practices across the company. Responsibilities • Manage all aspects of regulatory audits (i.e., kick-off calls, pre-site deliverables, mock audits, virtual reviews, on-site visits and logistics, written responses to audit reports or requests) • Document, track, retain, report and clearly articulate audit-related information (i.e., notices, scope, review period, audit deliverables, prior audit findings, recommendations, and audit status) and documentation to Compliance and business operations leadership • Manage multiple audits and collaborate across multiple business segments to gather needed information for regulatory audits, including the development of compliance communications and escalation of audit-related issues • Coordinate with Compliance, Regulatory Affairs, and Legal to analyze, understand, and articulate regulatory and contractual requirements and apply identified requirements to business operations when supporting regulatory audits • Educate business partners on regulatory audit processes as needed • Perform additional duties as requested or required by management • Travel as necessary Skills • 3+ years of experience in compliance, privacy and/or regulatory affairs or with supporting audits in a highly regulated industry; preferably a government, health care or managed care environment • Proficient technology skills and experience with MS Office, Word, Excel, and Adobe Acrobat • Proven exceptional organizational and communication skills to manage multiple ongoing projects and ad hoc requests with stakeholders • Proven achievement-oriented to meet regulatory deadlines and accurate and precise attention to detail • Proven ability to function independently and prioritize tasks in a fast-paced environment • Demonstrated ability to adapt to changing priorities • Willing to travel a maximum of 10% nationally • Experience working with Medicare, Medicaid, or Commercial benefits & regulations • Experience responding to inquiries from a variety of stakeholders (regulators and internal business partners/leaders) • Experience communicating complex information via meetings, phone conversations, and emails to internal Compliance, business partners/leaders, and regulators • Proven project management experience from start to finish, including timely submissions and/or completion • Ideal candidate will possess and demonstrate analytical, problem solving, decision-making, and time management skills; ability to exercise sound judgment, including when to escalate or seek guidance • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Company Overview • UnitedHealthcare helps people live healthier lives by simplifying the health care experience. It was founded in 1977, and is headquartered in Minnetonka, Minnesota, USA, with a workforce of 10001+ employees. Its website is Apply tot his job