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Pharmacy Compliance Officer - CA,CT, MN, or PA

Company: UnitedHealth Group
Location: Miami
Posted on: September 23, 2022

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) Health care is going through transformative change. And UnitedHealth Group leads the way, shaping the future even as it unfolds. As Senior Director of Compliance, you will manage a team responsible for monitoring changes with internal laws and regulations to ensure compliance with State and Federal guidelines. This is your chance to provide strategic leadership in an industry with incredible impact. Make a meaningful difference, apply today. The Pharmacy Compliance Officer is a role that supports the Medicare and Retirement line of business. -The Pharmacy Compliance Officer is responsible for aligning the pharmacy compliance strategy with the pharmacy business strategy. The Pharmacy Compliance Officer will provide strategic leadership and utilize a matrixed team to execute on issues of non-compliance or areas of identified risk(s). The Pharmacy Compliance Officer is responsible for driving complex business processes throughout and across the organization. -This role requires development of relationships with executive and senior level business leaders, and understanding of, the business structure. There is a lot at stake in this position. Your responsibilities will include highly complex or unusual business problems that affect major functions. You will lead a team and direct others to resolve issues and develop corrective action plans to ensure compliance with laws and regulations and company, customer and accreditation requirements. Positions in this function monitor changes to laws and regulations to ensure compliance with State & Federal laws, regulations and mandates. Establish and implement standard policies, procedures, processes and best practices across UHG to promote compliance with applicable laws and contractual obligations. Conduct state-specific legal research and monitor changes to requirements to mitigate risks and achieve compliance. Support the collection of data for regulatory filings, coordinate and develop reports, projects, assessment tools to verify compliance. May develop compliance communications and drive problem resolution for a business. If you are located in CT, MN, CA -or PA, you will have the flexibility to partially telecommute* as you take on some tough challenges. Primary Responsibilities

  • Lead the implementation of standard policies, procedures and best practices across the company to promote compliance with applicable laws and contractual obligations
  • Facilitate implementation of state-specific legal research and monitor changes to requirements to mitigate risks and achieve compliance
  • Develop compliance communications and drive problem resolution for a business segment
  • Collaborate with operations to review, analyze and develop/oversee initial implementation project plans and/or corrective action plans to ensure compliance with new or existing laws and regulations and company, customer and accreditation requirements
  • Consult and coordinate with new business/sales/product development to determine all regulations pertaining to any products being offered in the marketplace
  • -Provides leadership to and is accountable for the performance and results through multiple layers of management and senior level professional staff
  • Impact of work is most often at the regional (e.g. multi-state) level, or is responsible for a major portion of a business segment, functional area or line of business There is a lot at stake in this position. Your responsibilities will include highly complex or unusual business problems that affect major functions. You will lead a team and direct others to resolve issues and develop corrective action plans to ensure compliance with laws and regulations and company, customer and accreditation requirements. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications
    • Bachelor's degree or equivalent work experience; graduate degree
    • 10+ years of experience working in a government, legal, health care, managed care and/or health insurance environment in a regulatory, privacy or compliance role
    • 5+ years of experience supervising and leading a team
    • 5+ years of experience leading and implementing a comprehensive compliance program
    • 5+ years of project management experience, including experience simultaneously managing multiple projects
    • 3+ years of experience with state, HIPAA and other federal privacy laws
    • 3+ years of experience working with Federal or State Programs
    • -Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation Preferred Qualifications:
      • Graduate degree
      • Experience working with Medicare, Medicare Advantage, Medicare Part D and Medicaid managed plans UnitedHealth Group serves more than 85 million people, and provides wellness services to more than half of the Fortune 500. If you're looking for impact and meaning, you'll find all that and more. - To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm) Connecticut Residents Only: The salary range for Nevada residents is $134,200 to $257,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, Miami , Pharmacy Compliance Officer - CA,CT, MN, or PA, Healthcare , Miami, Florida

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