UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Compliance Investigator - Minnetonka, MN-312992
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice. We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach. This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
In this role you will be primarily responsible for the investigation and recommended resolution of allegations of agent/broker misconduct related to sales and marketing activity. This would include analysis of initial allegation, collection of pertinent information and documents, preparing written requests for information and conducting interviews of individuals with pertinent information regarding the allegations. Other duties include the preparation of written reports of investigation and verbal presentations of the results of investigations to committees and/or senior managers. Although the primary area of investigation would be broker-related complaints, the incumbent would also be called upon to lead or participate in investigations of other compliance and integrity and privacy issues.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. Qualifications Required Qualifications:
- Bachelor's degree required.
- 2+ years of experience analyzing, summarizing and researching investigations, preferably from a health or medical insurance environment ( workers comp, brokerage investigations, consumer affairs or similar would also be appropriate)
- Strong writing skills and excellent verbal presentation required.
- Ability to handle 50 or more investigations simultaneously.
- Able to work independently without direct supervision.
- Strong knowledge of MS Office tools.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
