Compliance & Investigations Manager

📋 Description

• Conduct complex compliance, operational, privacy, billing, coding, and risk-management
• Manage cases originating from compliance hotlines, risk-management event reports, leadership
• Conduct witness and claimant interviews, review documentation, analyze evidence, and prepare
• Ensure investigations are objective, thorough, confidential, timely, and consistent with
• Track and analyze investigation activity to identify recurring compliance, operational, fraud, and
• Perform detailed root-cause analyses to identify process failures, operational breakdowns, and

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Nursing, Business Administration, Compliance, Legal
• Minimum of 5 years of experience in healthcare compliance, healthcare investigations, risk
• Demonstrated ability to independently conduct complex healthcare investigations from intake through
• Strong analytical, investigative, interviewing, documentation, and problem-solving capabilities.
• Ability to identify systemic operational risks, determine root causes, and recommend practical
• Strong working knowledge of healthcare billing and coding practices.

🎁 Benefits

• Annual salary of $90,000–$95,000, with actual compensation determined by factors such as
• Fully remote position within the United States.
• Opportunity to work across multiple healthcare environments and functional areas.
• Broad exposure to healthcare compliance, investigations, operational risk, regulatory readiness
• Opportunity to influence corrective actions, process improvements, and enterprise risk-reduction
• High-visibility role involving collaboration with operational leaders and senior cross-functional