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UnitedHealth Group Compliance Manager Contracted Network - National Remote in United States

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Optum Serve is dedicated to serving our nation's military and Veterans. We have the honor to support federal agencies in their efforts to advance the United States health care system and improve the overall health and well-being of all those who serve or have served our country. Our health services are designed to help everyone live healthier lives.

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

Primary Responsibilities:

  • Manage and direct the work of Contracted Network Compliance Coordinators

  • Coaches, provides feedback, and guides others

  • Identifies solutions to non-standard requests and problems

  • Solves complex problems and/or conducts moderately complex analyses

  • Provides explanations and information to others on difficult issues

  • Works with minimal guidance; seeks guidance on only the most complex tasks

  • Promotes positive work environment within the department and across the organization

  • Acts as SME for in-person and virtual audits

  • Ensures that in-person and virtual audits are conducted on regular cadence to ensure compliance and contractual requirements

  • Review, understand, and communicate changes in OSHA and ADA regulations and standards to ensure that auditing practices remain up-to-date and relevant

  • Support any corrective action plans in response to external and internal audits both in-person and virtual

  • Engage in complex remediation strategy and resolution and promote compliance with applicable laws and contractual obligations

  • Lead investigations of incidents or complaints related to OSHA or ADA violations, providing input and recommendations for remediation

  • Work closely with PNM team for collaboration and resolution of non-compliant providers

  • Collaborate with the EOHS team to ensure alignment in processes for reviewing audits to ensure compliance at contracted network provider locations

  • Perform thorough in-person and virtual audits of facilities to ensure compliance with OSHA and ADA regulations

  • Oversee the coordination of travel plans with all departments and providers

  • Perform and support pre-contract site visit for contracted network sites

  • Prepare detailed reports documenting audit findings, compliance status, and recommendations for improvements or corrective measures

  • Assist in developing and implementing policies and procedures to ensure ongoing adherence to OSHA and ADA regulations

  • Lead the Contracted Network Compliance Committee

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:

  • Undergraduate degree (or higher) OR 3+ years working in Environmental and Occupational Health and Safety, a government, legal, healthcare, managed care and/or health insurance environment

  • Current OSHA 30 General Industry training or OSHA 511 General Industry training or the ability to obtain within 90 days of hire

  • 3+ years’ experience working in Environmental and Occupational Health and Safety, a government, legal, healthcare, managed care and/or health insurance environment

  • Intermediate proficiency with Microsoft Office programs

  • Ability to travel as needed up to 25%

Preferred Qualifications:

  • Experience within disability exam clinic environment

  • Ability to influence and negotiate through use of verbal, written and interpersonal means with a diverse group of people/disciplines at all levels of an organization

  • Experience with Environmental Health and Safety auditing

  • Military experience

  • Experience working with military Veterans

Soft Skills:

  • Ability to work in a fast-paced environment, be flexible and able to adapt to changing situations

  • Ability to demonstrate an appropriate level of assertiveness in performing work responsibilities and in making work related decisions

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

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Maryland, Washington, or Washington D.C Residents Only : The salary range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Maryland, Washington, or Washington D.C residents is $88,000 to $173,200 per year. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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.

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.

#RPO, #Green

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