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Job Details

UnitedHealth Group

Director, Quality and Compliance - Telecommute Anywhere in U.S. (107625985)

Sales and Marketing

Creative Director



Minneapolis, Minnesota, United States

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are 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)

The Director of Quality and Compliance is responsible for the development and administration of a quality program for the Senior Community Care (SCC) business organization within Optum Health’s Home & Community. This role will primarily focus on three SCC business lines: UnitedHealthcare Nursing Home Plan (I-SNP), UnitedHealthcare Assisted Living Plan (IE-SNP) and Senior Housing and Special Needs Plan Solutions.

The Director will serve as the subject matter expert on federal and state regulations and provide oversight for the development and adherence to governing policies. This role also serves as a liaison between the senior leadership within SSC to Optum Compliance, Optum Legal, UnitedHealthcare Medicare and Retirement and other external points of contact as appropriate.

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

Primary Responsibilities:

  • Develop a quality program, primarily focused on licensed sales agents for Medicare health plans, to ensure applicable federal and state regulations are successfully implemented and monitored. Examples include new business development, clinical and network management
  • Develop a communication program to ensure external audiences (primarily skilled nursing and assisted living personnel) comply with regulations through ongoing education
  • Develop and implement formal annual training to supplement the tools provided and required training provided by UnitedHealthcare and/or via licensing requirements
  • Coordinate and monitor annual licensing, including renewals, for all SCC licensed personnel
  • Develop and administer ad hoc training, based on identified trends. Coordinate analysis through SCC senior leadership and other functional leaders
  • Serve as the subject matter expert relative to the application of Centers for Medicare and Medicaid Services’ Medicare Communications and Marketing Guidelines and delivery of the institutional products
  • Develop and implement a formal audit function in conjunction with the Vice President of Operations & Quality, and make recommendations for remediation, communication and oversight for the Chief Growth Officer
  • Manage and coordinate all corrective action plans, including providing recommendations on remediation, duration and reporting. Corrective action plans including those specific to the overall product, specific markets, specific leaders and/or producers

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’s degree
  • 5+ years of work experience in Medicare Advantage, skilled nursing facility or assisted living facility
  • 5+ years of experience working in a government, legal, healthcare, managed care and/or health insurance environment in a regulatory, privacy or compliance role
  • Intermediate to advanced skills in Excel and PowerPoint
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • Advanced degree
  • HCCA Certificate in Healthcare Compliance, Certificate in Healthcare Privacy Compliance or similar certifications as applicable

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $113,500 to $218,100. The salary range for Connecticut / Nevada residents is $113,500 to $218,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.