Compliance Business Partner

Minneapolis, Minnesota
Dec 14, 2022
Feb 01, 2023
Employment Status
Full Time
Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 600,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs.

UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.


Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers.

At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.




UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.


Working at UCare is more than a career; it's a mission. A mission that defines us as professionals, unites us as an organization and shapes how we interact with our members and each other. Employees join UCare and stay because of the opportunity to have a purpose-driven job.

Our strong culture has established UCare as a Star Tribune Top 200 Workplace for 13 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.


Work Location: Office for Your Day

The health and safety of our employees, members, providers, and our community is our highest priority. Therefore, all new employees are expected to be fully vaccinated against COVID-19 prior to starting at UCare, subject to limited exceptions such as for a sincerely held religious belief or for medical reasons.

Position Description

This position is responsible to lead foundational, strategic and regulatory oversight activities that support the Compliance Program. Serve as a key member of the Compliance team in oversight efforts designed to strengthen a culture that promotes collaboration, regulatory readiness, and ethics. This position will assist with setting priorities for the Compliance Program, including but not limited to, process improvement initiatives, Program goals, and activities in support of the detection, prevention and correction of risk. In addition, responsibilities will include supporting and co-leading the implementation of state and federal legislation and regulations through the Regulatory Change Management process with the Compliance Associate Director, including monitoring, corrective actions and the assessment of risk. Develop and maintain relationships with internal business partners to assist in positive collaboration and open communication. Provide mentoring and project consultation to compliance roles to support development.

• Partner with the members of the Compliance team to design, implement and enhance the compliance infrastructure, including processes and tools for administration of the compliance program. This may include helping to ensure the proper design and implementation of internal controls and operating policies and procedures.

• Support the development of the Compliance Program reporting and prepare reports for internal committees, Board of Directors, and external audiences, when required. Support various compliance program committees and/or meetings by helping to lead meetings, as needed.

• Support the Regulatory Change Management (RCM) function by coordinating Council materials, setting the agenda, leading meetings. Provide consultation to business owners and liaisons to assist with the development of implementation plans including associated compliance reporting and monitoring components, conduct risk assessments against progress, develop tools to assess implementation completion and recommend corrections to ensure compliance.

• Partner with internal audit and business leads on Corrective Action Plans (CAPs): provide sound, regulatory reasoning for updates that can be explained and implemented in a timely way, including allowing time for training to occur, and for supportive documentation to be prepared and shared as needed.

• Oversee the coordination and implementation of delegate monitoring assessments working with compliance staff, internal auditors, and business leaders. Apply knowledge of State, Federal, and other regulating bodies to the analysis of internal and delegated standards.

• Oversee implementation of project plans, statement of works, and/or process flow related to different projects, and prepare results and provide analysis.

• Participate in audits, mock audits, surveys, as needed, including identification of universes and gathering of records, file preparation, and provision of information to auditors as requested.

• Coordinate and facilitate meetings with business leaders and liaisons to disseminate information, clarify processes, escalate compliance risk, and ensure corrective action as needed.

• Provide mentoring and project consultation to compliance staff to support development.

• Develop and maintain positive relationships with internal and external entities, in order to increase cooperation and compliance with regulatory requirements.

• Build and leverage cross-functional relationships, influence and support a culture of compliance and ethics.

• Other projects and duties as assigned.


Bachelor of Arts degree and requisite experience.

Required Experience

Five years of health insurance compliance, regulatory experience in the health insurance industry. Experience working with and interpreting state and federally funded program benefits, including Medicare and Medicaid, and health insurance exchange is required. Experience with health insurance or health care-related regulatory compliance, auditing, or surveying.

Preferred Experience

Experience with application of Federal and state regulatory standards. Knowledge of compliance360. NCQA Experience.


The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, helps you build on your strengths and gives you the opportunity to truly make a difference, we invite you to apply.

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

JOB POST DATE: 12/13/2022

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