Manager Compliance & Privacy

At Children’s Wisconsin, we believe kids deserve the best.

Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/

Identifies and evaluates internal controls, compliance with Children’s Wisconsin organizational policies, laws and regulations as well as opportunities to improve operational efficiency and effectiveness. Collaborates with the Corporate Compliance leadership team in planning, scheduling and monitoring department activities. Provides operational and technical direction for compliance activities, and manages fraud and abuse program to support health plan operations. Oversees management of privacy inquiries and investigations, and develops strategies to enhance compliance. Assists in the development of department policies and procedures and evaluates and recommends methods for more efficient operations. 

• Bachelor’s Degree required
• Minimum of three years of compliance or audit experience and a professional certification (Certified in Healthcare Compliance, Certified in Healthcare Privacy Compliance, Certified Internal Auditor, Certified Public Accountant, or equivalent).
• Minimum of three years in a leadership role, with an ability to manage a diverse team of independent professionals.
• Thorough understanding of the health care environment, including areas of risk for healthcare fraud, waste and abuse and associated controls for mitigation of risks.
• Requires a strong ability to read, analyze, interpret and present complex material including deciphering legal documents and government regulations.
• Requires excellent oral and written communication skills to work effectively with all levels of management, staff and outside individuals to ensure risk mitigation strategies are appropriate and effective.
• Requires the ability to set priorities and to work independently to handle the most complex issues, acting as a subject matter expert in unique situations.
• Requires the ability to work with and assist departments on implementation of new regulations and requirements including consulting on documentation of policies, procedures, internal controls and monitoring of activities.
• Maintains a high degree of credibility, independence, integrity, confidentiality, and trust.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Certifications/Licenses:

+ one of the following: - N/A, CHC-Certified in Healthcare Compliance - Compliance Certification Board, CHPC-Certified in Healthcare Privacy Compliance - Compliance Certification Board, CIA-Certified Internal Auditor - ISACA, CICA-Certified Internal Control Auditor - ISACA, License CPA-Certified Public Accountant (1) - State of Wisconsin