Home › Companies › Fa Etnv Saasfaprod1 Fa Ocs Oraclecloud Com CX 4003 › Claims Compliance Coordinator
Claims Compliance 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
| Field | Value |
|---|---|
| Company | Fa Etnv Saasfaprod1 Fa Ocs Oraclecloud Com CX 4003 |
| Title | Claims Compliance Coordinator |
| Normalized title | - |
| Department / team | HealthPartners/GHI, HealthPartners Enterprise |
| Location | Bloomington, MN, United States |
| Work model | - |
| Employment type | - |
| Salary | - |
| Status | active |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
| Posted / first seen | 2026-06-05 / 2026-06-06 |
| Changed / last seen | 2026-06-06 / 2026-06-06 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from Fa Etnv Saasfaprod1 Fa Ocs Oraclecloud Com CX 4003. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through Oracle Recruiting Cloud / Fusion HCM. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| City jobs | Active postings in Bloomington. | Open |
| Department jobs | Active postings in HealthPartners/GHI, HealthPartners Enterprise. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | Fa Etnv Saasfaprod1 Fa Ocs Oraclecloud Com CX 4003 |
| Source | f84eaac5-3fa3-4068-8cc4-67b0a30129c1 |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
Description
Description
HealthPartners is hiring for a Compliance Coordinator in our Riverview Government Program Claims department. This position is responsible for ensuring that the department meets its regulatory requirements, including the day-to-day aspects of either the Membership Accounting or Claims Department by serving as the main contact for monitoring and auditing. The goal of this position is to ensure efficient operational compliance with program policy and standards. This person must be proactive and anticipate potential operational or policy problems, report to leadership team, and take steps to prevent or reduce potential adverse results for the program or its participants. The position will be responsible for coordinating internal reviews, external reviews and audits of products administered by Membership Accounting or the Claims department. The Coordinator also will be assigned ongoing responsibility and accountability for certain department functions and will assist the department leaders as assigned.
MINIMUM QUALIFICATIONS:
Education, Experience or Equivalent Combination:
Bachelor’s degree or equivalent experience
Minimum of three years of experience working in a healthcare or business environment
Knowledge, Skills, and Abilities:
Excellent organizational, problem-solving and communication skills with demonstrated ability to present and explain complex information clearly
Effective project management experience
Strong independent judgment, initiative, analytical skills, and personal integrity
Knowledge of HealthPartners operations
Ability to be proactive and take initiatives and oversee projects
PREFERRED QUALIFICATIONS:
Education, Experience or Equivalent Combination:
Direct work experience with regulatory matters.
ESSENTIAL DUTIES:
Compliance – 50%
Reviews contract and regulatory requirements and disseminates information to appropriate team members. Leads implementation as necessary within required timeframes.
Maintains a tracking system for monitoring contract & regulatory requirements that impact Membership Accounting or Claims.
Resource for regulatory interpretation questions for Membership Accounting or Claims.
Consults Government Programs, Product Management, Law and the Internal Audit Department regarding questions related to compliance.
Participates in decision making and policy setting for Monitoring and Compliance activities and initiative
Proactively identifies issues and works with partnering departments to develop appropriate corrective action plans for identified issues. Maintains files and documentation of monitoring activities and any resulting corrective action.
Support system enhancements, training development, data collection, and audit readiness to ensure operational accuracy, compliance, and continuous improvement.
External Reviews & Audits – 25%
Coordinate external reviews and audits of Membership Accounting or Claims products including:
Prepares and organizes documentation for audits, including work plans, manuals, site visit preparations, and universes.
Manages documentation as required for post-audit follow-up activities.
Develops and maintains positive working relationships with internal partners.
Responsible for collecting and organizing data required for employer audits and Requests for Proposals (RFPs), ensuring information is accurate, timely, and well-documented.
Serve as the primary point of contact during audits and must be able to respond confidently and effectively to auditor inquiries in a high‑pressure environment. The individual will maintain and update the knowledge database, ensuring content remains current, accessible, and aligned with system and process changes.
Represents Membership Accounting or Claims on internal and external committees as designated.
Reporting & Recordkeeping – 25%
Responsible for Part D Reporting for Membership Accounting or Claims.
Coordinates the updating and ongoing testing of the Department business continuity and disaster recovery planning and preparation.
Responsible for implementation and oversight of the records retention process for Membership Accounting or Claims.
Other duties and responsibilities as needed.
ORGANIZATIONAL EXPECTATIONS:
Values
All colleagues are expected to live our values:
Excellence: We strive for the best results and always look for ways to improve.
Compassion: We care and show empathy and respect for each person.
Partnership: We are strongest when we work together and with those we serve.
Integrity: We are open and honest, and we keep our commitments.
Additional Expectations:
Complies with safety instructions, observe safe work practices, provides input on safety issues, and promotes a safe work environment.
Maintains regular and timely attendance.
Protects confidentiality.
Demonstrates participation in and support of the organization's Corporate Integrity Program by participating in compliance-related education and training and complying with the organization's policies and procedures.
Timely completion of all mandatory education and organizational requirements (i.e., licensure/certification, Employee Health and Wellness requirements, annual training, etc.)
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 ID | ee7ffd765be006f632b3465442e1ffc7132a86b1 |
| Org ID | 91a1189b-fdbd-49fa-900e-ad7f2618ffff |
| Source ID | f84eaac5-3fa3-4068-8cc4-67b0a30129c1 |
| Board ID | f84eaac5-3fa3-4068-8cc4-67b0a30129c1 |
| Provider | oracle_hcm |
| Provider Job Key | 119216 |
| Title | Claims Compliance Coordinator |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | Bloomington, MN, United States; 8170 33rd Ave S - Bloomington |
| Department | HealthPartners/GHI, HealthPartners Enterprise |
| Team | — |
| Employment Type | — |
| Workplace Type | — |
| Remote Policy | — |
| Country | United States |
| Region | MN |
| City | Bloomington |
| Salary Raw | Description HealthPartners is hiring for a Compliance Coordinator in our Riverview Government Program Claims department. This position is responsible for ensuring that the department meets its regulatory requirements, including the day-to-day aspects of either the Membership Accounting or Claims Department by serving as the main contact for monitoring and auditing. The goal of this position is to ensure efficient operational compliance with program policy and standards. This person must be proactive and anticipate potential operational or policy problems, report to leadership team, and take steps to prevent or reduce potential adverse results for the program or its participants. The position will be responsible for coordinating internal reviews, external reviews and audits of products administered by Membership Accounting or the Claims department. The Coordinator also will be assigned ongoing responsibility and accountability for certain department functions and will assist the department leaders as assigned. MINIMUM QUALIFICATIONS: Education, Experience or Equivalent Combination: Bachelor’s degree or equivalent experience Minimum of three years of experience working in a healthcare or business environment Knowledge, Skills, and Abilities: Excellent organizational, problem-solving and communication skills with demonstrated ability to present and explain complex information clearly Effective project management experience Strong independent judgment, initiative, analytical skills, and personal integrity Knowledge of HealthPartners operations Ability to be proactive and take initiatives and oversee projects PREFERRED QUALIFICATIONS: Education, Experience or Equivalent Combination: Direct work experience with regulatory matters. ESSENTIAL DUTIES: Compliance – 50% Reviews contract and regulatory requirements and disseminates information to appropriate team members. Leads implementation as necessary within required timeframes. Maintains a tracking system for monitoring contract & regulatory requirements that impact Membership Accounting or Claims. Resource for regulatory interpretation questions for Membership Accounting or Claims. Consults Government Programs, Product Management, Law and the Internal Audit Department regarding questions related to compliance. Participates in decision making and policy setting for Monitoring and Compliance activities and initiative Proactively identifies issues and works with partnering departments to develop appropriate corrective action plans for identified issues. Maintains files and documentation of monitoring activities and any resulting corrective action. Support system enhancements, training development, data collection, and audit readiness to ensure operational accuracy, compliance, and continuous improvement. External Reviews & Audits – 25% Coordinate external reviews and audits of Membership Accounting or Claims products including: Prepares and organizes documentation for audits, including work plans, manuals, site visit preparations, and universes. Manages documentation as required for post-audit follow-up activities. Develops and maintains positive working relationships with internal partners. Responsible for collecting and organizing data required for employer audits and Requests for Proposals (RFPs), ensuring information is accurate, timely, and well-documented. Serve as the primary point of contact during audits and must be able to respond confidently and effectively to auditor inquiries in a high‑pressure environment. The individual will maintain and update the knowledge database, ensuring content remains current, accessible, and aligned with system and process changes. Represents Membership Accounting or Claims on internal and external committees as designated. Reporting & Recordkeeping – 25% Responsible for Part D Reporting for Membership Accounting or Claims. Coordinates the updating and ongoing testing of the Department business continuity and disaster recovery planning and preparation. Responsible for implementation and oversight of the records retention process for Membership Accounting or Claims. Other duties and responsibilities as needed. ORGANIZATIONAL EXPECTATIONS: Values All colleagues are expected to live our values: Excellence: We strive for the best results and always look for ways to improve. Compassion: We care and show empathy and respect for each person. Partnership: We are strongest when we work together and with those we serve. Integrity: We are open and honest, and we keep our commitments. Additional Expectations: Complies with safety instructions, observe safe work practices, provides input on safety issues, and promotes a safe work environment. Maintains regular and timely attendance. Protects confidentiality. Demonstrates participation in and support of the organization's Corporate Integrity Program by participating in compliance-related education and training and complying with the organization's policies and procedures. Timely completion of all mandatory education and organizational requirements (i.e., licensure/certification, Employee Health and Wellness requirements, annual training, etc.) 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 | day |
| Source URL | https://fa-etnv-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/healthpartners-ghi/job/119216 |
| Apply URL | https://fa-etnv-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/healthpartners-ghi/job/119216 |
| First Seen At | 2026-06-06 11:50:51Z |
| Last Seen At | 2026-06-06 11:50:51Z |
| Last Checked At | 2026-06-06 11:50:51Z |
| Last Changed At | 2026-06-06 11:50:51Z |
| Inactive At | — |
| Source Posted At | 2026-06-05 18:28:19Z |
| Source Updated At | — |
| Raw Payload Uri | s3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=fa-etnv-saasfaprod1.fa.ocs.oraclecloud.com|CX_4003/date=2026-06-06/2026-06-06T11-50-39-038Z-55b5b7c90399623548177c4330d02a98fe9a596a4f5d4cf85ecb8b64616b4b95.json |
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"ExternalDescriptionStr": "<p style=\"line-height: 12.65pt; margin: 5.85pt 0.15in 0.0001pt 0.05in; text-align: justify; vertical-align: baseline;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 11pt;\">HealthPartners is hiring for a Compliance Coordinator in our Riverview Government Program Claims department. This position is responsible for ensuring that the department meets its regulatory requirements, including the day-to-day aspects of either the Membership Accounting or Claims Department by serving as the main contact for monitoring and auditing. The goal of this position is to ensure efficient operational compliance with program policy and standards. This person must be proactive and anticipate potential operational or policy problems, report to leadership team, and take steps to prevent or reduce potential adverse results for the program or its participants. The position will be responsible for coordinating internal reviews, external reviews and audits of products administered by Membership Accounting or the Claims department. The Coordinator also will be assigned ongoing responsibility and accountability for certain department functions and will assist the department leaders as assigned.</span></span></p><p style=\"margin-bottom: 6pt;\"> </p><p style=\"margin-bottom: 6pt;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: 14pt;\"><strong>MINIMUM QUALIFICATIONS: </strong></span></span></p><ul style=\"list-style-type: disc;\"><li><p style=\"margin-bottom: 6pt;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: 12pt;\"><strong>Education, Experience or Equivalent Combination:</strong></span></span></p><ul style=\"list-style-type: circle;\"><li><p style=\"margin-bottom: 6pt; margin-right: 0in; margin-top: 0in;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: 12pt;\">Bachelor’s degree or equivalent experience</span></span></p></li><li><p style=\"margin-bottom: 6pt; margin-right: 0in; margin-top: 0in;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: 12pt;\">Minimum of three years of experience working in a healthcare or business environment</span></span></p></li></ul></li></ul><p style=\"line-height: 14.5pt; margin: 5.95pt 0in 0.0001pt 0.35in; vertical-align: baseline;\"> </p><ul style=\"list-style-type: disc;\"><li><p style=\"margin-bottom: 6pt;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: 12pt;\"><strong>Knowledge, Skills, and Abilities:</strong></span></span></p><ul style=\"list-style-type: circle;\"><li><p style=\"line-height: 12.7pt; margin-bottom: 0.0001pt; margin-right: 0.1in; margin-top: 9.9pt; vertical-align: baseline;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 11pt;\">Excellent organizational, problem-solving and communication skills with demonstrated ability to present and explain complex information clearly</span></span></p></li><li><p style=\"line-height: 14.5pt; margin-bottom: 0.0001pt; margin-right: 0in; margin-top: 8.05pt; vertical-align: baseline;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 11pt; letter-spacing: -0.05pt;\">Effective project management experience</span></span></p></li><li><p style=\"line-height: 14.5pt; margin-bottom: 0.0001pt; margin-right: 0in; margin-top: 8.05pt; vertical-align: baseline;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 11pt; letter-spacing: -0.1pt;\">Strong independent judgment, initiative, analytical skills, and personal integrity</span></span></p></li><li><p style=\"line-height: 14.5pt; margin-bottom: 0.0001pt; margin-right: 0in; margin-top: 8.05pt; vertical-align: baseline;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 11pt; letter-spacing: -0.1pt;\">Knowledge of HealthPartners operations</span></span></p></li><li><p style=\"line-height: 14.5pt; margin-bottom: 0.0001pt; margin-right: 0in; margin-top: 8.8pt; vertical-align: baseline;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 11pt; letter-spacing: -0.05pt;\">Ability to be proactive and take initiatives and oversee projects</span></span></p><p style=\"margin-bottom: 6pt; margin-right: 0in; margin-top: 0in;\"> </p></li></ul></li></ul><p style=\"margin-bottom: 6pt;\"> </p><p style=\"margin-bottom: 6pt;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: 14pt;\"><strong>PREFERRED QUALIFICATIONS: </strong></span></span></p><ul style=\"list-style-type: disc;\"><li><p style=\"margin-bottom: 6pt;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: 12pt;\"><strong>Education, Experience or Equivalent Combination:</strong></span></span></p><ul style=\"list-style-type: circle;\"><li><p style=\"line-height: 14.5pt; margin-bottom: 0.0001pt; margin-right: 0in; margin-top: 6.1pt; vertical-align: baseline;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 11pt; letter-spacing: -0.1pt;\">Direct work experience with regulatory matters.</span></span></p><p style=\"margin-bottom: 6pt; margin-right: 0in; margin-top: 0in;\"> </p></li></ul></li></ul><p style=\"margin-bottom: 6pt;\"><span style=\"font-family: Arial, sans-serif;\"><span> </span></span></p><p style=\"margin-bottom: 6pt;\"><span style=\"color: black; font-family: Arial, sans-serif;\"><span style=\"font-size: 14pt;\"><strong>ESSENTIAL DUTIES: </strong></span></span><span style=\"font-family: Arial, sans-serif;\"><span> </span></span></p><p style=\"line-height: 12.8pt; margin: 19.35pt 0.15in 0.0001pt 0.5in; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Compliance – 50%</span></span></p><ul style=\"list-style-type: circle; padding-left: 96px;\"><li class=\"ortl-align-justify\"><p style=\"line-height: 12.8pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0in; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Reviews contract and regulatory requirements and disseminates information to appropriate team members. Leads implementation as necessary within required timeframes.</span></span></p><ul style=\"list-style-type: circle; padding-left: 0px;\"><li class=\"ortl-align-justify\"><p style=\"line-height: 12.8pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0in; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Maintains a tracking system for monitoring contract & regulatory requirements that impact Membership Accounting or Claims.</span></span></p></li><li class=\"ortl-align-justify\"><p style=\"line-height: 12.8pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0in; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Resource for regulatory interpretation questions for Membership Accounting or Claims.</span></span></p></li><li class=\"ortl-align-justify\"><p style=\"line-height: 12.8pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0in; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Consults Government Programs, Product Management, Law and the Internal Audit Department regarding questions related to compliance.</span></span></p></li><li class=\"ortl-align-justify\"><p style=\"line-height: 12.8pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0in; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Participates in decision making and policy setting for Monitoring and Compliance activities and initiative</span></span></p></li><li class=\"ortl-align-justify\"><p style=\"line-height: 12.8pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0in; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Proactively identifies issues and works with partnering departments to develop appropriate corrective action plans for identified issues. Maintains files and documentation of monitoring activities and any resulting corrective action.</span></span></p></li><li class=\"ortl-align-justify\"><p style=\"line-height: 12.8pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0in; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Support system enhancements, training development, data collection, and audit readiness to ensure operational accuracy, compliance, and continuous improvement.</span></span></p></li></ul><p style=\"line-height: 12.8pt; margin-bottom: 0.0001pt; margin-right: 0.4in; margin-top: 9.75pt; vertical-align: baseline;\"> </p></li></ul><p style=\"line-height: 12.75pt; margin: 9.7pt 0.15in 0.0001pt 0.5in; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">External Reviews & Audits – 25%</span></span></p><ul style=\"list-style-type: circle; padding-left: 96px;\"><li class=\"ortl-align-justify\"><p style=\"line-height: 12.75pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 9.7pt; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Coordinate external reviews and audits of Membership Accounting or Claims products including:</span></span></p><ul style=\"list-style-type: square; padding-left: 48px;\"><li class=\"ortl-align-justify\"><p style=\"line-height: 12.55pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0.7pt; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Prepares and organizes documentation for audits, including work plans, manuals, site visit preparations, and universes.</span></span></p><ul style=\"list-style-type: square; padding-left: 0px;\"><li class=\"ortl-align-justify\"><p style=\"line-height: 13.05pt; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Manages documentation as required for post-audit follow-up activities.</span></span></p></li></ul></li><li class=\"ortl-align-justify\"><p style=\"line-height: 13.85pt; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Develops and maintains positive working relationships with internal partners.</span></span></p></li><li class=\"ortl-align-justify\"><p style=\"line-height: 12.55pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0.7pt; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"letter-spacing: -0.1pt;\">Responsible for </span><span style=\"font-size: 11.5pt;\">collecting and organizing data required for employer audits and Requests for Proposals (RFPs), ensuring information is accurate, timely, and well-documented. </span></span></p></li><li class=\"ortl-align-justify\"><p style=\"line-height: 12.55pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0.7pt; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Serve as the primary point of contact during audits and must be able to respond confidently and effectively to auditor inquiries in a high‑pressure environment. The individual will maintain and update the knowledge database, ensuring content remains current, accessible, and aligned with system and process changes.</span></span></p></li><li class=\"ortl-align-justify\"><p style=\"line-height: 12.55pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0.7pt; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\">Represents Membership Accounting or Claims on internal and external committees as designated.</span></p></li></ul><p style=\"line-height: 13.85pt; text-align: justify; vertical-align: baseline;\"> </p></li></ul><p style=\"line-height: 12.75pt; margin: 1.45pt 0.2in 0.0001pt 0.5in; vertical-align: baseline;\"> </p><p style=\"line-height: 12.75pt; margin: 1.45pt 0.2in 0.0001pt 0.5in; vertical-align: baseline;\"><span style=\"color: black;\">Reporting & Recordkeeping – 25%</span></p><ul style=\"list-style-type: circle; padding-left: 96px;\"><li class=\"ortl-align-justify\"><p style=\"line-height: 12.75pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 9.7pt; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"font-size: 11.5pt;\">Responsible for Part D Reporting</span><span style=\"letter-spacing: -0.1pt;\"> for Membership Accounting or Claims.</span></span></p><ul style=\"list-style-type: circle; padding-left: 0px;\"><li class=\"ortl-align-justify\"><p style=\"line-height: 12.55pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0.7pt; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"letter-spacing: -0.1pt;\">Coordinates the updating and ongoing testing of the Department business continuity and disaster recovery planning and preparation.</span></span></p></li><li class=\"ortl-align-justify\"><p style=\"line-height: 12.55pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0.7pt; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"letter-spacing: -0.1pt;\">Responsible for implementation and oversight of the records retention process for Membership Accounting or Claims.</span></span></p></li><li class=\"ortl-align-justify\"><p style=\"line-height: 12.55pt; margin-bottom: 0.0001pt; margin-right: 0.15in; margin-top: 0.7pt; text-align: justify; vertical-align: baseline;\"><span style=\"color: black;\"><span style=\"letter-spacing: -0.1pt;\">Other duties and responsibilities as needed.</span></span></p></li></ul></li></ul><p><span style=\"font-family: Arial, sans-serif;\"><i><span style=\"font-size: 10pt;\"> </span></i></span></p><p style=\"margin-left: 0.5in;\"> </p><p style=\"text-align: justify;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: 14pt;\"><strong>ORGANIZATIONAL EXPECTATIONS:</strong></span></span></p><p style=\"margin: 0in;\"><span style=\"font-family: Arial, sans-serif;\"><strong><u>Values</u></strong></span></p><p style=\"margin: 0in;\"><span style=\"font-family: Arial, sans-serif;\">All colleagues are expected to live our values: </span></p><p><span style=\"font-family: Arial, sans-serif;\"><strong>Excellence:</strong> We strive for the best results and always look for ways to improve.</span></p><p><span style=\"font-family: Arial, sans-serif;\"><strong>Compassion:</strong> We care and show empathy and respect for each person.</span></p><p><span style=\"font-family: Arial, sans-serif;\"><strong>Partnership:</strong> We are strongest when we work together and with those we serve.</span></p><p><span style=\"font-family: Arial, sans-serif;\"><strong>Integrity:</strong> We are open and honest, and we keep our commitments.</span></p><p style=\"margin: 0in;\"> </p><p style=\"margin-top: 3pt; text-align: justify;\"><span style=\"font-family: Arial, sans-serif;\"><u>Additional Expectations:</u></span></p><ul style=\"list-style-type: disc; padding-left: 12px;\"><li class=\"ortl-align-justify\"><p style=\"margin-bottom: 0.0001pt; margin-right: 0in; margin-top: 3pt; text-align: justify;\"><span style=\"font-family: Arial, sans-serif;\">Complies with safety instructions, observe safe work practices, provides input on safety issues, and promotes a safe work environment. </span></p></li><li class=\"ortl-align-justify\"><p style=\"margin-bottom: 0.0001pt; margin-right: 0in; margin-top: 3pt; text-align: justify;\"><span style=\"font-family: Arial, sans-serif;\">Maintains regular and timely attendance. </span></p></li><li class=\"ortl-align-justify\"><p style=\"margin-bottom: 0.0001pt; margin-right: 0in; margin-top: 3pt; text-align: justify;\"><span style=\"font-family: Arial, sans-serif;\">Protects confidentiality.</span></p></li><li class=\"ortl-align-justify\"><p style=\"margin-bottom: 0.0001pt; margin-right: 0in; margin-top: 3pt; text-align: justify;\"><span style=\"font-family: Arial, sans-serif;\">Demonstrates participation in and support of the organization's Corporate Integrity Program by participating in compliance-related education and training and complying with the organization's policies and procedures. </span></p></li><li class=\"ortl-align-justify\"><p style=\"margin-bottom: 0.0001pt; margin-right: 0in; margin-top: 3pt; text-align: justify;\"><span style=\"font-family: Arial, sans-serif;\">Timely completion of all mandatory education and organizational requirements (i.e., licensure/certification, Employee Health and Wellness requirements, annual training, etc.)</span></p></li></ul><p> </p><p style=\"break-after: avoid;\"> </p>",
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