Corporate Ethics and Compliance Investigator

🕒 Maio 19

🐊 Florida, Iowa, +2 estados a mais – Remoto

🐊 Florida – Remote 🌾 Iowa – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote

💵 $107.700 - $199.300 / ano

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

🚔 Conformidade

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Centene Corporation

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1984

⚕️ Seguro de Saúde

🤝 Sem Fins Lucrativos

🌍 Impacto Social

Healthcare Insurance • Non-profit • Social Impact

Centene Corporation é uma provedora líder de serviços de saúde patrocinados pelo governo, especializada em oferecer soluções de saúde acessíveis e de alta qualidade. Há mais de 40 anos, a Centene tem se dedicado a transformar a saúde das comunidades, ampliando o acesso a Medicaid, Medicare e ao Health Insurance Marketplace, além de atender comunidades militares por meio do programa TRICARE. Como a maior organização de managed care do Medicaid e participante-chave no Marketplace, a Centene enfatiza a entrega de cuidados de saúde com foco local, combinada a parcerias sólidas com organizações sem fins lucrativos para atender às necessidades únicas de seus membros. A Centene também é comprometida com sustentabilidade corporativa e responsabilidade social, priorizando a gestão ambiental e a governança ética para promover o bem-estar das comunidades que atende.

Descrição

• Responsible for leading and managing the most complex, sensitive, and high-impact internal investigations across the organization • Serves as a strategic advisor and subject matter expert on investigative best practices, regulatory compliance, and risk mitigation • Consults with management, in-house counsel, and/or the Director of Corporate Compliance as needed to resolve difficult, highly sensitive or complex compliance issues • Independently evaluates and assesses allegations to determine whether domestic laws, regulatory policies, or internal policies, procedures, and standards have been violated • Plans, scopes, and conducts complex, confidential internal investigations from inception to conclusion • Conducts, manages, and documents interviews with witnesses, as required for investigatory purposes • Reviews investigation reports prepared by junior investigators • Identifies risks, interprets investigation results, and recommends and communicates remedial actions to mitigate future potential risks • Performs follow up to ensure remedial / disciplinary measures are implemented appropriately and timely • Maintains meticulous case files and chronologies in accordance with best practices • Prepares clear and concise draft investigation plans and reports • Provides support and guidance to junior investigation staff as applicable • Communicates directly with Federal or State regulators • Supports the development and maintenance of Corporate Compliance policies and procedures and workflows

🎯 Requisitos

• Bachelor's Degree in Criminal Justice/Criminology, Law, Healthcare Administration/Health Policy, or related field, equivalent experience required • Juris Doctorate highly preferred • 7+ years progressive experience in conducting and managing complex investigations or auditing and risk analysis required • 7+ years experience reading, analyzing and interpreting State and Federal laws, rules and regulations required • Prosecutorial experience preferred • Previous experience as an investigator within a large corporation or Federal Agency preferred • Certified Fraud Investigator preferred

🏖️ Benefícios

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules