Compliance Investigations Officer - Remote based in the US

Conifer Health SolutionsDallas, TX
Remote

About The Position

This position will be responsible for investigating compliance related allegations reported through the Ethics Action Line, Compliance Officer, Privacy Investigation Officer, Law Department and/or any other source. This position will be responsible for leading the investigation to include interviews, standardizing the resolution plan, remediation, and root cause analysis. This position will collaborate with the Compliance Officer, Facility Leadership, Privacy Investigations Officer, and Human Resources to recommend corrective/disciplinary action resulting from the investigation. This position will be responsible for conducting a close-out meeting with the responsible department lead and closing the loop with those involved in the investigation to include the complainant and interviewees. This position will be responsible maintaining compliance with documentation requirements within the Compliance 360. This position will provide a report at quarterly compliance committee meetings on investigation activity. The potential impact of mishandling these inquiries/investigations is significant in terms of the reputation of the Company and how individuals may be affected, with litigation being a possibility in some situations. This position will serve to the advance the effectiveness of Tenet’s Ethics and Compliance Program by providing professional support to the department’s senior leadership. This position will work in a fast-paced environment while maintaining the highest level of program integrity. Position will support Tenet/USPI corporate located in Texas.

Requirements

  • Demonstrated knowledge of Federal healthcare program requirements.
  • Investigation, clinical, legal, auditing, or other compliance experience.
  • Clear, concise, and persuasive writing and presentation skills.
  • Strong organizational skills, orientation to deadlines, attention to detail and ability to respond under pressure.
  • Experience using information systems, databases, Microsoft Word, and Excel.
  • Communication, presentation, and consensus building skills.
  • An energetic and results-oriented leader who inspires confidence.
  • A leader with high personal and professional integrity.
  • A leader sensitive to reported concerns with the ability to appropriately balance the resolution.
  • A leader with ability to effectively articulate and credibly communicate in both written and verbal context.
  • A decision-maker, coach, monitor and supportive while thorough, well prepared, innovative, and creative.
  • Bachelor’s Degree or equivalent experience.
  • Previous Compliance Investigation Officer experience.

Nice To Haves

  • 3-5 years of experience in healthcare compliance matters, preferably for a large, multi-faceted healthcare company.
  • 5 years investigation experience; preference in healthcare or compliance.
  • 5 years hospital experience.

Responsibilities

  • Leading investigations, including interviews, standardizing resolution plans, remediation, and root cause analysis.
  • Collaborating with Compliance Officer, Facility Leadership, Privacy Investigations Officer, and Human Resources to recommend corrective/disciplinary action.
  • Conducting close-out meetings with responsible department leads.
  • Closing the loop with complainants and interviewees.
  • Maintaining compliance with documentation requirements within Compliance 360.
  • Providing a report at quarterly compliance committee meetings on investigation activity.

Benefits

  • Medical, dental, vision, disability, AD&D, and life insurance
  • Manager Time Off – 20 days per year
  • Discretionary 401k match
  • 10 paid holidays per year
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
  • Paid sick leave and other leave benefits are provided in accordance with applicable federal, state, and local laws.
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