Senior Manager of Integrity and Compliance

HealthPartners is hiring a Senior Manager of Integrity of Compliance. HealthPartners is committed to fulfilling its mission and vision in an environment that promotes the highest organizational and personal integrity and reinforces public trust. In order to accomplish these goals, HealthPartners must maintain an effective Integrity and Compliance Program that has been developed with input from, and is championed at, the highest levels of the organization.

The Position of Senior Manager of Integrity and Compliance is integral to the ongoing development, implementation and maintenance of HealthPartners' Integrity and Compliance Program. Working under the direction of the Senior Director of Integrity and Compliance, this position provides leadership to the Integrity and Compliance Program of HealthPartners, and the compliance initiatives of all of its related organizations, by interacting with all levels of leadership, management and staff throughout the organization, assessing organizational compliance risks and developing and implementing effective compliance initiatives.

MINIMUM QUALIFICATIONS:

• Education, Experience or Equivalent Combination:
  
  
  
  • Bachelor of Science or Bachelor of Arts degree.
  • Minimum of three to five years of experience in financial, legal, compliance or audit roles, including a minimum of three to five years in a healthcare setting, and at least three to five years of increasingly responsible leadership experience.
  
  
• Knowledge, Skills, and Abilities:
  
  
  
  • Demonstrated leadership skills.
  • Excellent organizational and project management skills.
  • Excellent verbal and written communications skills, excellent interpersonal skills, and ability to develop plans and prepare and present reports to senior management and Executive Staff.
  • Self-motivation, initiative and broad thinking skills.
  • Demonstrated skills using computers and various software, including project management and presentation software.
  • Awareness of, and reasonably familiarity with, all laws and regulations affecting health plans and/or health care entities.
  • Clearance of criminal background check and excluded/sanctioned check.
  
  

PREFERRED QUALIFICATIONS:

• Education, Experience or Equivalent Combination:
  
  
  
  • Advanced degree, such as MBA, JD, MPH or MHA.
  
  
• Licensure/ Registration/ Certification:
  
  
  
  • CIA, CFE or CPA Certifications/Licensing
  
  

ESSENTIAL DUTIES:

1. Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees. Ensures compliance with organizational and departmental policies and procedures.
2. Work with operational divisions to identify and prioritize compliance risk areas across the organization; assess the effectiveness of existing compliance controls; evaluate relative risk based on legal obligations, enforcement initiatives, financial impact and public trust; roll out Program development and implementation based on this assessment, in accordance with direction provided by the Vice President, the Senior Director of Integrity and Compliance, the Compliance Committee(s), the Enterprise Integrity Steering Committee and other relevant committees and organizational leadership.
3. Report to the Senior Director of Integrity and Compliance regularly regarding the design, implementation and effectiveness of the Integrity and Compliance Program and specific compliance initiatives and issues.
4. Use legal counsel, internal content experts, personal initiative, training opportunities, peer contact and industry information sources to keep apprised of enforcement and industry trends relating to health care compliance activities, the maintenance of effective compliance programs and the organization's legal obligations.
5. Serve as a resource to the organization's leadership, management and staff regarding the importance and value of the Integrity and Compliance Program, the organization's commitment to the Program and each individual's responsibilities within the Program framework.
6. Develop operational-focused and system-wide programs, policies and procedures to ensure organizational compliance with applicable federal and state laws and regulations.
7. Develop written policies and procedures that establish standards for organizational integrity and give specific implementation guidance to the organization's leadership, management and staff.
8. Develop and implement training and educational initiatives designed to address specific compliance issues impacting each of the operational areas within the organization.
9. Design and roll out strategies and initiatives to promote employee awareness of positive ethical principles and legal requirements consistent with HealthPartners' mission and vision, including written and on-line materials and training programs that promote understanding of compliance issues, laws and regulations, as well as organizational and personal consequences of non-compliance.
10. Develop, implement and maintain strategies for monitoring and audit controls and measurements for internal processes, to ensure that correct processes are in place for accurate, complete and compliant activities across the organization.
11. In coordination with internal and external legal counsel, coordinate organizational responses to identified compliance questions, concerns or federal/state inquiries, audits or investigations.
12. Investigate and analyze reported or suspected issues, concerns or questions relative to compliance matters.
13. Participate in reporting/disclosure to Board of Directors, Enterprise Integrity Steering Committee, and other compliance committees and external agencies and governmental authorities, as requested by the Vice President.
14. Perform other duties as assigned.

Integrity and Compliance Senior Manager- Standards and Education Position Description Addendum

Lead system-wide regulatory tracking, analysis, implementation and ongoing guidance.

• Track and support implementation of federal and state regulations that present high risk and system-wide impact across all of HealthPartners service lines, including care delivery, health plan, Institute and shared services.
• Coordinate early assessment, track deadlines, and identify when systemwide response is needed related to regulatory changes.
• Establish governance structures or workgroups, support operational leads in developing and executing implementation plans, and ensure alignment across policies, processes, systems, and communications.
• Ensure cross-functional alignment, provide visibility and escalate key decision-making/risk assessment to senior leadership.
• Ensure effective compliance guidance is provided when requested.

Lead Compliance training and communication.

• Provide oversight and develop required annual trainings including Code of Conduct, privacy, and cybersecurity courses. This includes content development, instructional design, delivery, and communications.
• Manage completion tracking, reporting, and data analysis for required training. Contribute to the broader learning strategy for mandatory education across the organization.
• Develop targeted and just-in-time training for high-risk topics based on regulatory changes, audit findings, and other risk indicators.
• Translate complex laws, regulations, and policies into practical tools and guidance such as FAQs, job aids, and talking points to promote compliance and reinforce colleague understanding.
• Develop and execute communication plans that support policy rollouts, regulatory changes, and enterprise initiatives tied to compliance risk.
• Develop and maintain Compliance onboarding materials and education for new colleagues, contingent workers, students and volunteers, with tailored content for higher-risk roles and functions (clinician, nursing, etc.)

Lead Compliance resource management

• Accountable for management of department-developed content available on myPartner, including work standards, toolkits, guides, training materials, policies, and other resources.
• Manage a structured content review process, with updates every two years or sooner if driven by organizational or regulatory changes.
• Partner with content owners and subject matter experts to ensure materials to develop, maintain, ensure accuracy
• Responsible for the broader content strategy, organization, and usability of the myPartner site to ensure colleagues can easily find and apply the information they need.
• Leverage colleague feedback, usage metrics, and site analytics to evaluate effectiveness, identify gaps, and inform ongoing content strategy.

Lead policy management

• Maintain and manage compliance program policies, ensuring they are current and aligned with regulatory requirements and internal standards.
• Provide strategic oversight, governance and guidance for across the system related to policy development and management.
• Accountable for system-wide policy infrastructure (approval processes, policy development work standard and materials)

LEADERSHIP RESPONSIBILITY:

Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees. Ensures compliance with organizational and departmental policies and procedures.