Job Description

Job Title: Compliance Investigator

Location: Denver, CO, US (Hybrid)

Salary Range: As per Exp.

Job Type: Permanent, Full-Time

Schedule: Hybrid

• Required in-office days: Tuesdays and Wednesdays (8:00 AM 5:00 PM)

• Additional in-office days as needed for meetings, training, or events.

Position Overview:
Client is seeking a dedicated Compliance Investigator to lead investigations into compliance-related matters submitted through the company's hotline or other reporting channels. These investigations focus on potential violations of compliance policies or federal healthcare laws, including the Anti-Kickback Statute and False Claims Act. The role involves collaboration with internal teams such as Legal and Human Resources to gather evidence, conduct interviews, document findings, and recommend corrective actions as necessary.

The Compliance Investigator plays a key role in maintaining Client's commitment to ethical practices and legal compliance. The ideal candidate possesses strong judgment, decision-making abilities, and the capability to influence stakeholders while managing a significant caseload effectively.

Key Responsibilities:

• Conduct comprehensive compliance investigations, including interviews, data analysis, and process reviews.

• Gather and analyze evidence to determine case disposition and recommend corrective actions.

• Maintain detailed documentation and case files, ensuring clarity and accuracy of investigative findings.

• Manage a significant caseload with timely resolution of all investigative matters.

• Collaborate with cross-functional teams, including Legal, Human Resources, and other compliance functions, to drive outcomes and implement corrective actions.

• Provide written and verbal updates to leadership on investigation progress and findings.

• Influence decision-making processes and handle difficult conversations related to compliance enforcement.

• Assist in driving compliance initiatives across the organization and support additional investigative projects as required.

• Perform occasional travel (up to 10%) for meetings, audits, or training.

Minimum Qualifications:

• Education: Bachelor's degree required; Master's or Law degree, or relevant clinical experience, preferred.

• Experience: Minimum of 5 years conducting or leading internal investigations; healthcare compliance experience preferred.

• Knowledge: Familiarity with federal fraud and abuse laws, including the Anti-Kickback Statute and False Claims Act, is preferred.

• Skills:

  • Exceptional organizational and time management skills.

  • Strong problem-solving and decision-making abilities.

  • Effective interpersonal and communication skills with the ability to influence and interact across all levels of the organization.

  • High level of discretion and confidentiality.

  • Experience with NAVEX and EthicsPoint compliance systems is a plus.

Working Conditions:

• Hybrid schedule with in-office days on Tuesdays and Wednesdays (core hours: 8:00 AM 5:00 PM).

• Additional in-office days as needed for meetings, training, and events.

• Ability to thrive in a fast-paced environment with multiple priorities.

• Occasional travel may be required (up to 10%).

Perks and Benefits:

• Comprehensive Benefits: Medical, dental, vision, and 401(k) match.

• Paid Time Off: PTO cash-out options and flexible leave policies.

• Support for You and Your Family: Family resources, counseling sessions, Headspace access, and backup child and elder care.

• Professional Development: Leadership and development programs, including access to Client's online training platform, StarLearning.

• Performance-Based Rewards: Annual bonus eligibility for stellar individual and team contributions.

Company Culture:
Join a company that places community first and prioritizes its core values. Client is renowned for its outstanding clinical outcomes, award-winning education programs, and a culture that supports professional and personal growth. You will be part of a dedicated team that is committed to making a difference in patients' lives and building the greatest healthcare community in the world.

Additional Information:

• Variable Compensation: Annual bonus eligibility.

• Relocation Assistance: Not available.

• Visa Sponsorship: Not available.

• Equity: Not included.

• Direct Reports: This position has no supervisory responsibilities.

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