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Compliance Quality Improvement Coordinator

Fa Etnv Saasfaprod1 Fa Ocs Oraclecloud Com CX 4003 · Bloomington, MN, United States; 8170 33rd Ave S - Bloomington · Active · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyFa Etnv Saasfaprod1 Fa Ocs Oraclecloud Com CX 4003
TitleCompliance Quality Improvement Coordinator
Normalized title-
Department / teamHealthPartners/GHI, HealthPartners Enterprise
LocationBloomington, MN, United States
Work model-
Employment type-
Salary-
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-05-21 / 2026-05-31
Changed / last seen2026-06-04 / 2026-06-04

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Linked records

CompanyFa Etnv Saasfaprod1 Fa Ocs Oraclecloud Com CX 4003
Sourcef84eaac5-3fa3-4068-8cc4-67b0a30129c1
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description HealthPartners is hiring for a Compliance Quality Improvement Coordinator. POSITION PURPOSE : Develops, implements, and coordinates a compliance program to ensure conformity with accreditation and regulatory requirements specifically: NCQA Health Plan Accreditation for applicable products NCQA Health Equity Accreditation for applicable products NCQA Accountable Care Organization in support of the medical group MDH Quality Examination Oversight management of NCQA accredited functions Coordinates and supports other regulatory/accreditation functions as needed Performs on-going assessment and facilitates cross functional process to ensure organizational compliance with the National Committee for Quality Assurance (NCQA) accreditation requirements for all NCQA accreditation standards and compliance with delegation oversight and compliance with Minnesota Department of Health and State rules and regulations. ACCOUNTABILITIES : Performs on-going assessment and facilitates process to ensure organizational compliance with the NCQA accreditation requirements including delegations and Minnesota Department of Health Quality Audits. Facilitates workgroup meetings to communicate requirements, problem solve issues and coordinate processes to ensure organizational compliance with the NQQA accreditation, MDH and other regulatory requirements. Communicates requirements to accountable business leaders and management staff. Acts as a resource to staff regarding NCQA accreditation and MDH requirements and NCQA delegation. Maintains a knowledge base of accreditation, regulatory and external customer requirements as they pertain to quality and utilization improvement within the managed care environment. Coordinates the NCQA Accreditation Site Visit and MN Department of Health (MDH) Quality Assurance audits. Coordinates mock audits and monitors for timely follow-up with corrective action plans. Participates in CMS and DHS audits related to quality improvement. Monitors relevant laws, rules and regulations with the assistance of legal and government relations. Assists Manager in the selection of consultants, facilitates the use of internal and external consultants. Represents the health plan’s quality and utilization improvement activities to external regulatory entities, which have operational impact (i.e., DHS Technical Quality Committee, Stratis Health). Coordinates the delegation site visits and annual and semi-annual reporting. Facilitates workgroup meetings to ensure organizational compliance with the delegation agreements. Coordinates the annual review of Policies and Procedures specific to the implementation of quality improvement activities and procedures, utilization analysis and clinical performance measurement within the health plan. Establishes and maintains positive relationships with key management staff, medical director leadership and internal departments. Coordinates activities to write/prepare reports related to NCQA and regulatory requirements. Performs other duties as assigned. REQUIRED QUALIFICATIONS : Bachelor's Degree or equivalent experience Three to five years experience working in a healthcare or business environment Excellent organizational, problem-solving and communication skills with demonstrated ability to present and explain complex information clearly Effective project management experience Good follow through and problem-solving skills and attention to detail Knowledge of Health Plan operations Ability to be proactive, take initiative and oversee projects Ability to manage, monitor and upload audit documentation. Strong written and oral communication skills PREFERRED QUALIFICATIONS : Direct work experience in compliance and regulatory matters. One to two years Monitoring and Compliance Coordinator experience within a health care organization Demonstrated experience with compliance with NCQA Health Plan and Health Equity standards and NCQA survey process Experience with state and federal health care compliance and quality audits. Knowledge of HealthPartners operations Experience with process improvement projects including developing monitoring plans and conducting qualitative and quantitative analysis. Background with basic principles of population health, identifying health disparities and closing disparity gaps across sub-populations DECISION-MAKING : Refers issues identified in the course of monitoring to the appropriate Department Management Reviews appropriate regulatory, contractual and operational considerations before giving direction on program compliance. Confers with Quality and Compliance Manager and other management on material/significant policy or regulatory changes. Company At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work. We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world. At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change. Benefits Designed to Support Your Total Health As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care. Join us in our mission to improve the health and well-being of our patients, members, and communities. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

Full job record

Job IDd6a1addea095a29e699a5f25b2d0cdb92a176fee
Org ID91a1189b-fdbd-49fa-900e-ad7f2618ffff
Source IDf84eaac5-3fa3-4068-8cc4-67b0a30129c1
Board IDf84eaac5-3fa3-4068-8cc4-67b0a30129c1
Provideroracle_hcm
Provider Job Key120009
TitleCompliance Quality Improvement Coordinator
Normalized Title—
Statusactive
Activeyes
Location TextBloomington, MN, United States; 8170 33rd Ave S - Bloomington
DepartmentHealthPartners/GHI, HealthPartners Enterprise
Team—
Employment Type—
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CountryUnited States
RegionMN
CityBloomington
Salary RawDescription HealthPartners is hiring for a Compliance Quality Improvement Coordinator. POSITION PURPOSE : Develops, implements, and coordinates a compliance program to ensure conformity with accreditation and regulatory requirements specifically: NCQA Health Plan Accreditation for applicable products NCQA Health Equity Accreditation for applicable products NCQA Accountable Care Organization in support of the medical group MDH Quality Examination Oversight management of NCQA accredited functions Coordinates and supports other regulatory/accreditation functions as needed Performs on-going assessment and facilitates cross functional process to ensure organizational compliance with the National Committee for Quality Assurance (NCQA) accreditation requirements for all NCQA accreditation standards and compliance with delegation oversight and compliance with Minnesota Department of Health and State rules and regulations. ACCOUNTABILITIES : Performs on-going assessment and facilitates process to ensure organizational compliance with the NCQA accreditation requirements including delegations and Minnesota Department of Health Quality Audits. Facilitates workgroup meetings to communicate requirements, problem solve issues and coordinate processes to ensure organizational compliance with the NQQA accreditation, MDH and other regulatory requirements. Communicates requirements to accountable business leaders and management staff. Acts as a resource to staff regarding NCQA accreditation and MDH requirements and NCQA delegation. Maintains a knowledge base of accreditation, regulatory and external customer requirements as they pertain to quality and utilization improvement within the managed care environment. Coordinates the NCQA Accreditation Site Visit and MN Department of Health (MDH) Quality Assurance audits. Coordinates mock audits and monitors for timely follow-up with corrective action plans. Participates in CMS and DHS audits related to quality improvement. Monitors relevant laws, rules and regulations with the assistance of legal and government relations. Assists Manager in the selection of consultants, facilitates the use of internal and external consultants. Represents the health plan’s quality and utilization improvement activities to external regulatory entities, which have operational impact (i.e., DHS Technical Quality Committee, Stratis Health). Coordinates the delegation site visits and annual and semi-annual reporting. Facilitates workgroup meetings to ensure organizational compliance with the delegation agreements. Coordinates the annual review of Policies and Procedures specific to the implementation of quality improvement activities and procedures, utilization analysis and clinical performance measurement within the health plan. Establishes and maintains positive relationships with key management staff, medical director leadership and internal departments. Coordinates activities to write/prepare reports related to NCQA and regulatory requirements. Performs other duties as assigned. REQUIRED QUALIFICATIONS : Bachelor's Degree or equivalent experience Three to five years experience working in a healthcare or business environment Excellent organizational, problem-solving and communication skills with demonstrated ability to present and explain complex information clearly Effective project management experience Good follow through and problem-solving skills and attention to detail Knowledge of Health Plan operations Ability to be proactive, take initiative and oversee projects Ability to manage, monitor and upload audit documentation. Strong written and oral communication skills PREFERRED QUALIFICATIONS : Direct work experience in compliance and regulatory matters. One to two years Monitoring and Compliance Coordinator experience within a health care organization Demonstrated experience with compliance with NCQA Health Plan and Health Equity standards and NCQA survey process Experience with state and federal health care compliance and quality audits. Knowledge of HealthPartners operations Experience with process improvement projects including developing monitoring plans and conducting qualitative and quantitative analysis. Background with basic principles of population health, identifying health disparities and closing disparity gaps across sub-populations DECISION-MAKING : Refers issues identified in the course of monitoring to the appropriate Department Management Reviews appropriate regulatory, contractual and operational considerations before giving direction on program compliance. Confers with Quality and Compliance Manager and other management on material/significant policy or regulatory changes. Company At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work. We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world. At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change. Benefits Designed to Support Your Total Health As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care. Join us in our mission to improve the health and well-being of our patients, members, and communities. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.
Salary Min—
Salary Max—
Salary Currency—
Salary Period—
Source URLhttps://fa-etnv-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/healthpartners-ghi/job/120009
Apply URLhttps://fa-etnv-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/healthpartners-ghi/job/120009
First Seen At2026-05-31 18:14:28Z
Last Seen At2026-06-04 10:56:28Z
Last Checked At2026-06-04 10:56:28Z
Last Changed At2026-06-04 10:56:28Z
Inactive At—
Source Posted At2026-05-21 18:49:47Z
Source Updated At—
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    "ExternalDescriptionStr": "<p lang=\"en-US\" style=\"break-after: avoid; line-height: 100%; margin-bottom: 0in; margin-left: 1in; text-indent: -1in;\">HealthPartners is hiring for a Compliance Quality Improvement Coordinator.&nbsp;<br><br>&nbsp;</p><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0.08in; margin-top: 0.08in;\"><span style=\"font-family: Calibri, sans-serif;\"><strong><u>POSITION PURPOSE</u>:</strong></span></p><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"background-color: rgb(255, 255, 255); font-family: Calibri, sans-serif;\">Develops, implements, and coordinates a compliance program to ensure conformity with accreditation and regulatory requirements specifically:</span></p><ul><li><p style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"background-color: rgb(255, 255, 255); font-family: Calibri, sans-serif;\">NCQA Health Plan Accreditation for applicable products</span></p></li><li><p style=\"line-height: 100%; 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margin-bottom: 0in; margin-left: 0.5in;\"><br>&nbsp;</p><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"background-color: rgb(255, 255, 255); font-family: Calibri, sans-serif;\">Performs on-going assessment and facilitates cross functional process to ensure organizational compliance with the National Committee for Quality Assurance (NCQA) accreditation requirements for all NCQA accreditation standards and compliance with delegation oversight and compliance with Minnesota Department of Health and State rules and regulations.&nbsp;</span></p><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><br>&nbsp;</p><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0.08in; margin-left: 1.81in; margin-top: 0.08in; text-indent: -1.81in;\"><span style=\"font-family: Calibri, sans-serif;\"><strong><u>ACCOUNTABILITIES</u>:&nbsp;</strong></span></p><ol><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Performs on-going assessment and facilitates process to ensure organizational compliance with the NCQA accreditation requirements including delegations and Minnesota Department of Health Quality Audits.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Facilitates workgroup meetings to communicate requirements, problem solve issues and coordinate processes to ensure organizational compliance with the NQQA accreditation, MDH and other regulatory requirements.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Communicates requirements to accountable business leaders and management staff.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Acts as a resource to staff regarding NCQA accreditation and MDH requirements and NCQA delegation.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Maintains a knowledge base of accreditation, regulatory and external customer requirements as they pertain to quality and utilization improvement within the managed care environment.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Coordinates the NCQA Accreditation Site Visit and MN Department of Health (MDH) Quality Assurance audits.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Coordinates mock audits and monitors for timely follow-up with corrective action plans.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Participates in CMS and DHS audits related to quality improvement.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Monitors relevant laws, rules and regulations with the assistance of legal and government relations.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Assists Manager in the selection of consultants, facilitates the use of internal and external consultants.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Represents the health plan’s quality and utilization improvement activities to external regulatory entities, which have operational impact (i.e., DHS Technical Quality Committee, Stratis Health).</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Coordinates the delegation site visits and annual and semi-annual reporting.&nbsp;</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Facilitates workgroup meetings to ensure organizational compliance with the delegation agreements.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Coordinates the annual review of Policies and Procedures specific to the implementation of quality improvement activities and procedures, utilization analysis and clinical performance measurement within the health plan.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Establishes and maintains positive relationships with key management staff, medical director leadership and internal departments.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Coordinates activities to write/prepare reports related to NCQA and regulatory requirements.&nbsp;</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Performs other duties as assigned.</span></p></li></ol><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in; margin-left: 0.25in;\"><br>&nbsp;</p><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0.08in; margin-left: 1.81in; margin-top: 0.08in; text-indent: -1.81in;\"><span style=\"font-family: Calibri, sans-serif;\"><strong><u>REQUIRED QUALIFICATIONS</u>:&nbsp;</strong></span></p><ul><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Bachelor's Degree or equivalent experience</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Three to five years experience working in a healthcare or business environment&nbsp;</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Excellent organizational, problem-solving and communication skills with demonstrated ability to present and explain complex information clearly</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Effective project management experience</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Good follow through and problem-solving skills and attention to detail</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Knowledge of Health Plan operations</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Ability to be proactive, take initiative and oversee projects</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Ability to manage, monitor and upload audit documentation.&nbsp;</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Strong written and oral communication skills</span></p></li></ul><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><br>&nbsp;</p><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0.08in; margin-top: 0.08in;\"><span style=\"font-family: Calibri, sans-serif;\"><strong><u>PREFERRED QUALIFICATIONS</u>:</strong></span></p><ul><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Direct work experience in compliance and regulatory matters.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">One to two years Monitoring and Compliance Coordinator experience within a health care organization</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Demonstrated experience with compliance with NCQA Health Plan and Health Equity standards and NCQA survey process</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Experience with state and federal health care compliance and quality audits.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Knowledge of HealthPartners operations</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Experience with process improvement projects including developing monitoring plans and conducting qualitative and quantitative analysis.&nbsp;</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Background with basic principles of population health, identifying health disparities and closing disparity gaps across sub-populations</span></p></li></ul><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><br>&nbsp;</p><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0.08in; margin-top: 0.08in;\"><span style=\"font-family: Calibri, sans-serif;\"><strong><u>DECISION-MAKING</u>:</strong></span></p><ul><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Refers issues identified in the course of monitoring to the appropriate Department Management</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Reviews appropriate regulatory, contractual and operational considerations before giving direction on program compliance.</span></p></li><li><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\"><span style=\"font-family: Calibri, sans-serif;\">Confers with Quality and Compliance Manager and other management on material/significant policy or regulatory changes.</span></p></li></ul><p class=\"western\" style=\"line-height: 100%; margin-bottom: 0in;\">&nbsp;</p>",
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