Compliance Consultant

Children’s MinnesotaUSA, MN, MN and WI Remote, MN
Hybrid

About The Position

The corporate compliance department is committed to promoting an ethical culture at Children's Hospitals and Clinics. These efforts are advanced by ensuring integrity in business practices, providing continuous education and promoting collaborative relationships with all customers. The Compliance Consultant is a vital member to the Children's Minnesota compliance program. This role will coordinate and execute the seven elements of an effective compliance program including: advising and drafting policies and procedures, supporting the Children's compliance officer and managers, developing training and education, monitoring and auditing compliance risks, and investigating and responding to reported compliance violations. This position will report to Compliance Management team. The role will be approximately 80%25 remote and 20%25 on-site.

Requirements

  • Bachelor's degree, required
  • Minimum five years' experience working in a regulatory or compliance role, required.
  • Familiarity of regulatory/compliance programs and processes, required
  • 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 utilize data to develop dashboards
  • Proficiency in Microsoft Office tools (Word, Excel, PowerPoint, Teams)
  • Knowledge of Medicare/Medicaid and third-party payer policies and guidelines
  • Coding and billing principles and guidelines

Nice To Haves

  • Master's degree, preferred
  • Healthcare experience, strongly preferred
  • Privacy and security program experience, preferred
  • Milliman or InterQual care guidelines, preferred
  • Experience with Compliance 360 or similar GRC tools

Responsibilities

  • Advising and drafting policies and procedures
  • Supporting the Children's compliance officer and managers
  • Developing training and education
  • Monitoring and auditing compliance risks
  • Investigating and responding to reported compliance violations

Benefits

  • medical, dental, vision, retirement, and other fringe benefits
  • shift differentials or premium pay
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