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JOB DETAILS: Department: Compliance / FTE: 1.0 / Shift(s): Days / Location: Hybrid (will require on-site visits)

Purpose of this position: Reporting to the Chief Executive Officer and the HHS Board of Directors, develops enterprise risk management, and oversees compliance, privacy & security, regulatory reviews and analysis, patient representatives, and internal audit programs.

• Provide strategic direction to Hennepin Healthcare on compliance and risk management strategies and issues through development of Enterprise Risk Management, and oversight of Corporate Compliance, Privacy & Security, Regulatory Review & Analysis, Patient Representatives, and Internal Audit Programs
• Work diligently to foster a culture and climate of integrity by promoting sensitivity to ethical and compliant decision‑making and behavior
• Effectively communicate ethics and compliance standards to HHS’s employees, contractors and vendors
• Partner with business leaders to support all employees and board regarding compliance with laws, regulations and corporate policies through strategic development, training initiatives, communications/awareness and conformance with regulations in all matters of business
• Serve on enterprise and operational level project teams
• Advise the Board, Executive Leadership and employees on ethics and business conduct issues
• Demonstrate knowledge of applicable laws and regulations including research and interpreting of emerging regulatory matters
• Coordinate internal investigations or alleged violations of ethics and compliance standards
• Review all internal compliance and investigation reports pertaining to HHS
• Establish employee reporting channels and take prompt corrective actions in response to identified concerns or problems
• Maintains Internal Audit Program, including assessing risks to determine audit planning, initiating audits, reviewing findings, and coordinating management responses
• Operates the patient representative department responsible for ensuring procedural compliance and handling patient complaints/reviews through resolution
• Coordinate and support corporate monitoring and auditing procedures of business conduct practices including audit reviews and examinations
• Work with legal counsel and outside consultants in conducting more detailed investigations when identified
• Responsible for preparing and presenting clear and concise reporting on Enterprise Risk Management, Corporate Compliance, Privacy & Security, Regulatory Review & Analysis and Internal Audit Programs to the Audit/Compliance Committee of the Board of Directors and Executive Leadership regarding risks, requirements, ethics and compliance issues or activities
• Participate in the fiscal year-end audit process of the financial statements of HHS and its subsidiaries conducted by external independent financial auditors
• Oversee and ensure full second line of defense across Hennepin Healthcare System to comply with data privacy, including HIPAA and Minnesota Government Data Practices Act
• Oversee and ensure responsiveness to regulators and legislators through the Regulatory Review and Audit compliance work to maintain compliance with state and federal regulatory requirements

• Minimum Qualifications:
  • 5+ years of experience in compliance and audit in a complex medical center or related setting (i.e. law office, public accounting)
  • OR
  • An approved equivalent combination of education and experience
• Preferred Qualifications:
  • Juris Doctor Degree
  • Leadership experience in a healthcare setting highly preferred
  • CPA or CIA certification and/or Compliance Certification preferred

• Knowledge of current health care systems and ability to align organizational goals and outcomes in accordance with them
• Ability to drive change in alignment with the mission, vision, and values of organization
• Ability to quickly and easily adapt to the culture and norms of an organization and be accountable for organizational information
• Experience leading and collaborating with multiple levels of management
• Ability to positively and accurately represent the organization and its values to the community (e.g. regulatory bodies, suppliers, government officials)
• Dynamic and empowering leadership skills with a positive attitude that will install a vision for excellence
• Passion for patient care and ability to use passion as a driver for positive change
• Demonstrate ability to forecast healthcare trends and appropriately implement projections
• Strategy minded; able to focus on the big picture