We are seeking a Compliance Investigator, responsible for conducting investigations on compliance related matters submitted through our compliance hotline or other reporting avenues. Investigations include potential compliance policy or federal healthcare law-related matters, including Anti-Kickback Statute, False Claims Act, and other laws and regulations related to healthcare compliance. The Compliance Investigator will coordinate with our other 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.
SUPERVISORY RESPONSIBILITIES: None
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Conduct compliance investigations across business areas. Investigations process may include research, data analysis, process analysis, interviews, follow-up, and documentation.
- Carefully analyze factual findings in order to determine proper case disposition and follow up.
- Prioritize and manage a significant caseload in a timely fashion.
- Maintain detailed case files and accurately summarize investigative findings and conclusions.
- Regularly interact with colleagues in various departments across the organization to conduct investigations and implement corrective action where necessary.
- Act as a backup for other teammates on the team by completing compliance hotline triage, assist with the corrective action process, and conducting and tracking of basic interviews of teammates as part of the compliance exit interview processes, as needed.
- Provide regular written and verbal updates to leadership.
- Work cross-functionally with other DaVita compliance functions and departments to advance compliance across the organization.
- Assist in other projects and tasks related to investigative functions, as necessary.
- Travel required: up to 10%.
Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required.
- Bachelor’s degree required; Master’s/Law degree or clinical experience preferred but not required.
- Minimum five (5) years’ experience leading or performing internal investigations; experience with health care compliance investigations preferred.
- Knowledge of federal fraud and abuse laws preferred.
- Successful track record with positions of increasing responsibility in a healthcare organization, a law firm, and/or a federal or state health care or enforcement agency.
- Excellent written and oral communication skills and attention to detail are critical.
- Strong problem-solving skills and an ability to identify an issue, propose a resolution and rectify in a timely manner.
- Demonstrated strength in time management and organization required; ability to prioritize appropriately, manage multiple projects at one time and meet deadlines in a fast-paced environment.
- Demonstrated ability to present and communicate effectively with all stakeholders, including leadership and field employees.
- Ability to deal with confidential information and/or issues using discretion and judgment.
- Excellent computer skills and proficiency in PowerPoint, Word, Excel, and Outlook.