Director of Clinical Compliance - CDI, Risk Adjustment, and EHR Oversight

Director Of Clinical Compliance - Cdi, Risk Adjustment, & Ehr Oversight

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing Together.

The Director of Clinical Compliance - CDI, Risk Adjustment, & EHR Oversight reports to the Optum Health Chief Compliance Officer (CCO) or designee and will partner closely with other Optum Health compliance leaders and the Optum and enterprise compliance leadership teams. This position is a strategic compliance leadership role serving as a subject matter expert to and key compliance contact for the Optum Health Clinical Excellence function including, but not limited to, compliance oversight and support for strategic clinical initiatives, clinical research, clinical documentation integrity and improvement (CDI) programs, Medicare Advantage risk adjustment activities, technology tools and EHR (e.g., Epic, Athena, eClinicalWorks) workflows that impact provider documentation, and Artificial Intelligence (AI) initiatives impacting clinical care and documentation. This individual will ensure that clinical and business activities align with the organization's compliance program and the seven elements of an effective compliance framework and comply with CMS and OIG standards. This role will require close collaboration with coding compliance, IT, CDI, risk adjustment, coding operations, clinical operations, privacy, and internal audit teams to ensure consistency, alignment, and an integrated approach to risk mitigation.

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 :

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.