Senior Compliance Investigations Consultant

Parkland Health

About The Position

The Senior Compliance Investigations Consultant effectively carries out investigations of internal and external reports of compliance-related allegations. The role independently and objectively investigates compliance and ethics matters across all business areas, evaluates allegations, gathers and analyzes evidence, conducts interviews, and prepares reports substantiating or negating allegations of misconduct or non-compliance. The consultant informs leadership of potential or actual allegations and recommends corrective actions or improvements. The position also supports investigation administration and sanction-screening processes, works with the Office of Talent Management and Legal Department, and serves as a resource and advocate for compliance and ethics. The consultant maintains knowledge of applicable healthcare compliance rules and developments, builds collaborative relationships with Parkland employees, and identifies opportunities to improve work processes and customer satisfaction.

Requirements

Bachelor's degree required; an equivalent combination of experience and certification may be accepted in lieu of education only.
Six years of experience in healthcare compliance required; experience with a large, multifaceted healthcare company or academic medical center is preferred.
Experience in compliance investigations, confidential communications, attorney-directed reviews, conflicts of interest, employee relations, and other healthcare compliance activities required.
Current certification in a healthcare compliance-related specialty and good standing with one of the listed certifying bodies, or obtain certification within 18 months of placement. Listed certifications include CHC, CCEP, CHPC, CHRC, CPCO, CPC, COC, CIC, and CCS.
Certification renewals must be submitted no later than seven calendar days after the current expiration date.
Detailed knowledge of compliance program requirements for hospitals and academic health systems.
Ability to evaluate healthcare compliance issues and make appropriate recommendations.
Ability to develop and execute all phases of audit and compliance investigation plans, including data, information, and records review and analysis, conducting reviews, and drafting findings and conclusions.
Ability to write clear, detailed reports summarizing the scope and purpose of audits and investigations, findings or conclusions, compliance risk analysis, and corrective-action recommendations.
Strong oral, written, and interpersonal communication skills, with the ability to communicate clearly and appropriately for the subject, purpose, and audience.
Active listening skills and sound professional judgment.
Excellent critical-thinking skills, including identifying problems, determining root causes, communicating findings, and participating in solution development.
Strong attention to detail, organizational and time-management skills, and ability to prioritize daily tasks effectively.
Ability to manage difficult conversations sensitively and handle confidential information objectively and discreetly.
High degree of integrity and commitment to ethical standards.

Nice To Haves

Master's degree preferred.
Experience in healthcare compliance with a large, multifaceted healthcare company or academic medical center preferred.

Responsibilities

Independently and objectively conduct investigations of compliance- and ethics-related matters across all business areas.
Process and evaluate allegations to facilitate decisions about the scope and execution of investigations.
Research and review suspected activities to develop factual evidence.
Identify, collect, and analyze evidence to establish clear and concise findings for decision-making.
Conduct in-person interviews and document discussions reliably and consistently.
Draft comprehensive investigation reports that summarize concerns and substantiate or negate allegations of misconduct or non-compliance.
Inform leadership of potential or actual allegations and recommend corrective action or improvement.
Assist with routine administrative and technical aspects of investigations.
Work effectively with the Office of Talent Management and the Legal Department.
Assist with maintaining the sanction screening database tool, coordinate scheduled searches for excluded individuals, assist with resolution, and summarize findings.
Maintain knowledge of applicable healthcare compliance and ethics rules, regulations, policies, laws, and guidelines; seek advice as needed.
Advocate for compliance and ethics and promote a culture of compliance and integrity.
Serve as a resource for Parkland employees by developing collaborative working relationships and providing timely advice on compliance and ethics matters.
Stay current on developments and trends in data management and compliance and ethics through professional learning and participation, and apply knowledge to work practices.
Identify ways to improve work processes and customer satisfaction; make recommendations to the supervisor, implement them, and monitor results as appropriate.