Advisory Director, Payer Compliance - Remote

Advisory Director, Payer Compliance - Remote

The Advisory Director, Payer Compliance - Remote is a leader within the Optum's Payer Advisory Services, serving health care payer clients. The role requires a leader with proven healthcare consulting and operations exposure to and / or experience in developing business solutions as well as leading solution delivery with clients.

The Advisory Director, Payer Compliance - Remote is responsible for assisting health plans with compliance activities related to enabling an effective compliance program. Overall, the role will assist health plans with compliance program design, development, implementation and monitoring to ensure compliance with all applicable rules and regulations relating to the organization's lines of business.

The role requires management consulting experience with business domain experience within Payer Compliance functions in one or more of the following capabilities :

• Develop strategies to promote and encourage a culture of compliance and coordination of the health plan's compliance program with their business strategies and practices
• Focus on Fraud, Waste and Abuse (FWA)
• Engage with executive team and board for audit and compliance activities
• Engage in an external facing role with state and federal regulatory bodies

You'll enjoy the flexibility to work remotely

Primary Responsibilities :

The consulting environment is challenging and fast-paced, requiring the following core competencies :

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 :

Preferred Qualifications :

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $132,200 to $226,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.