Integrity And Compliance Consultant
HealthPartners is hiring an Integrity and Compliance Consultant. Integrity and Compliance Consultants provide compliance support, partnership, and guidance to HealthPartners leaders and colleagues across the organization and business lines. Consultants may directly support one or more of the three Integrity and Compliance Program Services Groups : Oversight and Evaluation, Standards and Education, and Investigation and Resolution. Consultants are program builders and ambassadors; they know the rules and risks, and educate others about them. They help others make risk-based decisions, communicate clearly, and build and maintain strong partnerships.
Accountabilities :
- 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 :
Serve as subject matter expert on program services groupServe as primary point of contact for key business partnersParticipate in industry groups, as identifiedUse legal counsel, internal content experts, internal and external resources and trends relating to Compliance activities in developing and maintaining subject matter expertiseConduct regulatory, policy, and other research on compliance matters using internal and external resourcesDemonstrate understanding of and ability to articulate seven elements of an effective compliance programDevelop deep expertise of the work of assigned program services groupSupport operational areas' compliance with applicable laws, regulations and requirementsIdentify opportunities and risks; propose, facilitate / support, and implement solutions :
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 resolveIdentify, develop, and execute on opportunities for process improvement, innovation and automation within program services groupCommunicate effectively :
Support and present at Compliance Oversight Committees as neededWrite SBARs, reports and memoranda to document compliance and business challenges and proposed solutionsCommunicate issues requiring escalation to managers and other leaders with appropriate level of detailBuild and maintain stakeholder partnerships :
Be advisor / consultant to business areas and business leaders on compliance-related mattersDevelop relationships with key internal stakeholdersSupport business leaders on compliance mattersMeet regularly with leaders to understand compliance challenges and issuesInteract professionally with regulators and other outside officialsAssist with professional growth of analysts. Provide direction to analysts; provide support to manager with regular communication
Required Qualifications :
Bachelor's degree; or equivalent work experience4-6 years of experience in a healthcare or other highly regulated environmentFamiliarity with reading, analyzing and working with healthcare or other complex laws, regulations and requirementsFamiliarity with Microsoft Office applications, including Power Point, Excel and VisioAbility to effectively communicate, both written and oral, with different audiences, and tailor messages accordinglyAbility to grasp new and complex concepts quickly, identify key impacts and translate for othersAbility to self-motivate, take initiative and engage in critical thinkingA drive for proactive and continuous improvementSystem thinking / orientationExperience supporting complex projectsExcellent organizational and time-management skillsStrong skills in research and information analysisStrong commitment to accuracy and attention to detailAbility to work in a fast-paced environment, adapt to changing conditions, and meet deadlinesAbility to work across departments with a collaborative, responsive, respectful approachPreferred Qualifications :
Advanced degree in relevant discipline such as JD, MHA, MPH or MBA5 years of experience in a health care compliance roleUnderstanding of billing and reimbursement processes and systems; health financing; health insurance and / or data privacy in the health care environment.