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Job Details

Compliance Officer

Company name
UnitedHealthcare Corporation

3 yrs required

Raleigh, NC, United States

Employment Type


Posted on
Jan 16,2019

Valid Through
May 01,2019

Apply for this job


Compliance Officer

The candidate will develop and maintain an effective Compliance Program, including compliance-related policies and procedures. Develop and manage site Compliance Oversight Committee meetings and reporting to senior leadership and the Board of Directors. Ensure timely communication and education regarding the Compliance Program. Communicate regulatory changes and partner with Health Plan for implementation. Coordinate and support implementation of Compliance training and educational programs with the appropriate business areas. Ensure that procedures are in place to review and report possible violations in accordance with the reporting requirements as outlined in the Code of Conduct. Coordinate with Legal Counsel, UHC Compliance Investigations, and others as needed to conduct investigations, coordinate development and implementation of appropriate corrective action. Collaborate with business staff to develop and implement monitoring and auditing procedures as appropriate to determine the level of compliance with key regulatory requirements. Coordinate all external Regulatory Audit activity with the UHC Audit Management Team. Collaborate with other compliance professionals cross-functionally to ensure regulatory and contractual requirements are met. Work with operational leaders to ensure understanding and communication of Plan-level regulatory contract requirements. Ensure that standards and processes are in place for vendors contracted by the Plan that meet regulatory and business requirements. Oversight of the health plan Fraud, Waste and Abuse program, including accountability to ensure that the Plan has established processes and procedures to meet regulatory and contract requirements relating to receipt; investigation; resolution; and reporting of fraud and abuse Coordinate privacy related activities with the UHC Privacy Office to ensure training and education is provided to Plan employees and others as required. Serve as key point of contact for regulatory agencies interfacing with the health plan regarding Compliance issues, Regulatory Audits and Corrective Actions. Supports the health plan’s response to program changes and opportunities, including business development initiatives.

Additional Information

Reference Id: 799674

Company info

UnitedHealthcare Corporation
9700 Health Care Lane
United States 55343
Website :

Company Profile
At UnitedHealthcare, we serve millions of people from their earliest years through their working lives and into retirement. What unites us is our mission to help people live healthier lives and make the health system work better for everyone. These are extraordinary times in health care. The opportunities to help people live healthier have never been greater. Advanced data and technologies, breakthrough treatments and consumer choice are redefining what can be achieved. We are working to create a system that is connected, aligned and more affordable for all involved. One that delivers high quality care, responsive to the needs of each person and the communities in which they live. We are also partnering with care providers, collaborating in new ways to improve patient care. At UnitedHealthcare, we are working to play our part in creating a more sustainable health care system: one that works better for everyone.

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