Corporate Ethics and Compliance Investigator

🕒 il y a 1 mois

🐊 Florida, Iowa, +2 états de plus – Distant

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

💵 $107 700 - $199 300 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

🚔 Conformité

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Centene Corporation

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1984

⚕️ Assurance santé

🤝 À but non lucratif

🌍 Impact social

Healthcare Insurance • Non-profit • Social Impact

La société Centene Corporation est un leader dans la fourniture de services de santé subventionnés par le gouvernement, spécialisée dans la délivrance de solutions de santé abordables et de haute qualité. Depuis plus de 40 ans, Centene s’est concentrée sur la transformation de la santé des communautés en élargissant l'accès aux services de Medicaid, Medicare, et au marché de l'assurance santé, tout en servant les communautés militaires à travers le programme TRICARE. En tant que plus grande organisation de gestion des soins Medicaid et un acteur clé du marché, Centene met l'accent sur une prestation de soins de santé localisée combinée à des partenariats solides avec des organisations à but non lucratif pour répondre aux besoins uniques de ses membres. Centene s’engage également pour le développement durable et la responsabilité sociale des entreprises, en privilégiant la gestion environnementale et la gouvernance éthique afin d'améliorer le bien-être des communautés qu’elle dessert.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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