Integrity and Compliance Consultant
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Job Location:
Bloomington, IN - USA
Monthly Salary:
Not Disclosed
Posted on:
18 hours ago
Vacancies:
1 Vacancy
Job Summary
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:
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:
- Bachelors 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.
Required Experience:
Contract
Key Skills
- IDS
- System Design
- Haskell
- PCB
- Root cause Analysis
- Technical Writing
- System Security
- Federal Aviation Regulations
- Warehouse Distribution Experience
- Encryption
- Product Development
- Contracts
About Company
At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work. We’re a nonprofit, integrated health care ... View more
