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Risk and Audit Analyst - Remote

Company: UnitedHealth Group
Location: San Francisco
Posted on: May 28, 2023

Job Description:

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. -
This position will have a deep understanding of all financial and security audits activity as well as commercial client assessments. They will be an extension of the Risk and Audit Analyst role and support the Associate Director of Data Security and Governance with the data security and governance framework. -
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:


  • Collaborate with other compliance functional areas
  • Creating strategies to test business processes for compliance with laws, regulations, and/or contractual requirements
  • Conducting Risk Audit of the business value-streams and reporting results to management
  • Conduct and/or assist with risk assessments to define and analyze potential risks for Optum Payment Integrity business units
  • Propose possible solutions/programs/protocols for minimizing risk and liability
  • Prepare and present comprehensive risk assessment reports
  • Evaluate existing policies and procedures to find weaknesses
  • Transfers data into meaningful, professional, and easy to understand formats for leadership
  • Acts as a single point of contact for assigned Quality/Risk Adjustment projects, as warranted
  • Monitor changes in requirements to mitigate risks and achieve compliance with State and Federal laws and regulations
  • Serve as a well-informed resource for Optum Payment Integrity (OPI) Value-streams to ensure successful outcome of audit
  • Protects assets by ensuring compliance with internal control procedures, and regulations
  • Leading discussions with business partners to learn, understand, and document complex business processes
  • Leading discussions with Optum Technology to learn, understand, and document complex technology processes
  • Reviewing and documenting audit testing results where evidence conclusions reached
  • Communicating and Leading Audit demonstrations with external audit firms
  • Prepare clear, accurate and complete work papers in accordance with department quality standards; meet project timelines and deliverable due dates
  • Identify audit issues and perform root cause analysis with practical corrective solutions
  • Communicating audit results with business partners to ensure proper actions are taken to obtain compliance
  • Assists with preparing and educating business partners and control owners on requirements and expectations for audit assessments
  • Executes scoping and planning activities and performs detailed procedures for different types of audits
  • Ensures compliance with established internal control procedures by examining records, reports, operating practices, and documentation -

    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:

    • 2+ years of conducting/participating in compliance, financial, and/or operations audits with a focus on controls testing
    • Proven experience presenting to senior leadership
    • Proven experience communicating complex information via phone conversations and emails to technical and non-technical clients, external customers, internal customers, and executives
    • Proven experience in providing explanations and information to others on the most complex issues and performing complex conceptual analysis
    • Proficient in Excel (pivot tables, v-look- ups)
    • Ability and willingness to travel up to 25%

      Preferred Qualifications: - - - -

      • Bachelor's Degree in Business in 1 of the following: Healthcare Compliance, Auditing, Risk Management, Technology
      • 3+ years of experience with interacting with External Audit Firms
      • Experience taking complex information and presenting in a clear concise manner
      • Experience in working for UHG audit or external audit firm: -Examples - Willis-Towers Watson, Ernst & Young, Deloitte, or PricewaterhouseCoopers
      • Advanced Microsoft Skills -
      • Proven solid Verbal and Written Communication
      • Demonstrate flexibility, availability, and dependability to conform to position responsibilities and department needs

        Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
        California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $85,000 to $167,300. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
        *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
        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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.


        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.

Keywords: UnitedHealth Group, San Francisco , Risk and Audit Analyst - Remote, Accounting, Auditing , San Francisco, California

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