Compliance Investigator

Acadia • Franklin, TN

5d • Hybrid

About The Position

At Acadia Healthcare, we exist to Lead Care with Light. Every day, our teams help improve lives, inspire hope, and elevate communities through compassionate behavioral healthcare. 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

• We are committed to helping our employees grow professionally while making a meaningful difference for patients, families, and communities.

What This Job Offers

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