Compliance Investigations Manager jobs in United States
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InnovAge ยท 1 day ago

Compliance Investigations Manager

InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. The Compliance Investigations Manager ensures the organization follows laws and regulations by conducting investigations into potential breaches and recommending corrective actions to mitigate risk.

Health CareHome Health CarePersonal Health

Responsibilities

Conduct Investigations: Probe potential violations of laws, regulations (e.g., healthcare, finance), and company policies
Gather & Analyze Evidence: Collect and interpret data, documents, and physical evidence, in collaboration with other Compliance staff
Interview Stakeholders: Speak with witnesses, complainants, and subjects to uncover facts
Document Findings: Prepare comprehensive reports, summaries, and investigation plans, detailing findings and evidence
Risk Assessment: Identify vulnerabilities and areas prone to non-compliance
Recommend Solutions: Suggest corrective actions and improvements to policies and procedures
Liaise: Work with legal, HR, and other departments, and sometimes external agencies
Conflict of Interest: Develop, implement, and oversee the organization's COI program, acting as an expert to train staff, manage disclosures, research potential conflicts, and ensure compliance with laws/policies
Manage the Investigations & COI software portal
Handling complaints and disclosures via the Convercent portal (e.g., discrimination, fraud, contract breaches, COI). Review for new submission, assign owners, open/close investigations, clear disclosures
Maintaining meticulous records of all investigative and COI activities
Providing training or presentations on compliance matters
Schedule monthly meetings with CCO, Director of Compliance, and Director of Safety to provide updates on all outstanding investigations
Schedule Monthly meetings with CCO, VP Associate General Counsel, Senior Director Employee Relations to provide updates and reviews of all outstanding COIs and disclosures
Prepare and distribute monthly Ethics & Integrity Action Line Updates to ELT
Manage COIs by implementing yearly campaigns, distribution of communications, follow up on outstanding COIs, and escalation of non-compliance

Qualification

Analytical SkillsInvestigative SkillsCommunication SkillsIndustry KnowledgeLegal Compliance ExperienceHealthcare EMR ExperienceIntegrity & Discretion

Required

Bachelor's degree in a related field (Business, Finance, Criminal Justice) or a combination of related experience and education
Minimum of five years' related experience
Strong ability to find and interpret evidence
Excellent written and verbal skills for reports and interviews
Handle sensitive information ethically
Familiarity with relevant laws (finance, healthcare, etc.)

Preferred

Prior experience with legal compliance investigations
Experience working within healthcare EMR
Healthcare administration

Benefits

Medical/dental/vision insurance
Short and long-term disability
Life insurance and AD&D
Supplemental life insurance
Flexible spending accounts
401(k) savings
Paid time off
Company-paid holidays

Company

InnovAge

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InnovAge mission is to enable seniors to age independently in their own homes for as long as possible.

Funding

Current Stage
Public Company
Total Funding
unknown
2021-03-03IPO
2016-05-16Acquired

Leadership Team

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Patrick Blair
President & CEO
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Benjamin C. Adams
Chief Financial Officer
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Company data provided by crunchbase