Associate Director, Compliance - Remote in Tennessee

Lensa; Nashville (TN); Remote; USD 106,000 - 195,000; Full time

Job summary

A leading healthcare organization is seeking an Associate Director of Compliance to manage compliance programs and ensure regulatory adherence. This role involves collaboration with various teams, evaluating compliance issues, and developing strategies for improvement. Candidates should have substantial experience in healthcare compliance and strong communication skills. The position offers remote flexibility for local candidates in Nashville, TN.

Benefits

Comprehensive benefits package

Incentive programs

Stock purchase options

401k contributions

Qualifications

• 3+ years managing compliance programs or regulatory roles.
• Experience in healthcare, managed care, or health insurance.

Responsibilities

• Manage health plan compliance program elements.
• Evaluate compliance issues and recommend improvements.
• Collaborate cross-functionally to meet regulatory requirements.

Skills

Communication

Problem-Solving

Goal Setting

Adaptability

Education

Professional certification (e.g., CHC)

Job description

Associate Director, Compliance - Remote in Tennessee

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Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

This Compliance Director will serve in a role providing direct support to UnitedHealthcare Community & State (C&S) compliance program and health plan compliance priority functions as defined.

If you are local to Nashville, TN, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities

• Manage elements of a health plan compliance program with an understanding of state-based government health care programs and products.
• Engage in complex remediation strategies & resolution, promoting compliance with applicable laws and contractual obligations for various Medicaid products.
• Work across different markets with varying needs and expectations, as well as with broader national compliance teams and focus areas.
• Evaluate compliance program functions and recommend continuous improvements.
• Conduct product-specific research in collaboration with regulatory affairs and legal teams to identify state Medicaid requirements.
• Partner with legal, compliance, and program integrity professionals to support national and market program activities and communications.
• Collaborate cross-functionally to ensure compliance elements are executed and regulatory and contractual requirements are met.
• Evaluate compliance issues, including corrective actions and mitigation strategies.

This role requires developing relationships, analyzing information, recommending process improvements, and influencing stakeholders to increase engagement and results. You will work in a matrixed environment ensuring resources are used effectively to mitigate risks and achieve compliance.

You’ll be rewarded and recognized for your performance in an environment that challenges you, provides clear success criteria, and offers development opportunities.

Required Qualifications

• 3+ years of experience managing compliance programs or working in a regulatory role.
• 3+ years of experience in healthcare, managed care, or health insurance environments in regulatory, privacy, or compliance roles.
• Experience managing teams, initiatives, or working with regulatory agencies.
• Broad knowledge of navigating complex matrixed environments across UHC, Optum, and delegated entities.
• Strong skills in goal setting, independent work, communication, and problem-solving.
• Advanced writing and presentation skills, adaptable to different audiences.
• Ability to make decisions with limited or unclear information.
• Ability to understand and resolve complex concepts and situations, assessing problems and recommending solutions.
• Proven ability to cope with ambiguity, change, risk, and uncertainty, aligned with UnitedHealth Group’s values.
• Reside in TN, with ability to attend periodic in-person meetings in Brentwood and with regulators.

Preferred Qualifications

• Professional certification (e.g., CHC or similar).
• 5+ years of healthcare industry or government programs experience.
• Experience with managed care and/or government programs.
• Experience leading or implementing comprehensive compliance programs.
• Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.

The salary range is $106,800 to $194,200 annually, based on full-time employment and various factors including location, education, experience, and certifications. Benefits include a comprehensive package, incentive programs, stock purchase options, and 401k contributions.

Our mission is to help people live healthier lives and improve the health system for everyone. We are committed to equity, addressing health disparities, and environmental responsibility.

UnitedHealth Group is an Equal Opportunity Employer and a drug-free workplace, requiring a drug test prior to employment.