Compliance Investigator

We are seeking a Compliance Investigator, responsible for conducting investigations on compliance related matters submitted through  compliance hotline or other reporting avenues. 

Location: Denver, CO, US

Hybrid schedule: Required to be in-office on Tuesdays and Wednesdays during core hours (8:00 AM 5:00 PM), with additional in-office days as needed for meetings, training, and events.

Position Overview:

The Compliance Investigator is responsible for conducting comprehensive compliance investigations across various business areas. The role involves gathering and analyzing data, interviewing stakeholders, performing process analysis, and maintaining detailed documentation. This position requires sound judgment, effective decision-making, and the ability to influence stakeholders and manage complex situations. The ideal candidate will prioritize tasks, manage a significant caseload, and collaborate with colleagues across departments to ensure compliance standards are upheld.

Key Responsibilities:

• Conduct thorough compliance investigations across business areas, including interviews, data analysis, process reviews, follow-up, and documentation.
• Analyze factual findings to determine appropriate case disposition and ensure timely follow-up.
• Influence decision-making processes, manage difficult conversations, and recommend or enforce corrective actions when necessary.
• Prioritize and manage a large caseload, ensuring timely resolution of all investigative matters.
• Maintain comprehensive case files and provide clear and concise summaries of investigative findings and conclusions.
• Collaborate regularly with colleagues across departments to facilitate investigations and implement corrective actions where needed.
• Provide regular written and verbal updates to leadership on investigation progress and outcomes.
• Partner with other compliance functions and departments to drive overall compliance initiatives across the organization.
• Assist with additional projects and tasks related to the investigative functions as required.
• Occasional travel may be required (up to 10%).

Minimum Qualifications:

• Education: Bachelors degree required; Masters or Law degree or relevant clinical experience preferred, though not required.
• Experience: A minimum of five (5) years of experience leading or conducting internal investigations; healthcare compliance investigations experience preferred.
• Knowledge: Familiarity with federal fraud and abuse laws is preferred.
• Proven Track Record: A history of progressively responsible roles in healthcare organizations, law firms, and/or federal or state health care or enforcement agencies.

Skills:

• Exceptional organizational skills with keen attention to detail.
• Strong time management abilities and the capability to prioritize and meet deadlines in a fast-paced environment.
• Excellent problem-solving and decision-making skills with the ability to identify issues, propose solutions, and implement corrective actions.
• Ability to work independently as well as collaboratively in a team environment, effectively managing projects and delegating tasks when needed.
• Strong interpersonal skills, with the ability to interact effectively at all organizational levels.
• High level of discretion and ability to handle confidential information with sensitivity.

• Preferred Experience: Experience working with NAVEX and EthicsPoint compliance systems.

Working Conditions:

• Hybrid schedule: Required to be in-office on Tuesdays and Wednesdays during core hours (8:00 AM 5:00 PM), with additional in-office days as needed for meetings, training, and events.
• Must be able to thrive in a fast-paced environment and manage multiple priorities simultaneously.
• Occasional travel for meetings, audits, and other business-related activities may be required.

Benefits

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out.
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• Support for you and your family: Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more

• Professional development programs: include a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through an online training platform.