DC Compliance Lead – Health Plans & Regulation

UnitedHealth Group; Washington (District of Columbia); On-site; Confidential; Full time

Benefits offered by this job

Benefits package

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking a DC-based Compliance Officer to support UnitedHealthcare Community & State compliance programs and related priority functions. You will develop relationships, analyze information, and influence stakeholders to mitigate risks and improve processes.

The role requires navigating a complex matrixed environment, managing remediation strategies, and ensuring regulatory requirements are met across Medicaid products and various markets.

Qualifications

• 3+ years of experience managing aspects of a compliance program or working in a regulatory position.
• 3+ years of experience in a government, legal, healthcare, managed care and/or health insurance environment in a regulatory, privacy or compliance role.
• Experience managing teams, major program initiatives or working with regulatory agencies.
• Broad knowledge across a complex matrixed environment and ability to drive to resolution.
• Excellent verbal and written communication; problem solving and strong presentation skills.
• Ability to make decisions with limited information and assess complex business problems.

Responsibilities

• Manage elements of a health plan compliance program with understanding of state Medicaid requirements.
• Lead remediation strategies and ensure compliance with laws and contractual obligations.
• Collaborate across markets and national compliance teams to align program focus areas.
• Evaluate compliance functions and propose continuous improvement actions.
• Conduct product-specific research to identify state Medicaid requirements.
• Partner with legal and program integrity teams for national activities.
• Coordinate with cross-functional teams to ensure regulatory requirements are met.
• Assess identified compliance issues and develop corrective actions.

Skills

Regulatory compliance

Healthcare compliance

Government programs knowledge

Stakeholder management

Written communication

Decision making

Ambiguity management

Leadership/Team management

Job description

UnitedHealth Group is seeking a DC-based Compliance Officer to support UnitedHealthcare Community & State compliance programs and related priority functions. You will develop relationships, analyze information, and influence stakeholders to mitigate risks and improve processes.

The role requires navigating a complex matrixed environment, managing remediation strategies, and ensuring regulatory requirements are met across Medicaid products and various markets.