Compliance Investigators Manager
A Compliance Investigators Manager ensures an organization follows laws, regulations, and internal policies by conducting investigations into potential breaches like fraud, harassment, or non-compliance, gathering evidence, interviewing witnesses, preparing detailed reports, and recommending corrective actions to mitigate risk and maintain integrity, requiring strong analytical and communication skills. Essential Functions and Work Responsibilities
Functional Category: Compliance Investigations Estimated Percent of time Spent 100% Key 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. Typical Duties: 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. Travel Requirements Estimated Percent of time Spent 0% Travel between local InnovAge worksites Travel to client and potential client homes and/or other off site locations Overnight travel out of state Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required Bachelor's degree in a related field (Business, Finance, Criminal Justice) or a combination of related experience and education. Work Experience and Qualifications Minimum of five years' related experience. Analytical & Investigative Skills: Strong ability to find and interpret evidence. Communication: Excellent written and verbal skills for reports and interviews. Integrity & Discretion: Handle sensitive information ethically. Industry Knowledge: Familiarity with relevant laws (finance, healthcare, etc). Preferred Prior experience with legal compliance investigations Experience working within healthcare EMR Healthcare administration InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model. InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes 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, and company-paid holidays. Applicants are considered until the position is filled. $90,000-$120,000 The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity. InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays. Attention Florida Applicants: This position requires a background screening through the Florida Care Provider Background Screening Clearinghouse. For more information, please visit the Clearinghouse Education and Awareness website. Agency Disclaimer: InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.
A Compliance Investigators Manager ensures an organization follows laws, regulations, and internal policies by conducting investigations into potential breaches like fraud, harassment, or non-compliance, gathering evidence, interviewing witnesses, preparing detailed reports, and recommending corrective actions to mitigate risk and maintain integrity, requiring strong analytical and communication skills. Essential Functions and Work Responsibilities
Functional Category: Compliance Investigations Estimated Percent of time Spent 100% Key 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. Typical Duties: 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. Travel Requirements Estimated Percent of time Spent 0% Travel between local InnovAge worksites Travel to client and potential client homes and/or other off site locations Overnight travel out of state Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required Bachelor's degree in a related field (Business, Finance, Criminal Justice) or a combination of related experience and education. Work Experience and Qualifications Minimum of five years' related experience. Analytical & Investigative Skills: Strong ability to find and interpret evidence. Communication: Excellent written and verbal skills for reports and interviews. Integrity & Discretion: Handle sensitive information ethically. Industry Knowledge: Familiarity with relevant laws (finance, healthcare, etc). Preferred Prior experience with legal compliance investigations Experience working within healthcare EMR Healthcare administration InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model. InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes 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, and company-paid holidays. Applicants are considered until the position is filled. $90,000-$120,000 The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity. InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays. Attention Florida Applicants: This position requires a background screening through the Florida Care Provider Background Screening Clearinghouse. For more information, please visit the Clearinghouse Education and Awareness website. Agency Disclaimer: InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.