Director Compliance Operations

The Impact You Will Have

Blue Cross and Blue Shield of Minnesota is hiringa Director Compliance Operations in Eagan, MN.The DirectorofCompliance Operationsleads the design, execution, and continuous improvement oftheenterprise compliance program. This role ensures adherence to federal and state regulations, industry standards, and internal policies while fostering a culture of integrity and ethical conduct. The Director is a strategic advisor and deep subject matter expert across Medicare, Medicaid, and Commercial health insurance. This roleoversees theCode ofConduct, regulatory change management, corporate policy governance, vendor risk management, regulatory reporting, licensing, and regulatory attestations, and all aspects of compliance program effectiveness. The position carries enterprise-wide responsibility and impact and drives compliance program maturity through metrics, dashboards, and disciplined operational excellence.

You will bring 7+ years of healthcare compliance experience and 5+ years ofpeopleleadership, with the breadth and depth to lead an enterprise compliance program across all lines of business. You have led regulatory change management in highly regulated environments and understand how to build,operate, and mature an effective compliance program. As a visible and collaborative leader, you bring energy and strategic thinking, leveragetechnologyand AI to drive innovation, and foster a strong culture of integrity, accountability, and compliance.

Key Responsibilities

• Ensure enterprise-wide compliance with all regulatory requirements, internal policies, and ethical standards across all business lines.
• Serve as a subject matter expert in Medicare, Medicaid, and Commercial regulations, advising executives and operational leaders.
• Develop andmaintainkey relationships with relevant regulators, including serving as the Medicare and Medicaid Compliance Officer.
• Directthe Corporate Policy Office, including policy development, review, approval, and annual Code of Conduct updates.
• Lead regulatory change management, including analysis, ownership assignment, andtimelyimplementation of new requirements.
• Oversee integration of compliance controls into vendor agreements and contracting processes,pre-delegation reviews, andensureaudit readiness and accountability.
• Directtheconflict-of-interestdisclosureprocess, exclusion screenings, and mandatory compliance training in partnership with HR.
• Develop andmaintaincentralized compliance metrics, dashboardswith Key Risk Indicators (KRIs), and regulatory reporting for oversight bodies.
• Oversee organizational licensing, regulatory attestations, certifications, andtimelyregulatory filings.
• Leadthe compliancehotline reporting andinvestigationfunctions, ensuringwell documented and thorough investigationsandappropriate organizationalresponse.
• Lead, develop, and mentor a high-performing compliance team, fostering a culture of integrity, collaboration, and continuous improvement.
• Champion complianceeffortsacross the enterprise,modelingthe highest standards ofintegrity and ethical conduct.

Qualifications Required Skills & Experiences

• Acceptance ofthisrole requires signing an Employee Confidentiality, Intellectual Property Assignment, and Restrictive Covenants Agreement.
• Minimum of7years of related and progressive experience in compliance, regulatory affairs, risk management, or legal roles within healthcare, insurance, or other highly regulated industries. All relevant experience includingwork, education, transferable skills, and military experiencewill beconsidered.
• At least 5 years in a leadership or people management role, with proven ability to lead cross-functional teams and manageothermanagers.
• Experience in healthcare compliance, managed care, or insurance environments.
• Deep knowledge of federal, state, and industry regulations (e.g.,Health Insurance Portability and Accountability Act (HIPAA), Centersfor Medicare and Medicaid Services (CMS),state Medicaid requirements) and best practices for compliance programs.
• Demonstrated experience with Medicare, Medicaid, and Commercial programs, including regulatory filings, audits,CMS regional office relationshipmanagementand vendoroversightmanagement.
• Strong analytical, organizational, and problem-solving skills; ability to manage cyclical processes with consistency and attention to detail.
• Exceptional written and oral communication skills, including presenting complex compliance issues to senior leadership and external regulators.
• Strategic, enterprise-wide thinking; positive, energized presence; strong teacher and problem solver; excellent delegator and escalator.
• Proficiencywith compliance platforms, reportingdashboardsand modern workplace toolsutilizingAI.
• Capacity to expand and evolve current processes to meet future needs; ability tofacilitatechange and lead through ambiguity.
• Commitment to fostering a culture of integrity, accountability, and compliance.
• Willingness to travel as needed for 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 & Experiences

• Bachelor'sdegreeor higherdegree in business, healthcare administration, public health, law, or related field.
• Professional certifications such as Certified in Healthcare Compliance (CHC), Certified Compliance & Ethics Professional (CCEP),etc.;Ongoing continuing education in compliance, regulatory affairs, or risk management.
• Experiencecreating materials andpresentingto boards, compliance committees, or regulatory bodies.