Integrity and Compliance Analyst

HealthPartners•Bloomington, MN

About The Position

HealthPartners is hiring a Integrity and Compliance Analyst. This Analyst position supports audit and compliance activities for Medicare and Medicaid health plan products. The role focuses on preparing for and supporting regulatory audits, ensuring operational compliance with requirements, and responding to compliance-related inquiries. It is responsible for accurate and timely regulatory reporting to DHS and CMS, collaborating with business teams to interpret new requirements and implement reporting changes. The position also contributes to improving compliance processes and supports the broader Integrity and Compliance program through audit readiness and operational reviews

Requirements

Associate’s degree; or equivalent work experience
2-4 years of experience working in a healthcare or other highly regulated environment; or other relevant specialized experience, training or education
Proficiency with standard office computing applications such as Word, Excel, Outlook or equivalent
Ability to convert complex subject matter to accessible information for all colleagues
Ability to become a trusted partner
Ability to self-motivate, take initiative and engage in critical thinking
Excellent analytical and creative problem-solving abilities
Task-oriented, with excellent follow through; patience and persistence.
Excellent writing and communication skills
Excellent organizational and time-management skills
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

Nice To Haves

Bachelor’s degree
Relevant specialized training, certification or experience

Responsibilities

Support development, maintenance, and promotion of HealthPartners’ Integrity and Compliance program
Identify barriers/gaps (e.g. not receiving information needed to support program activity) and appropriately escalate
Keep careful documentation of program activities
Complete tasks necessary to implement program activities
Leverage technology to support assigned program activities
Support and execute compliance program activities
Gather, organize and provide relevant information to business partners and department colleagues to support compliance program activities
Assess process integrity and quality control for department
Maintain time sensitive processes and follow-up, and meet and support organizational deadlines
Maintain and support communication activities for the program
Identify and support opportunities for improvement and innovation [Make it better for the future]
Maintain and improve systems and processes to support program and departmental activities
Understand, use, and translate data
Analyze department and program information/data to identify trends and risks
Identify and consult with other team members on challenges or barriers encountered
Identify and share improvement, innovation, and automation opportunities
Participate in process improvement initiatives
Execute work independently and identify and involve others when needed [Work at the right level]
Know when to leverage subject matter experts and when to conduct independent research
Work independently yet seek leadership guidance and direction when appropriate
Execute on direction provided by department leader(s)
Understand when to escalate matters
Build and maintain partnerships [Be a good partner]
Effectively collaborate with colleagues in other program services groups
Maintain effective communication with internal and external partners
Communicate effectively [Understand what we do and communicate about it]
Develop an understanding of the seven elements of an effective compliance program
Maintain knowledge of compliance-related topics
Develop working understanding of organizational structure
Communicate effectively with employees across the organization