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Optum · 16 hours ago

Regulatory Adherence Coordinator

United States

Full-time

Remote

New Grad, Entry Level

$17.74/hr - $31.63/hr

Optum is a global organization that delivers care aided by technology to help millions of people live healthier lives. The Regulatory Adherence Coordinator will be responsible for submitting and maintaining pharmacy licenses for Medicaid and Medicare provider enrollments, ensuring compliance, and providing training to new or existing employees.

EducationHealth CareMedicalPharmaceutical

Responsibilities

License Submission - Submitting updated licenses to state Medicaid agencies and Medicare MACs timely and accurately to maintain active enrollment status

Documentation - Maintain accurate records and documentation related to licenses and adhere to internal written procedures. Monitor and track status in internal tracking grid and system

Assess and prioritize workload appropriately to meet deadlines

Compliance Assurance - Conduct regular reviews of Medicaid and Medicare license requirement

Follow up with regulatory agencies which includes calling state Medicaid agencies and Medicare MACs

Training - providing training to new or existing employees

Serve as a subject matter expert regarding secondary filings requirements by state and NPI updates

Review and handle all applicable incoming emails and notices from CMS regarding pharmacy license updates

Resolves issues as able and communicates with manager on complex issues

Process improvements - maintain and enhance written job aids and provide recommendations

National Provider Identifier (NPI) - Process new application or changes of information request via the National Plan and Provider Enumeration System - NPPES

Qualification

License SubmissionCompliance AssuranceNational Provider Identifier (NPI)DocumentationTrainingWorkload PrioritizationProblem Solving

Required

High School Diploma or GED

Must be 18 years of age or older

Ability to keep all company sensitive documents secure (if applicable)

Required to have a dedicated work area established that is separated from other living areas and provides information privacy

Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Applies knowledge/skills to activities that often vary from day to day

Demonstrates an advanced depth of knowledge and skills in own function

Requires minimal assistance with standard and non-standard requests

Sometimes acts as a technical resource to others in own function

Solves routine problems on own

Works with the team to solve more complex problems

Prioritizes and organizes own work to meet agreed upon deadlines

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

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Company

Optum

Glassdoor3.6

Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.

Founded in 2011