Regulatory Affairs Associate - 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.

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

Primary Responsibilities:

• Coordinate with Senior Specialist to support all special projects by updating existing enrollments
• Communicating to leadership on any licensing concerns or if metric dates will not be met
• Review CMS bulletins and new regulations and update internal reference guides
• Review, monitor and track licensing activities for assigned book of business
• Assess and prioritize workload appropriately
• Troubleshoot complex claims/billing issues and remediation activities as needed
• Support the needs of the business by completing new Medicaid and Medicare enrollment applications

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:

• 2+ years of direct Medicaid and Medicare pharmacy licensing/enrollment experience
• Intermediate or better level of proficiency with Microsoft Word (creating and editing documents), Excel (general spreadsheet navigation, data entry/sorting data), Teams, PowerPoint and Outlook (scheduling meetings, email and calendar)
• Experience with interacting and collaborating with a variety of stakeholders and in a team setting
• Ability to comprehend state and federal requirements and regulations

Preferred Qualifications:

• Demonstrated ability to work in a fast-paced, high-volume environment effectively
• Demonstrated ability to work effectively both as part of a team and independently
• Proven solid verbal and written communication skills
• Bachelor’s degree or equivalent
• Proven solid problem solving and analytical skills
• Proven self-motivated contributor who takes ownership of tasks from start to finish
• Demonstrated ability to remain resilient in a changing highly regulatory environment
• Proven organized and solid time management skills
• Experience in a pharmacy or clinical setting
• Willingness and ability to work effectively during periods of change

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

California, Colorado, Connecticut, Nevada, New Jersey New York, Rhode Island, or Washington Residents Only: The hourly range for California, Colorado, Connecticut, Nevada, New Jersey New York, Rhode Island, or Washington residents is $22.45 to $43.89. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

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

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.