We Hire America Jobs

Mobile We Hire America Logo
WeHireAmerica.jobs is a service of HR Policy Foundation and DirectEmployers Association. These two non-profit organizations are providing this free resource to help educators, policy makers and job seekers understand the great employment opportunities available here in the U.S. at some of America's biggest and best companies.

Job Information

UnitedHealth Group Compliance and Privacy Manager - Telecommute Nationwide in Illinois

Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. And that's what fueled these exciting new opportunities. Optum360 is a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage all our resources to bring financial clarity and a full suite of revenue management services to health care providers nationwide. If you're looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's bestwork.(sm)

The Manager of Compliance and Privacy implements and manages the Optum360 Compliance Program at Optum360 revenue cycle end-to-end clients, including facility, physician/ambulatory and care coordination. Conducts risk assessments and develops Compliance Workplan. Coordinates with Compliance, Operations and QA to implement ongoing monitoring of standard Compliance metrics. Verifies compliance with various regulatory requirements and drives problem resolution for identified compliance and quality concerns. Develops regular status reports for client, participates in client meetings and regularly coordinates with client compliance contacts. Investigates reported Privacy and Compliance/Ethics incidents.

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

Primary Responsibilities:

  • Implementand provide ongoing management of Optum360 Compliance Program at end-to-endclients, including facility, physician/ambulatory, care coordination and otherin scope services

  • Evaluatenew client compliance program, including policies and procedures, riskassessment, work plans as compared with elements of an effective ComplianceProgram as outlined in the Sentencing Guidelines and DHHS Office of InspectorGeneral guidance

  • Coordinatenew client Compliance transition activities, evaluating compliance risks anddeveloping mitigation plans

  • Coordinatewith Compliance, operations and QA teams to implement ongoing monitoring ofstandard Compliance metrics

  • Verifycompliance with various regulatory requirements and drive problem resolutionfor identified compliance and quality concerns

  • Actas a key resource and provided guidance on revenue cycle regulatoryrequirements

  • Providewritten and verbal status updates and reports for the client. Participate in client meetings and regularlycoordinates with client compliance contacts

  • Investigatereported Privacy and Compliance/Ethics incidents. Recommend and overseecorrective action plans

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'sDegree in related field

  • 5+years of hospital healthcare compliance program experience

  • Certifiedin Healthcare Compliance, CHC, Certified Internal Auditor, CIA, or relatedcertification

  • Knowledgeand experience in HIPAA, HITECH regulatory requirements

  • Knowledgeof CMS and other regulatory billing requirements

  • Exceptionaltechnical skills in Excel, Word, and PowerPoint

  • Strongdata analysis skills

  • Excellentwritten and verbal communications

  • Highethical standards and ability to maintain confidentiality

  • Abilityto work collaboratively with operational and client leaders

  • Abilityto multitask, takes the lead on projects, completes projects, collaboratewith others to Identify problems and develop resolution to problems

  • If you need to enter awork site for any reason, you will be required to screen for symptomsusing the ProtectWell mobile app, Interactive Voice Response (i.e.,entering your symptoms via phone system) or similar UnitedHealthGroup-approved symptom screener. When in a UnitedHealth Group building,employees are required to wear a mask in common areas. In addition,employees must comply with any state and local masking orders

Preferred Qualifications:

  • Master'sDegree in related field

  • 3+years supervisory experience

  • OperationRevenue Cycle Exp

  • Hospitaloperational experience

  • Expworking in a client-facing role

Optum360 is a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage all our resources to bring financial clarity and a full suite of revenue management services to health care providers nationwide.

If you're looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work (sm)

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

Diversity creates ahealthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/AffirmativeAction employer and all qualified applicants will receive consideration foremployment without regard to race, color, religion, sex, age, national origin,protected veteran status, disability status, sexual orientation, genderidentity or expression, marital status, genetic information, or any othercharacteristic protected by law.

UnitedHealth Group isa drug-free workplace. Candidates are required to pass a drug test beforebeginning employment.

Job Keywords: Healthcare, Compliance, CHC, Certified Internal Auditor, CIA, HIPAA, HITECH, CMS, Revenue Cycle, Hospital Operations, client-facing, telecommute

DirectEmployers