Compliance Consultant

About Children's Minnesota

Children's Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts in our region, Children's Minnesota is regularly ranked by U.S. News & World Report as a top children's hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrensMN.org.

Children's Minnesota is proud to be recognized by Modern Healthcare as one of 2023's Top Diversity Leaders. The national honor recognizes the top diverse healthcare executives and organizations influencing public policy, care delivery, and promoting diversity, equity and inclusion in their organizations and the industry.

Department Overview

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.

Position Summary

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% remote and 20% on-site.

License/Certification/Registration required? No

Education:

• Bachelor''s degree, required
• Master''s degree, preferred

Experience:

• Minimum five years'' experience working in a regulatory or compliance role, required.
• Familiarity of regulatory/compliance programs and processes, required
• Healthcare experience, strongly preferred
• Privacy and security program experience, preferred
• Milliman or InterQual care guidelines, preferred

Knowledge/Skills/Abilities:

• 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)
• Experience with Compliance 360 or similar GRC tools
• Knowledge of Medicare/Medicaid and third-party payer policies and guidelines
• Coding and billing principles and guidelines

Physical Demands

Please click here to view the Physical Demands

The posted salary represents a market competitive range based on salary survey benchmark data for similar roles in the local or national market. Annual salaries displayed are based on full-time employment (40 standard hrs per week). Annual salaries for part-time positions will be prorated based on the employee's scheduled weekly hours in relation to the full-time standard. When determining individual pay rates, we carefully consider a wide range of factors including but not limited to market indicators for the specific role, the skills, education, training, credentials and experience of the candidate, internal equity and organizational needs.

In addition to your salary, this position may be eligible for medical, dental, vision, retirement, and other fringe benefits. Positions that require night, weekend or on-call work may be eligible for shift differentials or premium pay.

All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification.

Children's Minnesota is proud to be an equal opportunity employer whose staff is representative of its community and considers qualified applicants for open positions without regard to race, color, creed, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.