5-7 years of experience in healthcare compliance, enterprise risk management, or internal audit.
Expert knowledge of healthcare regulations like HIPAA and Stark Law.
Strong leadership and team management skills.
Proficiency in compliance tracking systems and data analytics tools.
Responsibilities
Coordinate daily operations of the HHS Compliance Program to ensure regulatory alignment.
Draft and implement compliance policies and procedures across the organization.
Supervise investigations of compliance concerns and lead root-cause analyses.
Develop and evaluate compliance education programs and training materials.
Administer the annual Internal Audit Work Plan and conduct risk assessments.
Manage relationships with leadership and external audit firms.
Prepare executive reports and risk matrices for the C-Suite and Board.
Benefits
Comprehensive health insurance options.
Retirement savings plan with employer contributions.
Generous paid time off and holiday schedule.
Professional development opportunities and training programs.
Supportive work environment focused on compliance and ethics.
Full Job Description
JOB DETAILS
Department: Compliance
FTE: 1.0 (80 hours per pay period)
Workdays: Monday - Friday
Shift(s): Days
Shift Length: 8 hours
Purpose of this position: Responsible for supporting the operational execution, strategy, and continuous improvement of the Hennepin Healthcare System (HHS) Compliance and Internal Audit Programs. Reporting directly to the Director of Compliance, the Compliance & Internal Audit Analyst, Principal leads a team responsible for evaluating organizational risk, enforcing adherence to HHS policies and procedures, and ensuring compliance with federal and state healthcare regulations. The Compliance & Internal Audit Analyst, Principal will execute complex internal audit plans and present key compliance findings to executive leadership and the Board Audit Committee.
RESPONSIBILITIES
Compliance Program Coordination
Coordinate and support the day-to-day administration of the HHS Compliance Program to ensure alignment with federal and state regulations, healthcare laws, and organizational policies
Coordinate and execute the drafting, revision, policy mapping, and institutional roll-out of system-wide compliance policies and procedures
Supervise the investigation of reported compliance concerns, potential privacy breaches, and hotline reports; lead root-cause analyses and establish required management action plans Coordinate annual and periodic exclusion screening and Conflict of Interest operations across all HHS departments and vendor accounts
Strategize, develop, and evaluate enterprise-wide compliance education programs, communications, and specialized training materials
Organize compliance data infrastructure, tracking metrics, configuration, and reporting databases to monitor compliance risk profiles and issue trends
Internal Audit & Risk Governance
Administer the execution of the annual Internal Audit Work Plan; collaborate with leadership/Director to conduct organizational risk assessments and define the audit scope for internal and third-party auditors
Manage relationships and serve as the primary operational liaison between HHS leadership, business units, and external/independent audit firms
Coordinate the tracking, remediation monitoring, and follow-up validation of internal and external audit findings and management corrective action plans
Conduct and coordinate the analysis of external audit trends (e.g., RAC, MAC, and government contractor audits of medical records and billing)
Partner with the CCO in preparing comprehensive executive reports, risk matrices, and status briefings for the C-Suite and the Board of Directors Audit Committee
Team Leadership & Strategic Direction
Mentor and evaluate compliance analysts, auditors, and program staff
Establish team KPIs, project timelines, and operational priorities to ensure audit and compliance deliverables are met efficiently
Conducts other related activities and duties as assigned
QUALIFICATIONS
Minimum Qualifications:
Bachelor's Degree
Five years of progressive experience in healthcare compliance, enterprise risk management, or internal audit
-OR-
6-8 years of progressive experience in healthcare compliance, enterprise risk management, or internal audit
-OR-
An approved equivalent combination of education and experience
Preferred Qualifications:
Prior experience in a complex hospital system or large academic medical center
Knowledge/ Skills/ Abilities:
Expert knowledge of healthcare regulatory frameworks (e.g., HIPAA, Anti-Kickback Statute, Stark Law, False Claims Act, OIG compliance guidance)
Strong leadership, staff development, and cross-functional team management abilities
Advanced analytical, investigative, and risk-assessment capabilities
Strong analytical and critical thinking skills
Strong oral and written communications
Innovative thinker: ability to contribute current ideas that support organizational goals and provide accountability for actionable results
High standard of ethics, discipline, and professionalism
Proven track record presenting complex audit and compliance matters to executive leadership and Board committees
Proficiency in electronic medical record systems, compliance tracking systems, GRC platforms, and data analytics tools (Excel, PowerPoint, Word, SQL/BI tools, SQL, and configuration of applications as well as report writing)
