Associate Director (Senior Regulatory Adherence Consultant)
CurrentCompiling and approving responses to internal and regulatory audits of department conducting healthcare fraud, waste, and abuse (FWA) prevention, detection, and investigation activities. Identifying and escalating compliance risks and monitoring remediation efforts. Interpreting contractual and regulatory requirements for leadership. Working with peers across UnitedHealth Group to implement new operational processes required by regulatory and contractual updates. Coordinating formal reporting of fraud investigations to state and federal healthcare oversight agencies.