Ecommerce Compliance & Provider Data Specialist

HealthPartners/GHI; BLOOMINGTON (MN); On-site; USD 55,000 - 75,000; Full time

Job summary

HealthPartners is seeking an Ecommerce Provider Data and Compliance Specialist to promote and support regulatory compliance activities within the Provider E-Commerce and Operations area. You will participate in trainings, work groups, and tracking regulatory activities to ensure provider data integrity and compliance across systems.

The role emphasizes collaboration, process improvement, and timely communication with internal staff and regulators, including CMS, DHS, NCQA, and MDH, to support

Qualifications

• Four year degree in a related field or two years related work experience in lieu of degree.
• Two years work experience in a related field (compliance, electronic commerce, contracting, business or system analysis, customer service, training, project management, health care operations).
• Intermediate Microsoft Excel skills.
• Proven organizational skills.
• Ability to work independently.
• Ability to multi-task in a fast paced environment.
• Strong interpersonal skills.
• Demonstrated analytical and problem solving skills.
• Demonstrated ability to take responsibility for performance and attitude on the job.
• Demonstrated ability to work collaboratively with others both inside and outside the organization.

Responsibilities

• Promote and support compliance activities within Provider E-Commerce and Operations.
• Coordinate resolution to operational issues and support trainings.
• Track and monitor regulatory activities with regulators such as CMS, DHS, NCQA, and MDH.
• Create, review, revise, maintain, and track internal provider policies and procedures.
• Interact with staff to communicate provider terminations and regulatory requirements.
• Assist with business continuity and disaster recovery plans and tests.

Skills

Excel

Organizational skills

Independent work

Multi-tasking

Interpersonal skills

Analytical thinking

Collaboration

Problem solving

Education

Bachelor's degree in a related field

Job description

HealthPartners is seeking an Ecommerce Provider Data and Compliance Specialist to promote and support regulatory compliance activities within the Provider E-Commerce and Operations area. You will participate in trainings, work groups, and tracking regulatory activities to ensure provider data integrity and compliance across systems.

The role emphasizes collaboration, process improvement, and timely communication with internal staff and regulators, including CMS, DHS, NCQA, and MDH, to support