Job Listing
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| Job ID: 13956117 |
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| Job Location: |
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| How to Apply: | To see employer contact information, log in or register. |
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| Job Title: | Consultant, Integrity and Compliance |
| Work Type: | Work Days: Work Vary: Yes , Shift: Other, Hours Per Week: 40, Work Type: Regular |
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| Salary Offered: | Unspecified |
| Benefits: | 401(k) or other retirement, Dental Insurance, Health Insurance, Holidays, Sick Leave or PTO, Vacation or PTO |
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| Physical Required: | Unspecified |
| Drug Testing Required: | Unspecified |
| Education Required: | Bachelor's Degree |
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| Experience Required: | Unspecified |
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| Required Skills: | Please see the job description for information about required job skills. |
| Preferred Skills: |
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| Job Description: |
HealthPartners is hiring an Integrity and Compliance Consultant. We are seeking a Consultant for our Oversight and Assessment Program Services Group. This position will support the development of the Compliance monitoring work plan, coordinate compliance monitoring activities, coordinate and support external audits, and manage our vendor (Medicare FDR) oversight activities. This position works directly with key stakeholders and leaders across the organization to create a culture of compliance. Individuals with health plan audit experience are encouraged to apply.
ACCOUNTABILITIES:
Develops, maintains, and promotes HealthPartners Integrity and Compliance program expertise (Be a program builder and ambassador)
Lead and manage complex projects and initiatives that fall within the assigned program services group
Provide direction and guidance to analysts, as needed, and support their professional growth
Lead and support program services group when manager or other leader is unavailable (lead meetings, etc.)
Promote and execute collaboration within and across program services groups
Be an ambassador for the Integrity and Compliance Program
Help establish, know and meet required deadlines
Serve as subject matter expert on compliance issues (Know the rules and the risks, and educate others about them)
Serve as subject matter expert on program services group
Serve as primary point of contact for key business partners
Participate in industry groups, as identified
Use legal counsel, internal content experts, internal and external resources and trends relating to Compliance activities in developing and maintaining subject matter expertise
Conduct regulatory, policy, and other research on compliance matters using internal and external resources
Demonstrate understanding of and ability to articulate seven elements of an effective compliance program
Develop deep expertise of the work of assigned program services group
Support operational areas' compliance with applicable laws, regulations and requirements
Identify opportunities and risks; propose, facilitate/support, and implement solutions (Help others make risk-based decisions)
Proactively build organizational knowledge of the entire HealthPartners system.
Analyze business challenges that have compliance implications and propose solutions to identified risks and opportunities to department leaders and business partners.
Identify challenges, barriers and options for assigned projects/initiatives; work with business partners and department leaders to resolve
Identify, develop, and execute on opportunities for process improvement, innovation and automation within program services group
Communicate effectively (Be clear about it)
Support and present at Compliance Oversight Committees as needed
Write SBARs, reports and memoranda to document compliance and business challenges and proposed solutions
Communicate issues requiring escalation to managers and other leaders with appropriate level of detail
Build and maintain stakeholder partnerships (Build and maintain strong partnerships)
Be advisor/consultant to business areas and business leaders on compliance-related matters
Develop relationships with key internal stakeholders
Support business leaders on compliance matters
Meet regularly with leaders to understand compliance challenges and issues
Interact professionally with regulators and other outside officials
Assist with professional growth of analysts. Provide direction to analysts; provide support to manager with regular communication
REQUIRED QUALIFICATIONS:
Bachelor's degree; or equivalent work experience
4-6 years of experience in a healthcare or other highly regulated environment
Familiarity with reading, analyzing and working with healthcare or other complex laws, regulations and requirements
Familiarity with Microsoft Office applications, including Power Point, Excel and Visio
Ability to effectively communicate, both written and oral, with different audiences, and tailor messages accordingly
Ability to grasp new and complex concepts quickly, identify key impacts and translate for others
Ability to self-motivate, take initiative and engage in critical thinking
A drive for proactive and continuous improvement
System thinking/orientation
Experience supporting complex projects
Excellent organizational and time-management skills
Strong skills in research and information analysis
Strong commitment to accuracy and attention to detail
Ability to work in a fast-paced environment, adapt to changing conditions, and meet deadlines
Ability to work across departments with a collaborative, responsive, respectful approach
PREFERRED QUALIFICATIONS:
Advanced degree in relevant discipline such as JD, MHA, MPH or MBA
5 years of experience in a health care compliance role
Understanding of billing and reimbursement processes and systems; health financing; health insurance and/or data privacy in the health care environment.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Refer to ID 78447273 when applying |
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