Compliance Investigator Job at JS Consulting, Denver, CO

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  • JS Consulting
  • Denver, CO

Job Description

Job Title: Compliance Investigator

Location: Hybrid Role (23 Days Onsite/Week) in Denver CO 80265

Duration: FullTime (FTE)

Interview process: Phone followed by Video Interview.

JOB DESCRIPTION:

Required to be inoffice on Tuesdays and Wednesdays during core hours (8:00 AM 5:00 PM) with additional inoffice days as needed for meetings training and events.

What are the 34 nonnegotiable requirements of this position

A minimum of five (5) years of experience leading or conducting internal investigations; healthcare compliance investigations experience preferred.

What are the nicetohave skills

Experience working with NAVEX and EthicsPoint compliance systems.

Client is seeking a Compliance Investigator responsible for conducting investigations on compliance related matters submitted through Clients compliance hotline or other reporting avenues. Investigations include potential compliance policy or federal healthcare lawrelated matters including AntiKickback Statute False Claims Act and other laws and regulations related to healthcare compliance. The Compliance Investigator will coordinate with other Clients departments including legal and human resources to handle all aspects of investigations including gathering relevant documentation conducting interviews documenting investigations and recommending corrective action as necessary.

What is exciting about this opportunity Please include team and company culture.

Here is what you can expect when you join our Village:

  • A community first company second culture based on Core Values that really matter.
  • Clinical outcomes consistently ranked above the national average.
  • Awardwinning education and training across multiple career paths to help you reach your potential.
  • Performancebased rewards based on stellar individual and team contributions.
  • A comprehensive benefits package designed to enhance your health your financial wellbeing and your future.
  • Dedication above all to caring for patients suffering from chronic kidney failure across the nation

SUPERVISORY RESPONSIBILITIES: None

Position Overview:

The Compliance Investigator is responsible for conducting comprehensive compliance investigations across various business areas. The role involves gathering and analyzing data interviewing stakeholders performing process analysis and maintaining detailed documentation. This position requires sound judgment effective decisionmaking and the ability to influence stakeholders and manage complex situations. The ideal candidate will prioritize tasks manage a significant caseload and collaborate with colleagues across departments to ensure compliance standards are upheld.

Key Responsibilities:

  • Conduct thorough compliance investigations across business areas including interviews data analysis process reviews followup and documentation.
  • Analyze factual findings to determine appropriate case disposition and ensure timely followup.
  • Influence decisionmaking processes manage difficult conversations and recommend or enforce corrective actions when necessary.
  • Prioritize and manage a large caseload ensuring timely resolution of all investigative matters.
  • Maintain comprehensive case files and provide clear and concise summaries of investigative findings and conclusions.
  • Collaborate regularly with colleagues across departments to facilitate investigations and implement corrective actions where needed.
  • Provide regular written and verbal updates to leadership on investigation progress and outcomes.
  • Partner with other DaVita compliance functions and departments to drive overall compliance initiatives across the organization.
  • Assist with additional projects and tasks related to the investigative functions as required.
  • Occasional travel may be required (up to 10%).

Minimum Qualifications:

  • Education: Bachelors degree required; Masters or Law degree or relevant clinical experience preferred though not required.
  • Experience: A minimum of five (5) years of experience leading or conducting internal investigations; healthcare compliance investigations experience preferred.
  • Knowledge: Familiarity with federal fraud and abuse laws is preferred.
  • Proven Track Record: A history of progressively responsible roles in healthcare organizations law firms and/or federal or state health care or enforcement agencies.

Skills:

  • Exceptional organizational skills with keen attention to detail.
  • Strong time management abilities and the capability to prioritize and meet deadlines in a fastpaced environment.
  • Excellent problemsolving and decisionmaking skills with the ability to identify issues propose solutions and implement corrective actions.
  • Ability to work independently as well as collaboratively in a team environment effectively managing projects and delegating tasks when needed.
  • Strong interpersonal skills with the ability to interact effectively at all organizational levels.
  • High level of discretion and ability to handle confidential information with sensitivity.
  • Preferred Experience: Experience working with NAVEX and EthicsPoint compliance systems.

Working Conditions (Hybrid schedule):

  • Required to be inoffice on Tuesdays and Wednesdays during core hours (8:00 AM 5:00 PM) with additional inoffice days as needed for meetings training and events.
  • Must be able to thrive in a fastpaced environment and manage multiple priorities simultaneously.
  • Occasional travel for meetings audits and other businessrelated activities may be required.

Job Tags

Full time,

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