Remote Healthcare Regulatory Affairs Lead

UnitedHealth Group; Irvine (CA); Remote; USD 92,000 - 164,000; Full time

Benefits offered by this job

Remote work option

Benefits package

Job summary

UnitedHealth Group in California is seeking a Regulatory Affairs Consultant to lead regulatory initiatives that support strategy, compliance, and operational excellence. This role serves as a subject matter expert on healthcare regulatory requirements, guiding stakeholders and coordinating audits across the organization.

If you are located in PST, you will have the flexibility to work remotely*, taking on challenging regulatory efforts and ensuring CMS, DMHC, DHCS, NCQA and other standards are

Qualifications

• 5+ years of experience in healthcare regulatory affairs, compliance, or related functions, including knowledge of managed care operations and industry trends.
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Responsibilities

• Maintain expertise in current and emerging healthcare regulations, legislation, and industry requirements
• Lead cross-functional efforts to assess, implement, and monitor regulatory initiatives, providing regular status updates and risk assessments
• Contribute to regulatory engagement and operational strategies aligned with organizational goals
• Translate complex regulatory and business requirements into clear, actionable guidance for diverse audiences
• Provide regulatory interpretation and consultation to stakeholders; develop and manage work plans to support compliance objectives
• Prepare and coordinate responses to health plans, regulatory agencies, and other external entities regarding regulatory inquiries and directives
• Serve as the primary point of contact for regulatory audits and coordinate organizational participation
• Ensure policies, procedures, and operational practices align with CMS, DMHC, DHCS, NCQA, and other applicable requirements
• Analyze and resolve business challenges affecting clinical operations, workflows, and functional requirements
• Develop reports, presentations, and executive-level communications on regulatory activities, risks, and compliance status
• Identify opportunities for process improvement and recommend innovative, cost-effective solutions across departments
• Perform additional duties and responsibilities as assigned

Skills

Regulatory affairs

Project leadership

Regulatory compliance

Stakeholder communication

Analytical thinking

Change management

Cross-functional collaboration

Risk assessment

Strategic thinking

Leadership influence

Policy interpretation

Job description

UnitedHealth Group in California is seeking a Regulatory Affairs Consultant to lead regulatory initiatives that support strategy, compliance, and operational excellence. This role serves as a subject matter expert on healthcare regulatory requirements, guiding stakeholders and coordinating audits across the organization.

If you are located in PST, you will have the flexibility to work remotely*, taking on challenging regulatory efforts and ensuring CMS, DMHC, DHCS, NCQA and other standards are