What are the responsibilities and job description for the Healthcare Compliance Manager position at Ramsey County, MN?
Basic Function
The current vacancy is in the County Manager's Department. The eligibility list created by this vacancy may be used to hire other vacancies in the department or County.
Lead the development and oversite of a countywide healthcare compliance and Health Insurance Portability and Accountability Act (HIPAA) privacy program, including planning, designing, implementing, and managing related policies and practices. Lead the implementation of regulatory requirements and recommendations from audits and risk assessments, ensuring the County adheres to all applicable governmental healthcare laws, rules, and standards. Serve as the County’s HIPAA Privacy Official, oversee healthcare quality, and serve as the healthcare compliance expert. Perform other related duties as assigned. This position is a direct report to the Chief Compliance and Ethics Officer.
Flexible Workplace
This position is identified under the designation of ‘flex work eligible’, meaning that the employee can formally opt to be in-office full-time or work a flex schedule in which at least two-days per week are performed in office and other days can be performed in a remote-first environment. Regardless of selection, the position carries expectations regarding on-site responsibilities and will require schedule flexibility beyond the minimum expectations set forth in the county’s flexible workplace policy. To view Ramsey County’s Flexible Workplace policy, go to: Flexible Workplace policy.
If an internal candidate is selected, salary will be set in accordance with the personnel rules (i.e., promotion, transfer, or voluntary reduction).
Examples of Work Performed
- Promote a diverse, culturally competent, and respectful workplace.
- Develop and oversee a countywide healthcare compliance and HIPAA privacy program toensurecompliancewith state and federal healthcare regulations and standards, including, but not limited to, the Affordable Care Act, federal and state False Claims Acts, Anti-Kickback Statute, Stark Law, Exclusion Statute, Medicare and Medicaid regulations, and Minnesota Department of Health regulations.
- Serve as the County’s HIPAA Privacy Official and healthcare compliance expert.
- Work with the CCEO, and the Health & Wellness Deputy County Manager, to form a Healthcare Compliance Committee to review the annual Health and Human Services-Office of Inspector General Work Plan.
- Develop and lead healthcare compliance training and education programs for county staff; identify external trainers and programs to ensure compliance countywide.
- Serve as the primary contact of the County’s Healthcare Compliance Program providing information to and supporting management, senior leadership, and healthcare staff responsible for ensuring county compliance with state and federal laws and protocols.
- In conjunction with the Health and Wellness Service Team and its healthcare facilities and programs, create, review, and revise policies, procedures, and practices to ensure the county is adhering to all regulatory requirements and practices and governmental standards and protocols.
- Coordinate with internal audit to conduct internal healthcare compliance audits to identify areas of risk and draft a plan for improving compliance practices to address those risks; monitor to ensure the county is following regulatory requirements and standards.
- Serve as the County’s point of contact for external healthcare audits and surveys for state and federal agencies; ensure implementation of recommendations and correction of noted infractions or violations. Maintain accurate records of compliance data, reports, activities, and communications to ensure availability to government auditors as necessary.
- Facilitate and establish relationships with the Minnesota Department of Health (MDH), surveyors, and other key regulatory contacts.
- Stay up to date on developments or changes in healthcare compliance, including changes in laws and federal and state requirements.
- Assist in ensuring preparedness protocols are considered in the County’s healthcare compliance program; work with other government agencies, private sector, and nongovernmental organizations to ensure a systematic approach to working together in preparing for, preventing, and responding to large scale health incidents.
- Develop, monitor, and interpret measures for the effectiveness of the County healthcare compliance program; monitor data and analytics to develop reports on compliance activities to enable leadership to make informed decisions on the County’s compliance practices.
- Assist the CCEO in enforcing healthcare compliance through written disciplinary policies and procedures and sanctions for non-compliance and, where applicable, failure to detect non-compliance. Respond to and address violations or potential violations through internal investigations and corrective action.
(The work assigned to a position in this classification may not include all possible tasks in this description and does not limit the assignment of any additional tasks in this classification. Regular attendance according to the position’s management approved work schedule is required.)
ESSENTIAL FUNCTIONS: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14.
Minimum Qualifications
Education: Bachelor’s degree in healthcare management, healthcare administration, public health, public administration, business administration or relevant field.
Experience: Six years of significant experience in compliance, accreditation, regulatory, or auditing in a healthcare environment.
Substitution: Experience can be substituted for education on a year for year basis.
Preferred Experience: Certification in healthcare compliance (CHC), healthcare privacy compliance (CHPC), healthcare research compliance (CHRC), and/or healthcare compliance fellow (HCF).
Exam/Screening Process Information
The examination process will consist of the following section with each section weighted as indicated:
- Training and Experience Rating = 100%
Eligible List: The names of all applicants who filed a properly completed application and passed the examination/screening process shall be placed on the eligible list for an employment opportunity as a Healthcare Compliance Manager. This list will be certified to the appointing authority which may use this list to conduct interviews to fill a vacancy. Candidates will remain on the list for 30 days or until hired, whichever occurs first. A notice will be sent to applicants at the time the eligible list is posted, informing them that the list has been certified and their status.
Veteran's Preference: This is a classified position requiring an open, competitive selection process. Veteran's Preference points will be applied after a candidate passes the examination process. Applicants who are eligible for veteran's preference should update their veteran's DD214, and other supporting documents, and submit them as an attachment at the time of application.
Criminal Background Checks: All employment offers are conditioned upon the applicant passing a criminal background check. Convictions are not an automatic bar to employment. Each case is considered on its individual merits and the type of work sought. However, making false statements or withholding information will cause you to be barred from employment, or removed from employment.
E-Verify Participation: Ramsey County participates in the federal E-Verify program. This means that Ramsey County will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's Form I-9 to confirm work authorization. If the Government cannot confirm that you are authorized to work, Ramsey County is required to give you written instructions and an opportunity to contact DHS and/or the SSA before taking adverse action against you, including terminating your employment. Employers may not use E-Verify to pre-screen job applicants and may not limit or influence the choice of documents you present for use on the Form I-9.
Equal Opportunity Employer: Ramsey County provides equal access to employment, programs, and services without regard to race, color, creed, religion, age, sex (except when sex is a Bona Fide Occupational Qualification), disability, familial or marital status, sexual orientation or gender identity, public assistance status, place of residence, political affiliation, or national origin.
Ramsey County is deeply committed to advancing racial equity and promoting diversity and inclusion within all areas of its workforce. The county strives being equitable, inclusive, transparent, respectful, and impactful in how we serve and engage with residents, as well as Ramsey County employees. Advancing racial equity ensures all people who need access to opportunities and services we provide, will receive them. Racial equity is achieved when race can no longer be used to predict life outcomes, and outcomes for all are improved.
. You will need to print this posting AND answer the supplemental questions associated with this exam and submit them with your completed paper application.
For further information regarding this posting, please contact Megan.Simmons@co.ramsey.mn.us
Ramsey County provides a wide range of employee benefits to support health, well-being, and work/life balance. Benefits eligibility can vary depending on union status/contract language. A summary of benefits is provided below. Detailed information is available for review at https://www.ramseycounty.us/employees/employee-open-enrollment-2024-benefits
- Medical, dental and vision insurance
- The County contributes a bargained percentage to the medical and dental monthly premium
- Employees choose from four enrollment tiers: Single, Employee legally married spouse, Employee Child(ren), Family
- Blue Cross Blue Shield Medical insurance – three plan options including a High Deductible Plan with a Health Saving Account offered. Earn up to $20/month in electronic gift cards for each enrolled employee or spouse for wellness activity
- MetLife Dental Insurance – two plan options offered
- VSP Vision Insurance – Advantage Plan offered
- Pre-tax Benefit Program
- Pre-tax medical, dental, vision monthly premium deduction option
- Dependent and Health Care Flexible Spending Accounts
- County monthly contribution to a Health Savings Account for employees who elect the High Deductible medical plan
- Paid time off
- Vacation hours, accrued based on years of service, ranging from 12 to 25 days per year (pro-rated for part-time employees)
- 11 scheduled holidays and one floating holiday
- Up to three weeks of 100% paid parental leave, plus additional use of sick time as noted below
- Sick hours accrued at a rate of three weeks per year, which can be used for medical and dental care; injury or illness for you, your spouse or children; the birth or adoption of a child (up to 80 hours) or the death of a family member (up to 40 hours)
- Wellness incentive allows conversion of unused sick time to vacation or pay
- Retirement benefits
- Pension - The county contributes at least 7.5% of your salary to your pension, depending on bargaining unit. Unlike other retirement investments, pension payments are a lifetime benefit once you start collecting payments
- New employees become vested after five years. For the Police and Fire union, employees are vested after 10 years
- Deferred compensation - 457(b) account with employer match
- Health Care Savings Plan - all benefits-eligible employees contribute 1% of gross regular salary to a Health Care Savings Plan account for eligible health care expenses after retirement. Interest accrues tax free. County provides a scheduled contribution after five years of participation
- Transit and parking
- Fully funded Metropass.
- Transportation/parking expenses reimbursement account
- Employee well-being
- Employee assistance program, including telephone counseling, financial counseling, rideshare benefits, etc.
- Wellness programming
- Flexible work policy with hybrid work options for eligible positions
- Life Insurance and Disability leave
- County provided Basic Life coverage - 1x annual salary, minimum $10,000 up to a maximum of $50,000. Optional supplemental coverage available
- Long-term Disability – County provided coverage replaces 40% of the employee’s lost income after six months of disability, subject to a $5,000 monthly maximum. Option to purchase an additional 20% income replacement up to $7,500 monthly maximum
- Short-term Disability – option to purchase 60% income replacement coverage with 30, 60 or 90-day waiting period
- Career development
- Tuition reimbursement, up to $4,000 per year
- Online professional development opportunities through the Learning & Development Center
- County employment qualifies as a public service organization for the Public Service Loan Forgiveness Program
- Employee resource groups – help employees build connections through common bonds with colleagues
For information about Ramsey County's 2024 benefits, visit: https://www.ramseycounty.us/employees/employee-open-enrollment-2024-benefits
Salary : $4,000
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