Manager Compliance Investigations

About the role

Responsible for the effective operation of the Corporate Integrity Hotline and related responsibilities in accordance with HCSC's Compliance Charter, Compliance Program, and U.S. Department of Justice Guidelines. Ensures timely and detailed investigation/resolution of hotline inquiries/allegations of misconduct and violations of the law. Responsible for the analysis of all reported allegations and the subsequent preparation of detailed reports for senior leadership.

Responsibilities

• Manage and operate the Corporate Integrity Hotline operations including metrics, analysis, and reporting
• Conduct investigations from intake through resolution, including documentation, evidence review, and recommendations for corrective action
• Conduct complex compliance, ethics, fraud, misconduct, regulatory, and workplace investigations
• Perform investigative interviewing with employees, leaders, and other stakeholders
• Analyze investigative findings, assess risk, and prepare detailed written reports for senior leadership
• Support high priority projects with highest level of confidentiality
• Influence processes to achieve results
• Maintain policy and procedure documentation

Requirements

• Bachelor's degree in Criminal Justice, Legal Studies, Risk Management, Business, Human Resources, or related field and 5 years of investigative experience in a compliance environment or its equivalent involving researching and investigating inquiries OR 9 years of investigative experience in a compliance environment or its equivalent involving researching and investigating inquiries
• 1 year of management/leadership experience
• Knowledge of and/or experience in Ethics & Compliance Hotline Operations, metrics, analysis and reporting
• Familiarity with external governmental agencies (i.e., EEOC, Department of Human Rights, CMS, OIG, etc.)
• Knowledge of and/or experience with the 7 elements of a compliance program
• Knowledge of and/or experience in policy and procedure documentation
• Organizational decision-making and analytical skills
• Strong interpersonal skills
• Listening skills and ability to accurately document information reported
• Ability to influence processes to achieve results
• Ability to work independently, with guidance in only the most complex situations
• Effective verbal and written communication skills (clear and concise verbal & written communication skills)

Preferred qualifications

• Prior Law Enforcement or Military experience
• Juris Doctorate
• Certified Fraud Examiner (CFE) designation
• Certified Compliance & Ethics Professional (CCEP) designation
• Certified in Healthcare Compliance (CHC) designation
• Proven success managing employees, fostering team development, and achieving business objectives through effective leadership
• Experience leading or conducting complex compliance, ethics, fraud, misconduct, regulatory, or workplace investigations
• Demonstrated knowledge of employment laws, workplace compliance requirements, and investigative best practices
• Strong investigative interviewing skills with experience conducting fact-finding interviews involving employees, leaders, and other stakeholders
• Experience analyzing investigative findings, assessing risk, and preparing detailed written reports for senior leadership
• Ability to maintain confidentiality while exercising sound judgment in sensitive and complex situations
• Experience managing investigations from intake through resolution, including documentation, evidence review, and recommendations for corrective action

Schedule

Flex (Hybrid) role: 3 days in office; 2 days remote.

Pay

$92,700.00 - $167,500.00. Exact compensation may vary based on skills, experience, and location.

This response is AI-generated, for reference only.