UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together.

The Compliance Director, Investigations(individual contributor) will focus on investigating complex and urgent allegations of non-compliance and misconduct across UnitedHealth Group and its various businesses. The will join a talented, high-performing Investigation team that assesses reported allegations, identifies applicable governing laws, regulations, and policies, and conducts investigations through interviewing witnesses and analyzing documents and other evidence. The Compliance Director, Investigations must analyze facts uncovered through the investigation, apply them against controlling statutes, laws, regulations, policies and guidance, make a merit determination for all allegations, and brief applicable business partners in order to ensure any identified issues have been assessed for remediation.

The Compliance Director, Investigations must be a very strong writer and prepare high quality written summaries for the investigation and witness interviews, and for business leadership briefings. The Compliance Director, Investigations will work collaboratively with Legal, Compliance, People Team, and business partners throughout the investigation, and will also work with UHG Enterprise Compliance leadership. The Compliance Director, Investigations will help business compliance partners identify and recommend process improvements and best practices to promote compliance. The Compliance Director, Investigations should have very strong investigative, analytical, communication, writing skills, and oral presentation skills. The Compliance Director, Investigations should be prepared to manage a high and urgent workload, and to handle sensitive, complex, and escalated issues on urgent matters. The Compliance Director, Investigations should also be prepared to lead team or department projects as they arise. It’s an exhilarating pace where you can develop your career while you help to make the health system work better for everyone.

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

Primary Responsibilities:

• Conduct timely, unbiased, thorough, and effective investigations of allegations of misconduct as well as ethical and compliance violations

• Ability to work independently, confidently, and with initiative on high priority escalated investigations

• Collaborate with the business, Legal, Privacy, People Team, and other functions to identify and help the business implement appropriate corrective action

• Provide succinct, persuasive, and well-informed briefings to business partners and leadership at all levels concerning individual investigation findings and recommendations, as well as trends and issues

• Prepare succinct, sound, well-written, and high-quality interview and investigation summaries and reports

• Help drive problem resolution and compliance-related remediation for all business segments across UnitedHealth Group

• Initiate and/or lead additional projects (ex. training, P&P development, creating resource materials, reporting, and/or assisting other teams in the department)

• Manage complex and urgent investigations collaboratively with compliance and legal partners across the organization

• Provide subject matter expert support for team members and business partners, as well as backup support for team leadership

NOTICE: Other duties and responsibilities, not specifically described, may be defined or assigned from time to time, consistent with knowledge, skills, and abilities of the incumbent.

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:

• 5+ years of proven experience in an investigations role within government, legal, military, health care, managed care, health insurance, or corporate environment

• Experience analyzing, communicating, and presenting complex information and issues

• Experience interacting & collaborating with a variety of stakeholders (other functional support areas, customers, business leaders and executives)

• Proven experience in an investigative role, personally conducting or supervising investigations

• Extensive proven experience managing and documenting sensitive and complex investigations with demonstrated knowledge of best practice investigation protocols

• Demonstrated experience developing investigation plans and conducting investigations

• Demonstrated successful experience with constructive confrontation, conflict resolution and analysis (problem assessment, solution generation) using consultation and influencing skills

• Advanced level of proficiency with MS Word, MS Excel, and MS Outlook

• Demonstrated decision-making ability and excellent judgment working in a fast-paced environment

• Proven collaborative team member with solid organizational and execution capabilities and the ability to work well under tight time frames with shifting priorities and solid attention to detail

Preferred Qualifications:

• Certified Fraud Examiner or similar industry accreditation

• Investigation experience with health care, managed care, health insurance, or insurance issues

• Experience working in a large, global, matrixed environment (e.g., shared service delivery model), and performance driven environment

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

The salary range for this role is $124,500 to $239,400 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 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.