Sr. Associate, Investigations

Habitat Health•Alameda, CA

41d•$83,000 - $102,000

About The Position

At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente. Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations. Habitat Health is growing, and we’re looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit https://www.habitathealth.com. Role Scope: The Sr. Associate, Investigations (“Investigator”) reports directly to the VP of Compliance (Compliance Officer) and serves a key role in ensuring investigations are completed in accordance with federal and state requirements and organizational policies to promote a culture of safety, accountability, and continuous improvement. The Investigator is responsible for conducting thorough, objective investigations into incidents, complaints, and reports related to regulatory compliance, patient safety events, potential ethical or policy violations, and quality of care issues.

Requirements

Bachelor’s degree in nursing, healthcare administration, public health, or related field.
3-5 years of experience in healthcare compliance, patient safety, or risk management.
Experience conducting investigations in a healthcare or regulatory setting.
Working knowledge of healthcare regulations and clinical processes.
Strong analytical, critical thinking, and investigative interviewing skills.
Exceptional written and verbal communication; able to present findings clearly and professionally.
High level of integrity and ability to handle confidential information with discretion.
Familiarity with incident reporting systems (Ethico preferred) and electronic health records systems (EHRs).
Ability to manage multiple investigations simultaneously and meet deadlines.
Collaborative, team-oriented approach with a focus on continuous improvement.

Nice To Haves

Experience in early-stage healthcare startups
Certified Professional in Healthcare Quality (CPHQ), Certified in Healthcare Compliance (CHC), or Certified Professional in Patient Safety (CPPS).

Responsibilities

Conduct confidential and comprehensive investigations into clinical, operational, or compliance-related incidents, including but not limited to adverse events, near misses, privacy breaches, and allegations of misconduct.
Collect and analyze documentation, medical records, and witness statements to determine root causes and contributing factors.
Maintain accurate and timely documentation of all investigative activities in accordance with policy and regulatory standards.
Develop written investigative reports summarizing findings, conclusions, and recommendations.
Ensure investigations comply with applicable laws and standards such as PACE regulations, US Department of Health & Human Services Office of Inspector General (HHS OIG) compliance program guidance, and US Department of Justice memos.
Collaborate with Compliance, Grievance, and Quality teams to identify and report required events to external agencies as appropriate.
Assist with the development of corrective action plans (CAPs).
Participate in root cause analyses (RCAs) and other participant safety review processes.
Identify trends and systemic issues that may impact participant care quality or compliance.
Provide recommendations to business owners for policy, training, or process changes to enhance safety and reduce risk.
Work collaboratively with interdisciplinary teams, leadership, and staff to ensure transparent communication and consistent application of standards.
Present investigation outcomes and lessons learned to relevant committees (e.g., Executive Compliance Committee and applicable Quality Committee).
Support organizational efforts to foster a compliant culture and encourage event reporting and continuous learning.
developing and maintaining productive relationships with all levels of corporate management and staff;
protecting Department and company confidentiality and information security; and
championing the Compliance Program.

Benefits

This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays.
Medical, Dental, and Vision plans with competitive coverage for employees and dependents
Health Savings Account with employer contribution
Flexible Spending Account
12 weeks of fully paid Parental Leave for birthing and non-birthing parents
401k with match
CME and License Reimbursements for clinical team members
Short and Long Term Disability
Voluntary Life Insurance
Paid Vacation Time
Paid Sick Time
10 company holidays
Employee Assistance Program with access to mental health programs, legal and financial support, and much more!