Regulatory Affairs Consultant - Remote

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.

Let's talk about the ongoing transformation of health care. Change is happening rapidly and the health of millions is at stake. It's our responsibility and we need the right people to drive it, endlessly, with no compromises. As a Regulatory Affairs Consultant, you will be an individual contributor in our Legal, Regulatory Affairs and Compliance group. You will analyze, interpret, research, document, report, and present on Medicare Advantage and Part D regulatory changes issued by the Centers for Medicare and Medicaid Services (CMS). We are looking for a self-motivated individual who can thrive in an environment with minimal instruction. The ideal candidate will be able to take initiative, solve problems independently, anticipate business needs, formulate persuasive advocacy positions, and adapt to changing circumstances - establishing themselves as both an expert and leader. This role requires someone who has excellent attention to detail who can also interact with individuals across teams, including executives. It's an opportunity to make a huge impact in the health care system. Applicants should possess excellent writing and presentation skills and be comfortable interacting with a diverse range of stakeholders.

The Regulatory Affairs Consultant will deliver CMS Regulatory knowledge and expertise in Medicare Clinical, Quality, and Star Ratings requirements. Please note that the specific area(s) of subject matter expertise are subject to change and may be expanded or adjusted to meet business needs. Colleagues and leaders will support your success by directing you to key information sources, facilitating connections, sharing best practices, offering advice, and creating a supportive environment. However, you will be expected to be the primary expert in your areas of focus.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Analyze Complex Federal Regulations: Review and synthesize complex federal statutes, regulations, documents, and communications to provide clear and concise information to senior leaders, business owners, and other key stakeholders
• Educate and Prepare: Host, present, and participate in discussions to educate and prepare stakeholders for upcoming regulatory changes
• Respond to Inquiries: Research and respond to inquiries, requests, and actions from regulators or internal business partners, including handling complaints and requests for assistance
• Coordinate Review Sessions: Organize and lead in-depth review sessions with Legal and Compliance teams to interpret ambiguous guidance
• Evaluate Business Proposals: Assess business proposals to ensure alignment with federal requirements and regulatory standards
• Develop External Comments: Formulate persuasive arguments to effectively advocate for specific positions or seek clarification on regulation interpretation
• Team Process Improvements: Lead internal team efforts to enhance documentation, overall efficiency and effectiveness

This will be a highly visible role. It will be your responsibility to interact with and develop strong and productive relationships with Legal, Regulatory, Compliance, and other key individuals within the business area(s) you support

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:

• 4+ years of experience with any of the following within the healthcare and/or insurance industry: medical coding, claims processing, appeals & grievances, audit management, regulatory affairs, legal, or compliance
• 4+ years of experience analyzing, summarizing, and synthesizing complex information
• Experience interacting and collaborating with a variety of stakeholders (other team members, internal customers and executives)
• Experience communicating complex information to expert and non-expert stakeholders
• Comfortable presenting complex information to leaders at all levels of the organization
• Ability to pivot and shift priorities effectively in a fast-changing environment.
• Demonstrated ability to produce high-quality written content (clarity, coherence, and thoroughness)

Preferred Qualifications:

• Federal Regulation, Legal and/or Compliance experience
• Medicare Clinical (prior auth, utilization management, organizational determinations, etc.) experience
• Medicare Quality measurements (CAHPS, HEDIS, HOS, etc.) experience
• Medicare Star Rating experience

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.