Talent.com
Senior Compliance Analyst for Flag Management - Remote
Senior Compliance Analyst for Flag Management - RemoteUnitedHealth Group • Minnetonka, MN, United States
Senior Compliance Analyst for Flag Management - Remote

Senior Compliance Analyst for Flag Management - Remote

UnitedHealth Group • Minnetonka, MN, United States
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
  • [filters.remote]
[job_card.job_description]

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together .

The Senior Compliance Analyst for Flag Management is responsible for supporting provider-focused Fraud, Waste, and Abuse (FWA) pre-payment claim reviews, overseeing flag placement, and monitoring active flags. This role requires strong analytical skills, process design expertise, and cross-functional collaboration to ensure accuracy and efficiency in flag management and governance.

The ideal candidate will demonstrate :

  • A solid understanding of FWA, pre-payment claim processes and claims payment workflows
  • Solid communication skills, with the ability to convey information clearly and effectively in both written and verbal formats
  • Proven ability to thrive in a fast-paced environment, managing multiple priorities while maintaining exceptional attention to detail

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 :

  • Serve as the subject matter expert for flag management processes
  • Analyze flag data and provide escalation support for flag and platform-related issues
  • Lead complex flag initiatives and implement process improvements, incorporating updates into policies and job aids
  • Maintain accurate and up-to-date flag information in the tracking system
  • Design and implement solutions to address gaps in flagged provider workflows and appeals
  • Communicate effectively with internal teams and external stakeholders through clear written and verbal communication
  • Collaborate with business areas to enhance claim system functionality and strengthen governance processes
  • Facilitate governance meetings to promote alignment and process efficiency
  • Build and maintain strong cross-functional relationships
  • Manage multiple projects and deadlines with effective prioritization
  • 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 :

  • High school diploma or GED
  • Proficiency in Microsoft Excel and Word, or equivalent experience (5+ years)
  • 2+ years of experience in claims processing, healthcare, or regulatory-related roles
  • Experience with pre-payment flag processes, claims review or specialized training or experience in Fraud, Waste, and Abuse (FWA) investigations
  • Demonstrated ability to solve problems independently
  • Preferred Qualification :

  • Knowledge of healthcare policies, procedures, and documentation standards, or equivalent experience (5+ years)
  • Practical experience working with claims platforms
  • Proven solid project management, organizational, and analytical skills
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
  • 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 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.

    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.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    [job_alerts.create_a_job]

    Senior Compliance Analyst • Minnetonka, MN, United States

    [internal_linking.related_jobs]
    CRA Compliance Reporting Analyst

    CRA Compliance Reporting Analyst

    Old National Bank • Minneapolis, MN, United States
    [job_card.full_time]
    CRA Compliance Reporting Analyst.US-IL-Plainfield | US-IL-Chicago | US-MN-Minneapolis | US-WI-Milwaukee | US-IN-Indianapolis | US-TN-Nashville | US-MI-Grand Rapids | US-IN-Evansville.Old National B...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Equity Compensation Analyst

    Senior Equity Compensation Analyst

    Thomson Reuters • Eagan, Minnesota, USA
    [job_card.full_time]
    Senior Equity Compensation Analyst.Senior Equity Compensation Analyst.The role will require coordination with multiple stakeholders across the company such as finance treasury legal and payroll.Ass...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Analyst

    Analyst

    Quantum Strides LLC • Minneapolis, MN, United States
    [job_card.full_time]
    Location : Minneapolis, Minnesota, 55415 (Onsite).The Analyst serves as a key liaison among stakeholders, analyzing, communicating, and validating requirements for complex changes in business proces...[show_more]
    [last_updated.last_updated_30] • [promoted]
    eDiscovery Analyst

    eDiscovery Analyst

    Taft Stettinius & Hollister LLP • Minneapolis, MN, United States
    [job_card.full_time]
    Taft is seeking an eDiscovery Analyst to serve our eDiscovery Services team in Taft's Chicago, Cincinnati, Cleveland, Columbus, Dayton, Denver, Detroit, Indianapolis or Minneapolis office.We are se...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Finance Analyst Senior | Remote

    Finance Analyst Senior | Remote

    Allianz • Minneapolis, MN, United States
    [filters.remote]
    [job_card.full_time] +1
    Under general direction, the Finance Analyst Senior is responsible for carrying out tasks within a specific Finance functional area (e. The Finance Analyst Senior handles routine to complex matters....[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Sr Actuarial Analyst ALDP - Remote

    Sr Actuarial Analyst ALDP - Remote

    UnitedHealth Group • Minnetonka, Minnesota, United States
    [filters.remote]
    [job_card.full_time]
    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Finance & Strategy Analyst, FP&A

    Senior Finance & Strategy Analyst, FP&A

    Coinbase • Minneapolis, Minnesota, United States
    [filters.remote]
    [job_card.full_time]
    Ready to be pushed beyond what you think you’re capable of?.At Coinbase, our mission is to increase economic freedom in the world. It’s a massive, ambitious opportunity that demands the best of us, ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior AR Analyst

    Senior AR Analyst

    First American Payments Systems • Minneapolis, Minnesota, USA
    [job_card.full_time]
    There is a reason we boast numerous awards like Great Place to Work Certified and Best Place to Work For Moms Dads LGBTQ and VETS (just to name a few). At Deluxe we know that great people make a gre...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    SENIOR FINANCIAL RISK ANALYST

    SENIOR FINANCIAL RISK ANALYST

    Staffworthy • Minneapolis, MN, United States
    [job_card.full_time]
    About the job SENIOR FINANCIAL RISK ANALYST.Want to build a stronger, more sustainable future and cultivate your career? Join the company's global team of 160,000 employees who use new technologies...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Catastrophe Risk Analyst

    Senior Catastrophe Risk Analyst

    Aon • Bloomington, MN, United States
    [job_card.full_time] +1
    Aon is hiring a Senior Catastrophe Risk Analyst to join the Reinsurance team in Chicago, IL or Bloomington, MN.This is a hybrid role, to include 3 days in the office. Aon is in the business of bette...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Global Compliance Director CQS

    Senior Global Compliance Director CQS

    Medtronic • Minneapolis, Minnesota, USA
    [job_card.full_time] +1
    We anticipate the application window for this opening will close on - 26 Nov 2025.At Medtronic you can begin a life-long career of exploration and innovation while helping champion healthcare acces...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Fair and Responsible Banking Model Review Senior Analyst

    Fair and Responsible Banking Model Review Senior Analyst

    U.S. Bank • Minneapolis, MN, United States
    [job_card.full_time]
    Bank, we're on a journey to do our best.Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed.We b...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Fraud Risk Analyst - Quantitative Fraud Strategy

    Fraud Risk Analyst - Quantitative Fraud Strategy

    U.S. Bancorp • Minneapolis, MN, US
    [job_card.full_time]
    We are hiring for an exciting opportunity as a Fraud Risk Analyst within U.Bancorp's Quantitative Fraud Strategy team.In this role, you will play a critical part in analyzing complex data and devel...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Fraud Risk Analyst

    Fraud Risk Analyst

    Best Buy • Richfield, Minnesota, USA
    [job_card.full_time]
    As the Fraud Risk Analyst you will analyze transactions for fraud attacks and support mitigation strategies.You will use large datasets to create or optimize rules and will discern appropriate depa...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Digital Engagement Analyst

    Senior Digital Engagement Analyst

    Blue Cross Blue Shield of Minnesota • Eagan, Minnesota, USA
    [job_card.full_time]
    About Blue Cross and Blue Shield of Minnesota.At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicate...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Sales Compensation Analyst, Cardiology

    Senior Sales Compensation Analyst, Cardiology

    Boston Scientific • Maple Grove, MN, US
    [job_card.full_time]
    Senior Sales Compensation Analyst, Cardiology.The Senior Sales Compensation Analyst will play a pivotal role in optimizing and executing sales compensation processes across Boston Scientific's rapi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Asset Protection Analyst

    Asset Protection Analyst

    Factory Motor Parts Co • Eagan, MN, United States
    [job_card.full_time]
    As part of the Corporate Operations team, the Asset Protection Analyst is responsible for identifying, analyzing, and mitigating risks related to theft, fraud, inventory shrinkage, and operational ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Associate Catastrophe Risk Analyst

    Associate Catastrophe Risk Analyst

    Howden Re • Edina, MN, United States
    [job_card.full_time]
    Howden Re is the global reinsurance broker and risk, capital, & strategic advisor focused on relentless innovation & superior analytics for top client service. The Howden Re decision support team (M...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]