Manager of Investigations - Remote

Manager Of Investigations

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Manager of Investigations is responsible for the direct oversight of investigators whose primary roles are the identification, investigation and prevention of healthcare fraud, waste and abuse. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary responsibilities include managerial oversight of all types of fraud, waste and abuse cases, to include all levels of complexity, ensuring compliance with the UnitedHealthcare (UHC) Fraud, Waste and Abuse Program, ability to communicate effectively, including written and verbal forms of communication, providing guidance to investigators on effective and efficient investigative strategies, ensuring investigators maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case tracking system, participating in settlement negotiations and / or producing investigative materials in support of the latter, collecting, collating, analyzing and interpreting data relating to fraud, waste and abuse, ensuring compliance of applicable federal / state regulations or contractual obligations, ensuring investigators compliance with goals, policies, procedures and strategic plans as delegated by SIU leadership, collaborating with state / federal partners, at the discretion of SIU leadership, to include attendance at workgroups or regulatory meetings, must participate in legal proceedings, arbitrations, depositions, etc., be able to supervise a team and be able to travel up to 25%. 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 : Associates Degree or higher, 5+ years of experience in health care fraud, waste and abuse (FWA) investigations / audit, 5+ years of experience with state / federal laws and regulations pertaining to healthcare FWA, 5+ years of experience analyzing data to identify fraud, waste and abuse trends, advanced level of proficiency in Microsoft Excel and Word, willing or ability to travel up to 25%. Preferred Qualifications : Active affiliation with National Health Care Anti-Fraud Association (NHCAA), Accredited Health Care Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), 2+ years of direct supervisory experience, specialized knowledge / training in healthcare FWA investigations. All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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 $89,900 to $160,600 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.

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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.