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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.

This position is responsible for compliance audit, reporting, analysis and identifying compliance issues and remediations for programs to support continuous compliance adherence to external regulatory entities and internal policies and processes using applicable tools.

The role of the Quality Assurance and Compliance Specialist is to:

• Perform/Measure/Document and Report Compliance Audits- Perform internal compliance audits to ensure adherence to regulations and internal processes (e.g., controlled substance management, hazardous waste management, site safety). Make appropriate remediation plans to resolve gaps. Communicate results to key stakeholders using internal procedures and documentation. Identify compliance risk and conduct root cause analysis on compliance gaps or internal audit findings.

• Positions in this function will also be responsible for supporting centralized compliance tasks for their assigned territory

• Support/Coordinate/Perform Special Projects: Provide input into and/or create supporting documentation (e.g., reports; presentation materials) for special projects. Provide information, assistance, and/or oversight to facilitate project implementation.

• Demonstrate Knowledge of Operations Systems, Tools, and Processes -Demonstrate understanding of relevant federal and state regulatory guidelines (e.g., CMS). Demonstrate understanding of standard operating procedures, policies, and processes

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

Primary Responsibilities:

• Perform a Compliance Site Visit for every site in your assigned territory

• Provide onsite compliance support in identified at-risk sites

• Provide virtual/remote compliance support in identified at-risk sites

• Collaborate with Operational leaders to develop remediation plans and identify additional support needs from cross functional teams

• Navigate multiple computer programs to review and document audit findings, remediation plans and support centralized compliance tasks

• Develop and maintain a clear understanding of company policies and procedures

• Identify and document errors and issues identified from case reviews

• Partner with other members of the team to evaluate adherence to policies and procedures

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:

• HS Diploma/GED

• Pharmacy Technician License in the state you reside

• 2+ years of Pharmacy Operations Experience

• Intermediate proficiency with MS Office Products (Word, Excel, PowerPoint),

• Able to work Monday-Friday

• Able to work an 8 hour shift between 8am CST-8:30pm CST

Preferred Qualifications:

• Active/current National Pharmacy Technician Certification (i.e., eXCPT, NCCT, PTCB)

• Experience with/enjoy traveling

• Flexibility in scheduling

*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 hourly range for this role is $19.47 to $38.08 per hour. 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.

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