Compliance Consultant

Children’s Minnesota • USA, MN, MN and WI Remote, MN

2d • Hybrid

About The Position

The Compliance Consultant is a member of Children’s Minnesota’s compliance program and coordinates and executes the seven elements of an effective compliance program. The role advises on and drafts policies and procedures; supports the Children’s compliance officer and managers; develops training and education; monitors and audits compliance risks; and investigates and responds to reported compliance violations. The position reports to the Compliance Management team and is approximately 80% remote and 20% on-site.

Requirements

• Bachelor’s degree.
• At least five years of experience working in a regulatory or compliance role.
• Familiarity with regulatory/compliance programs and processes.
• Strong written, verbal, and listening skills.
• Strong analytical skills.
• Project management skills.
• Ability to research and read regulations.
• Ability to work with varying levels of leadership.
• Ability to use data to develop dashboards.
• Proficiency with Microsoft Office tools, including Word, Excel, PowerPoint, and Teams.
• Experience with Compliance 360 or similar GRC tools.
• Knowledge of Medicare/Medicaid and third-party payer policies and guidelines.
• Knowledge of coding and billing principles and guidelines.

Nice To Haves

• Master’s degree.
• Healthcare experience.
• Privacy and security program experience.
• Experience with Milliman or InterQual care guidelines.

Responsibilities

• Coordinate and execute the seven elements of an effective compliance program.
• Advise on and draft policies and procedures.
• Support the Children’s compliance officer and managers.
• Develop training and education.
• Monitor and audit compliance risks.
• Investigate and respond to reported compliance violations.

Benefits

• Medical benefits
• Dental benefits
• Vision benefits
• Retirement benefits
• Other fringe benefits

What This Job Offers

• Job Type: Full-time