Compliance Investigator(Mountain and West Coast)

United States • ,

2d • Remote

About The Position

The Compliance Investigator is responsible for conducting and overseeing prompt, thorough, and objective investigations of alleged or suspected violations of law, regulation, Acadia policy, and ethical standards across Acadia’s facilities. This role manages investigations of high impact and complexity while relating to patients and colleagues with empathy and compassion. Supports the effectiveness of the company’s Compliance Program by ensuring concerns are appropriately triaged, investigated, documented, concluded, and resolved in accordance with Company policy and procedure as well as, Federal and state requirements.
The Compliance Investigator partners closely with Legal, Human Resources, Clinical, and Operational leadership to drive standardization of the investigative process, assess risk, support and track corrective action(s), and promote a culture of accountability, integrity, and patient safety. The role requires the ability to handle sensitive matters with discretion, maintain independence and objectivity, and apply sound judgment in complex and high-risk situations. This role will be located in the corporate office, with remote work capability.
We are seeking a Compliance Investigator to join our Corporate Compliance team. In this highly visible role, you will conduct and lead investigations involving regulatory compliance, ethics, patient safety, privacy, and healthcare operations across one of the nation's leading behavioral healthcare organizations.
This position is ideal for a professional who combines strong investigative expertise with sound judgment, intellectual curiosity, and a commitment to doing the right thing. You will partner with leaders across Compliance, Legal, Human Resources, Clinical Operations, and Quality to evaluate concerns, identify risks, uncover root causes, and help drive meaningful corrective actions that strengthen compliance and protect patients.
You will manage sensitive and complex investigations with professionalism, objectivity, and empathy while contributing to a culture built on accountability, integrity, and high-quality care.

Requirements

• Bachelor's degree in Healthcare Administration, Business, Legal Studies, or a related field.
• 3+ years of experience in healthcare compliance, investigations, healthcare operations, risk management, auditing, or a related discipline.
• Working knowledge of healthcare laws and regulations, including: HIPAA Privacy and Security requirements, Stark Law, Anti-Kickback Statute, OIG and DOJ compliance guidance, Federal and state healthcare program requirements.
• Strong investigative, analytical, and critical thinking skills.
• Excellent written and verbal communication skills, including the ability to prepare professional investigative reports.
• Demonstrated ability to manage multiple priorities in a fast-paced environment.
• Proficiency with Microsoft Office applications and case management systems.
• Ability to work independently, exercise sound judgment, and manage highly sensitive information with discretion.
• Ability to travel up to 25%.

Nice To Haves

• 5+ years of healthcare compliance or investigative experience.
• Experience in behavioral health or substance use disorder treatment settings.
• Experience conducting complex, enterprise-wide investigations.
• Familiarity with compliance case management and incident reporting systems.
• Professional certification such as: Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), Certified Fraud Examiner (CFE), Comparable compliance or investigative certification.

Responsibilities

• Conduct timely, thorough, and objective investigations involving: Healthcare regulatory compliance, Billing and coding concerns, Fraud, waste, and abuse risks, HIPAA privacy and security matters, Workplace misconduct affecting compliance or patient care, Patient safety and quality-of-care concerns.
• Develop investigation plans, define scope, identify key risks, and execute investigative strategies.
• Conduct interviews with employees, leaders, and other stakeholders.
• Collect, review, and analyze documentation, records, data, communications, and other evidence.
• Identify root causes, control gaps, and opportunities for risk mitigation.
• Assess reports received through reporting hotlines, employees, audits, vendors, and other channels.
• Perform risk-based triage and prioritization of compliance concerns.
• Maintain accurate and complete case documentation throughout the investigative process.
• Ensure investigations are conducted consistently and in accordance with company policies and regulatory requirements.
• Translate complex findings into clear, concise, and actionable investigative reports.
• Present conclusions and recommendations to Compliance and business leaders.
• Partner with operational teams to develop, monitor, and validate corrective action plans.
• Escalate significant compliance, legal, regulatory, or patient safety risks as appropriate.
• Maintain documentation that meets legal, audit, and compliance standards.
• Collaborate with Legal, Human Resources, Quality, Clinical Operations, Internal Audit, and facility leadership.
• Support the continued evolution and standardization of Acadia's investigation processes.
• Promote a culture of ethics, compliance, accountability, and patient-centered decision making.
• Support organizational efforts to maintain the highest standards of integrity and regulatory compliance.

Benefits

• Competitive Base Salary commensurate with experience
• Comprehensive Medical, Dental, and Vision Insurance
• 401(k) Plan with Company Match
• Paid Time Off (PTO) and recognized holidays
• Company-paid Basic Life and AD&D Insurance
• Employee Assistance Program (EAP) and mental wellness resources
• Opportunities for professional growth and advancement within Acadia’s nationwide network

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level