[Remote] Compliance Consultant, Medicare Audit Management - Hybrid in De Pere/Green Bay WI or Remote

Remote Full-time
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
Apply Now

Similar Opportunities

[Remote] Compliance Documentation Coordinator

Remote Full-time

ISO Compliance Consultant

Remote Full-time

Professional Audit & Consulting Auditor 1099

Remote Full-time

Sr Analyst, Audit & Compliance

Remote Full-time

Senior Compliance Officer, Global Monitoring, Auditing, and Third-Party Risk Management​ (Remote)

Remote Full-time

Senior Business Process Auditor – SOX Compliance (Remote)

Remote Full-time

Audit Senior/ Manager – Public Accounting – Hybrid/Remote

Remote Full-time

Remote Audit Manager 160k-180k | Partner Track 1-2 years |

Remote Full-time

Audit Manager - Nonprofit

Remote Full-time

Auditor - Remote w/ Travel

Remote Full-time

Assistant Billing Specialist

Remote Full-time

Remote Pricing Analyst – Data-Driven Pricing Strategies for Pharmacy Benefit Management Excellence

Remote Full-time

Experienced Data Entry Specialist – Entry-Level Opportunity for Career Growth and Development in a Dynamic Tech and E-commerce Environment at arenaflex

Remote Full-time

Experienced Full Stack Customer Success Representative – Remote Work with Flexible Schedule at Blithequark

Remote Full-time

Experienced Senior Data Engineer – Cloud-Based Data Solutions and Analytics Development for American Airlines Information Technology Team

Remote Full-time

IACUC Analyst

Remote Full-time

Experienced Customer Service Representative – Remote in Virginia for Delivering Exceptional Customer Experiences and Driving Business Growth through Compassionate Support

Remote Full-time

Senior Analyst, Landscape & Contractor - The Toro Company

Remote Full-time

**Experienced Customer Service Representative – Health Insurance and Benefits Support (Work From Home)**

Remote Full-time

Manager of Clinical Operations and Quality

Remote Full-time
← Back to Home