Job Category:
Medical/Health
Reference Code:
314149
Position Type:
Full Time, Employee
UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.

Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.

Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Director, Internal Compliance Audit - Minnetonka, MN - Minnetonka, MN 55343
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

Ovations is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. Imagine joining a group of professionals and clinicians who are working to improve health care for people over 50. Consider the influence you can have on the quality of care for millions of people. Now, enhance that success with enthusiasm you can really feel. That's how it is at Ovations. Everyday, we're collaborating to improve the health and well being of the fastest growing segment of our nation's population. And we're doing it with an intense amount of dedication.
 
Director, Internal Compliance Audit; PURPOSE OF JOB: The Public and Senior Markets Group (PSMG) Audit Management Department is seeking a confident, analytical, and experienced compliance management professional with internal audit leadership experience to join its new Internal Compliance Audit Team, which will be primarily located in Minnetonka, MN. This team is part of the Audit Management Department, which also leads and coordinates regulatory audits for PSMG, and reports to the Chief Compliance Officer. The Internal Compliance Audit Team will be responsible for developing, scheduling, conducting, managing, tracking and reporting all aspects of the internal compliance audit work plan for PSMG, which includes planning, overseeing and conducting internal compliance audits of Ovations and AmeriChoice (Medicare and Medicaid) operational functions. This team will be responsible for leading, managing, and driving all internal compliance audit activities (e.g., pre-site, on-site/desk review and post on-site activities) and executing the internal compliance audits.
 
RESPONSIBILITIES:
  • Lead, manage, develop and train a new team of 11 Internal Compliance Auditors and 2 Managers

  • Create, execute and monitor the policies, procedures, workflows, reporting and internal compliance audit work plan for Medicare and Medicaid operations

  • Analyze, understand and articulate Federal and State regulatory and contractual requirements and apply identified requirements to Medicare and Medicaid business operations in developing and managing the PSMG internal compliance audit work plan

  • Develop, evaluate, and monitor the risk-based 5-year internal compliance audit work plan

  • Collaborate with the business operations executive and senior leadership and personnel throughout the internal compliance audit process

  • Concurrently oversee and direct all internal compliance audits in various phases to ensure all deadlines are met in accordance with the internal compliance audit work plan

  • Review and sign off on internal compliance audit work papers and reports created by the Internal Compliance Audit Managers and Auditors

  • Direct, oversee, track and report on internal compliance audit corrective action plan commitments and remediation progress

  • Report, clearly articulate, and present internal compliance audit-related information (i.e., work plan and rationale, scope, findings, recommendations, corrective action plans, and remediation status) to Compliance Program and business operational executive and senior leadership

  • Collaborate with legal counsel and the other teams within Audit Management (Regulatory Audit Support) and the Compliance Program structure

  • Develop and present compliance communications and/or training and drive problem resolution for Medicare and Medicaid business operations

  • Lead and be accountable for the performance and direction of the Internal Compliance Audit Team through multiple layers of management and senior level professional staff

  • Perform additional duties as requested or required by management

  • Travel, as necessary, to manage and coordinate the internal compliance audit work plan

Here, you will discover a culture that grows through challenge. That evolves by being flexible. That succeeds by staying true to our mission to make health care work effectively and efficiently for seniors. Put your best to work for us, and discover extraordinary opportunities for growth.


  • 3-5 years compliance audit management experience with experience in large, corporate environment required

  • Bachelor's Degree required

  • Master's Degree preferred

  • CIA certification recommended

  • Experience in strategic thinking and proposing internal audit strategies/work plan to leadership

  • Critical thinker and ability to logically and methodically make fact-based decisions

  • Experience in analyzing, developing, evaluating, writing and presenting summaries of audit work to management

  • Highly-developed organizational and planning skills

  • Proficiency in MS Office applications, particularly Word, Excel, Visio, PowerPoint and Outlook

  • Ability to travel, as necessary, to manage and coordinate internal compliance audits

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
 


Additional Information:

  • Travel Percentage: 25%

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Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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