Senior Compliance Auditor - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Sr. Compliance Auditor acts as a resource to peers, including Compliance Auditors. Document control management, execution of hybrid, remote and onsite audits are part of primary duties. In addition, the Sr. Compliance Auditor may perform data analysis, tracking, interpreting and reporting of audit insights to cross-functional audiences, including leadership.

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

Primary Responsibilities:

• Serve as a resource to others on the team
• Become proficient in and execute audits on behalf of partnering audit team(s) as determined by management
• Create and/or modify audits to align with strategic priorities and objectives as assigned
• Investigates routine and non-standard requests and problems
• Lead and contribute to special projects as assigned
• Train and develop Compliance Auditors and newly hired employees
• Provide ideas and recommendations on process improvements, team building, etc.
• Develop and maintain documentation (e.g., presentations, job aids, procedures, manual, etc.)
• Conduct remote, hybrid and onsite regulatory compliance-based internal audits within ORx by collecting evidence to verify conformance or nonconformance to the audit criteria.
• Record the results of audits performed (e.g., checklist, questionnaire, etc.)
• Report audit results concisely, objectively, and impartially.
• Maintain confidentiality of audit information and report any conflict of interest to management
• Manage and prioritize assigned audits to meet mandated turnaround times
• Understand the audit purpose, scope, and criteria being audited against.
• Ensure compliance with applicable laws and regulations (e.g., BOP, FDA, DEA, CMS, and HIPAA)
• Demonstrate knowledge of applicable medical/pharmacy terminology (e.g., CPT, ICD-9, ICD-10)
• Verify the correction of previous nonconformities
• Remain ethical and adhere to the organization's code of conduct and internal processes/requirements
• Attend, participate, and routinely host internal meetings (e.g., opening, closing, etc.)
• Work with business partners to identify and improve pharmacy compliance-related issues
• Participate and/or facilitate team engagement activities
• Remain ethical and adhere to the organization's code of conduct
• Other duties and responsibilities, not specifically described, may be defined or assigned from time to time, consistent with the knowledge, skills, and abilities of the incumbent by management

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:

• High school diploma (or GED) or 5+ years of experience auditing pharmacies
• National Pharmacy Technician Certification
• 3+ years of relevant work experience in the healthcare industry
• 3+ years of pharmacy auditing experience
• Microsoft Office skills: (Word - creating and editing documents, Excel - creating, filtering, and maintaining spreadsheets)
• Willing or ability to travel by plane, train, and car for a timeframe of up to 8 hours
• Home location within 45 miles of an International Airport

Preferred Qualifications:

• Bachelor's degree
• Experience working independently and researching/conducting investigations; must be analytical, self-motivated, goal-oriented, and can successfully investigate complex issues
• 2+ years of previous Quality experience or demonstrated Subject Matter expertise across multiple Quality areas
• American Society of Quality (ASQ) Certified Quality Auditor (CQA), or equivalent credential(s)

Physical Requirements and Work Environment:

• Extended periods of sitting at a computer and use of hands/fingers across the keyboard or mouse
• Extended periods of standing, bending, and twisting at a pharmacy location

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

California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all 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.