Manager Compliance Investigations

Health Care Service Corporation•Chicago, IL

5d•$92,700 - $167,500•Hybrid

About The Position

Responsible for the effective operation of the Corporate Integrity Hotline and related responsibilities in accordance with HCSC’s Compliance Charter, Compliance Program, and U.S. Department of Justice Guidelines. Ensures timely and detailed investigation/resolution of hotline inquiries/allegations of misconduct and violations of the law. Responsible for the analysis of all reported allegations and the subsequent preparation of detailed reports for senior leadership.

Requirements

Bachelor’s degree in Criminal Justice, Legal Studies, Risk Management, Business, Human Resources, or related field and 5 years of investigative experience in a compliance environment or its equivalent involving researching and investigating inquiries OR 9 years of investigative experience in a compliance environment or its equivalent involving researching and investigating inquiries.
1 year of management/leadership experience.
Knowledge of and/or experience in Ethics & Compliance Hotline Operations, metrics, analysis and reporting.
Familiarity with external governmental agencies (i.e., EEOC, Department of Human Rights, CMS, OIG, etc.).
Knowledge of and/or experience with the 7 elements of a compliance program.
Knowledge of and/or experience in policy and procedure documentation.
Organizational decision-making and analytical skills.
Strong interpersonal skills.
Listening skills and ability to accurately document information reported.
Ability to influence processes to achieve results.
Ability to work independently, with guidance in only the most complex situations.
Support of high priority projects with highest level of confidentiality.
Effective verbal and written communication skills (Clear and concise verbal & written communication skills).

Nice To Haves

Prior Law Enforcement or Military experience.
Juris Doctorate.
Certified Fraud Examiner (CFE) designation.
Certified Compliance & Ethics Professional (CCEP) designation.
Certified in Healthcare Compliance (CHC) designation.

Responsibilities

Operate the Corporate Integrity Hotline and related responsibilities in accordance with HCSC’s Compliance Charter, Compliance Program, and U.S. Department of Justice Guidelines.
Ensure timely and detailed investigation/resolution of hotline inquiries/allegations of misconduct and violations of the law.
Analyze all reported allegations.
Prepare detailed reports for senior leadership.
Manage employees, foster team development, and achieve business objectives through effective leadership.