Manager, Compliance Oversight

BCBSM, Inc.; Eagan (MN); Hybrid; USD 102,400 - 138,300; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k)

Paid Time Off (PTO)

Job summary

BCBSM, Inc. is looking for a Manager, Compliance Oversight in Eagan, MN. This role involves leading a team responsible for compliance assessments and monitoring across various programs, ensuring adherence to regulations, and training staff in compliance practices.

The ideal candidate has extensive experience in compliance, strong regulatory knowledge, and leadership skills. Competitive compensation and benefits are offered, including a hybrid work model.

Qualifications

• Seven or more years’ experience in compliance.
• Three or more years in a leadership role.
• Strong knowledge of federal and state regulations (e.g., HIPAA).

Responsibilities

• Lead ongoing monitoring of compliance activities.
• Ensure compliance with regulatory requirements.
• Provide support for external audits.
• Train and mentor staff in compliance.

Skills

Compliance experience

Team leadership

Analytical skills

Communication skills

Healthcare knowledge

Education

High school diploma or equivalency

Bachelor’s degree in related field

Job description

Overview

Blue Cross and Blue Shield of Minnesota is hiring a Manager, Compliance Oversight in Eagan, MN. This role leads a team responsible for conducting compliance assessments and monitoring activities across internal operations and external partners, including FDRs and subcontractors supporting Medicare, Medicaid, and ACA programs.

Responsibilities

• Lead ongoing monitoring of internal and external operations, including targeted deep dives into FDR/Subcontractor oversight activities.
• Ensure compliance with enterprise standards and regulatory requirements.
• Plan and execute internal and external compliance assessments across all lines of business.
• Provide consultative support for external regulatory audits, including guidance on regulatory requirements and review of documentation prior to submission.
• Initiate and approve Corrective Action Plans (CAPs), and validate implementation and effectiveness.
• Prepare and maintain records for reporting to EEC Leadership, enterprise-wide leadership, EEC Committee Members, Board of Directors, and external regulators.
• Provide regulatory guidance and consultative support to business units and vendor managers.
• Guide, mentor, and train staff supporting compliance deliverables, and foster a culture of compliance awareness and continuous improvement.

Required Skills and Experiences

• Seven or more years’ experience in compliance.
• Three or more years in a leadership or people management role, with proven ability to lead cross‑functional teams.
• Experience in healthcare compliance, managed care, or insurance environments.
• Deep knowledge of federal, state, and industry regulations (e.g., HIPAA, Joint Commission, CMS, CLIA) and best practices for compliance programs.
• Strong analytical, organizational, and problem‑solving abilities, including risk assessment and corrective action planning.
• Exceptional written and verbal communication skills for presenting complex compliance issues to leadership and regulators.
• Demonstrated expertise with Medicare, Medicaid, and Commercial programs, including monitoring, audits, or vendor management oversight.
• Effective team leadership, teaching, and delegation skills; fosters a positive, accountable, and compliant culture.
• Strategic, enterprise‑wide thinking and ability to drive execution through relationships.
• Ability to facilitate change, promote continuous improvement, and lead through ambiguity.
• Ability to travel if needed for audits, training, or regulatory meetings.
• High school diploma (or equivalency) and legal authorization to work in the U.S. Must be eligible to work in the United States without need for work visa or residency sponsorship.

Preferred Skills and Experiences

• Bachelor’s degree in business, healthcare administration, public health, law, or a related field.
• Certified in Healthcare Compliance (CHC), Certified Compliance & Ethics Professional (CCEP), or similar credential.
• Continuing education in compliance, regulatory affairs, or risk management is strongly encouraged.
• CAP Expertise – Proven track record in developing, implementing, and validating corrective action plans (CAPs).
• Technology Skills – Familiarity with compliance analytics, audit software, and enterprise risk management platforms.
• Board or Committee Experience – Experience presenting to boards, compliance committees, or regulatory bodies.

Compensation and Benefits

Annual Pay: $102,400.00 - $138,300.00 - $174,200.00 (based on position, skills, and experience).

Benefits include: Medical, dental, and vision insurance; Life insurance; 401(k); Paid Time Off (PTO); Volunteer Paid Time Off (VPTO); and more. For more details, review our benefits page.

Role Designation

Hybrid – Anchored in Connection. Teams work in the office two days each week, with at least one anchor day for team interaction; the rest of the week is remote.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an affirmative action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic. Individuals with a disability who need a reasonable accommodation to apply, please contact us at [e-mail].