Director, Value-Based Care Compliance (Remote)

Optum

Eden Prairie (MN)

Remote

USD 135,000 - 231,000

Full time

14 days+

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Benefits offered by this job

Comprehensive benefits package

Equity stock purchase plan

401k contribution

Job summary

Optum is seeking a strategic Director of VBC Compliance to lead and operationalize the VBC compliance program across teams and partners. You will oversee risk, quality, and payer strategy, ensuring adherence to CMS and Anti‑Kickback Statute requirements while maturing governance and monitoring capabilities.

You will report to the Optum Health Vice President, Compliance and work with legal, audit, and business stakeholders.

Qualifications

Strong leadership and people management skills.
Deep experience in healthcare compliance and regulated environments.
Proven ability to influence senior executives and cross-functional teams.

Responsibilities

Create and implement a comprehensive compliance strategy and risk assessment.
Collaborate with enterprise compliance to detect, prevent, and correct issues across Optum Health.
Oversee compliance obligations across VBC operations (risk adjustment, quality, payer strategy, network ops).
Manage and develop a team of compliance professionals with performance management.
Lead annual audit planning and monitor corrective actions.
Partner with investigations and HR to address disciplinary actions.