Compliance Lead

We are looking for a detail-oriented Compliance Lead to support compliance-focused operations in Minnetonka, Minnesota. This role partners with internal teams to strengthen regulatory adherence, maintain accurate records, and help ensure benefit-related processes align with applicable standards.

Responsibilities

• Lead day-to-day administration of the organization’s compliance-related benefits activities and provide guidance to business areas on regulatory expectations.
• Design and deliver training sessions that explain new legal requirements, annual compliance updates, and department-specific obligations.
• Review suspected fraud, waste, and abuse matters, document findings, and recommend next steps based on established policies.
• Support the creation, revision, and interpretation of compliance policies and procedures to promote consistent operational practices.
• Manage payer and vendor agreements, licensing records, and related documentation to help maintain current and accurate files.
• Coordinate the organization and upkeep of insurance materials, compliance records, and retention practices in accordance with internal standards.
• Prepare for and assist with external reviews, including health plan and licensure audits, by gathering evidence and responding to requests.
• Monitor compliance performance metrics, analyze audit patterns, and develop action plans or training to address recurring gaps.
• Contribute to investigations involving compliance concerns and provide practical recommendations to strengthen controls and reduce risk.
• Support compliance needs across multiple business areas, including data integrity, system alignment, and VA-related compliance activities for clients and caregivers.

Requirements

• Experience working in healthcare compliance, benefits administration, claims operations, or a closely related function.
• Working knowledge of healthcare billing, claims processing, and payer requirements within a regulated environment.
• Ability to prepare, review, and interpret audit reports, compliance documentation, and operational records with accuracy.
• Familiarity with vendor contracts, licensing oversight, and document maintenance practices.
• Understanding of HIPAA requirements, including the Patient Privacy Rule and protection of sensitive information.
• Strong analytical and investigative skills with the ability to identify trends, assess risk, and recommend corrective actions.
• Clear written and verbal communication skills for training delivery, policy support, and cross-functional collaboration.

Benefits

• Medical, vision, dental, and life and disability insurance.
• Eligibility to enroll in the company 401(k) plan for contract/temporary professionals.