Vice President Compliance - Remote

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for UnitedHealth Group. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice.Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.This compliance leadership position is an impactful and strategic role leading the compliance program for several key Optum Health Optum Business - Helping to Create Better Healthcare Solutions (https://business.optum.com/en/) businesses while also supporting the Optum Health CCO across the broader Optum Health compliance program:

• Home & Community Care Solutions - Home & Community Care - Optum Business Home & Community Care | Optum Business (https://business.optum.com/en/access/home-and-community.html)
• Whole Health Solutions - Health Benefits Solutions - Optum Business Health Benefits Solutions | Optum Business (https://business.optum.com/en/health-benefits.html)
• LHC Group - LHC Group - Hospice, Home Care, Facility Based Care LHC Group | Hospice, Home Care, Facility Based Care (https://lhcgroup.com/)

This position will lead a large team of compliance professionals focused on operating an effective compliance program and providing strategic leadership to our business partners. This position reports to the Optum Health Chief Compliance Officer (“CCO”) and will partner closely with the other Optum Health compliance leaders and the United Healthcare and UnitedHealth Group’s compliance leadership teams.You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities

• Support Optum Health CCO with creation and implementation of comprehensive compliance strategy, risk assessment, and detailed compliance workplan for Optum Health in collaboration with enterprise compliance and business partners.
• Provide influential, collaborative leadership and guidance to Optum Health executive leadership and business teams on compliance, ethics, and regulatory issues to reduce risk and enable broader business growth objectives.
• Create strategy to establish and measure a top-down culture of compliance and ethics; partner with Optum Health business leadership to further enhance culture of compliance throughout Optum Health organization.
• Manage a large team of compliance professionals dedicated to Optum Health compliance in business lines highlighted above including robust performance management and talent development processes.
• Support Optum Health CCO and partner with Optum and enterprise compliance teams to deliver an effective compliance program designed to detect, prevent, and correct compliance issues across Optum Health including:
• Lead annual and ongoing compliance risk assessment working with enterprise risk management, enterprise compliance team, and other stakeholders.
• Oversee quarterly management compliance committees with key stakeholders of respective Optum Health businesses and identify relevant information to provide analysis for Optum and enterprise executive leadership and board of directors/audit committee reporting.
• Develop, implement, and update as needed policies, procedures, processes, and best practices with enterprise compliance team across Optum Health to promote compliance with applicable laws and contractual obligations.
• Develop, implement, and update as necessary, training, awareness and educational materials and programs to support compliance and ethics agendas with enterprise compliance team.
• Develop, implement, and update, as necessary, routine monitoring to ensure ongoing compliance with laws, regulations, policies, and procedures.
• Partner with enterprise compliance audit team to develop and oversee annual OH audit plan, scope of audits, and overall audit execution including subsequent corrective actions, if needed.
• Partner with enterprise compliance investigations team to enable them to conduct investigations timely and effectively and support disciplinary guidelines in partnership with the human resources team and business teams.
• Oversee and support communications, issue resolution, and overall compliance engagement with regulators on behalf of Optum Health businesses in partnership with Optum exam management, legal and business teams.
• Collaborate with business, operations, and other functional areas to review, analyze and develop/oversee initial implementation project plans and/or corrective action plans to ensure compliance with new or existing laws and regulations.

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

• 10+ years implementing and leading comprehensive compliance programs
• 5+ years of experience supervising and leading a team including performance management and talent development
• Experience working with and problem solving with senior executives and a proactive executive with a proven history of driving results in a heavily matrixed environment
• Proven solid verbal and written communication skills and an ability to seek to understand new business proposals, identify risks, and propose risk mitigation solutions
• Proven leadership skills with demonstrated ability in managing and developing others, including leading large teams

Preferred Qualifications

• JD, MBA, or other relevant advanced degree or certification
• CPA, CHC, CCEP, CFE, or other relevant certifications
• Experience with healthcare provider and/or MA health plan compliance programs
• Experience at law firm, Big 4 audit firm, or other consulting firm experience
• Experience working with key healthcare laws and regulations: False Claims Act, Anti-kickback Statute, Stark Law, No Surprises Act, Medicare Advantage regulations, Antitrust laws and regulations, and telehealth laws and regulations
• Experience working with data and incorporating data analytics in the compliance program
• Knowledge of Medicare Advantage and risk adjustment (coding skills not required)
• Knowledge of home health and hospice regulations and compliance best practices
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $196,600 to $337,100 annually based on full-time employment. We comply with all minimum wage laws as applicable.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.If you have questions about this posting, please contact [email protected]

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