Lead Compliance Investigator

Health Care Service Corporation • Richardson, TX

128d • $60,300 - $133,400 • Remote

About The Position

HCSC is looking for a dynamic individual to join its Corporate Compliance area! This position is responsible for conducting complex or high risk internal investigations of concerns of misconduct or potential violations of the code of business ethics, conduct and/or company policies. Incumbent will be preparing detailed summary reports and making recommendations to senior management for corrective action, including disciplinary action up to and including termination. Will also perform investigations and analyses on areas identified as moderate to high risk in the annual risk assessment as well as monitoring corrective action plans for HCSC and subsidiary operations and providing guidance on conflicts of interest and interpretation of company policies. This position provides mentoring to the Compliance Investigator II position in the absence of the Senior Manager and may assume some duties of the Senior Manager as needed. NOTE: this role is HYBRID/FLEX and requires in-office visibility three days per week, working from home the other two days.

Requirements

• Bachelor's degree AND 4 years' experience involving researching/investigating compliance inquiries OR 6 years' experience involving researching/investigating inquiries.
• Knowledge of audit/investigative policies and procedures and compliance regulations.
• Verbal and written communication skills to document investigations, compose summaries and conduct interviews.
• Ability to lead the work of team members and communicate with management.
• Ability to work independently with all levels of management.
• Ability to listen and accurately document information reported.
• Leadership, organizational, decision-making and analytical skills.
• PC proficiency to include Word, Excel and Access.

Nice To Haves

• Bachelor's degree in Finance, Accounting, Computer Science, Criminal Justice, Business, Health Care Administration or Education.
• Law Enforcement background.
• Knowledge of HCSC corporate policies and organizational structure.
• Knowledge of the Corporate Integrity and Compliance Program and regulations.
• Certified Fraud Examiner (CFE) designation.
• Certified Compliance & Ethics Professional (CCEP) designation or Human Resources Professional designation.
• Juris Doctorate, Paralegal or other legal experience.
• Investigation, auditing or related experience with a focus on corporate ethics and compliance.
• Familiarity with external governmental agencies (i.e., EEOC, Department of Human Rights etc.)

Responsibilities

• Conduct complex or high risk internal investigations of misconduct or potential violations of the code of business ethics, conduct and/or company policies.
• Prepare detailed summary reports and make recommendations to senior management for corrective action.
• Perform investigations and analyses on areas identified as moderate to high risk in the annual risk assessment.
• Monitor corrective action plans for HCSC and subsidiary operations.
• Provide guidance on conflicts of interest and interpretation of company policies.
• Mentor Compliance Investigator II position in the absence of the Senior Manager.
• Assume some duties of the Senior Manager as needed.

Benefits

• Health and wellness benefits
• 401(k) savings plan
• Pension plan
• Paid time off
• Paid parental leave
• Disability insurance
• Supplemental life insurance
• Employee assistance program
• Paid holidays
• Tuition reimbursement
• Annual incentive bonus plan

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree