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)