Overview
Senior Investigation Professional responsible for independently leading compliance investigations, conducting forensic analyses, and supporting the enterprise-wide Compliance Investigations Program.
What you'll do
- Independently lead and conduct compliance investigations, including assessment of allegations, review of relevant documents, witness interviews and written summaries of same, analysis of facts, and preparation of investigation reports.
- Conduct forensic analyses on a variety of source data in the context of fraud, embezzlement, corruption or money laundering investigations, and translate analytically sound findings to a non-financial audience.
- Independently conduct fact-finding and confrontational interviews with both junior and senior-level employees.
- Prepare concise and factual investigation reports and ad hoc briefing documents.
- Advise on appropriate remedial actions and monitor the implementation of these in response to investigations.
- Utilize subject matter expertise in healthcare laws and compliance to support the business.
- Be accountable for outstanding customer service to all external and internal customers, and develop and maintain effective relationships through effective and timely communication.
- Assist with the implementation and continuous monitoring of an enterprise-wide Compliance Investigations Program.
- Adhere to Compliance Investigation work plans and protocols, assemble and manage the necessary internal and external resources, and conduct investigations in compliance with protocols.
- Provide timely reports, both orally and in writing, to the Director of Compliance Investigations and/or senior management regarding the status of investigations.
- Provide input into investigation best practices and recommendations for continuous improvement to the Compliance Investigation Program.
- Collaborate with other departments, including Finance, Human Resources, and Patient Care, on investigations and the investigation process.
- Maintain current knowledge of laws, regulations and market changes that impact the business, including FCPA, Stark Law, Anti-Kickback Statute, Patient Inducement Statute, HIPAA, relevant Office of Inspector General guidance, Model Guidance, and applicable advisory opinions.
- Comply with the Code of Business Conduct and all applicable company policies, procedures, and local, state and federal laws and regulations, maintaining the highest degree of personal ethics and integrity.
- Assist with various projects as assigned by the Director of Compliance Investigations, and other duties as assigned.
Details
Read the full description and apply on the company’s own careers page.