Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work.(sm) UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. When you work with UnitedHealthcare, what you do matters. It's that simple...and it's that challenging. In providing consumer-oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career. We currently have an opportunity available for an Associate General Counsel in Denver, Colorado or Minnetonka, Minnesota. Primary responsibilities will include providing legal counsel and expertise to UnitedHealthcare's Clinical Services Organization, which is responsible for clinical matters across Medicare, Medicaid and Commercial lines of business, including medical management, quality of care, health plan accreditation, provider credentialing and clinical performance measurement. This individual will frequently interact with senior company leaders and/or outside counsel on complex issues having impact across UnitedHealth Group organization entities. Primary Responsibilities:Providing legal counsel on the development and implementation of national medical and drug policies and administrative protocols across the enterprise Providing legal support for quality and affordability programs Supporting benefit interpretation process across the lines of business Assisting in the support of clinical pilot programs across the enterprise Coordinating with and supporting Regulatory Affairs and Compliance in responding to regulatory inquiries; assisting with development and deployment of regulatory outreach strategies Handling complex legal projects Evaluating and determining appropriate legal course of action to meet business unit needs Guiding, training and assisting others on legal issues; coordinating legal reviews with other subject matter experts within Legal, Regulatory Affairs and Compliance departments
Required Qualifications:Juris Doctorate degree 5 or more years of healthcare or managed care legal experience Knowledge of U.S., state contract, corporate health care and regulatory law Understanding of health care benefit coverage and medical policy development Preferred Qualifications:Professional clinical licensure Strong understanding of health insurance and/or managed care industry Experience with regulatory agencies and administrative experience with State insurance regulations, DOL claims regulations and HIPAA Soft Skills:Proven success in collaborating across a matrixed business and legal environment Demonstrated understanding of business problems related to assigned legal projects Well-developed written and verbal communications skills Excellent presentation skills Ability to evaluate and determine appropriate legal course of action to meet business unit needs Ability to build and maintain rapport with superiors, peers, subordinates, and external company contacts Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm) 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. Job Keywords: DOL, HIPAA, Minnetonka, MN, Minnesota, Denver, CO, Colorado
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.