Lead Compliance Investigator

Job Summary

This position is responsible for conducting complex or high-risk internal investigations of concerns of misconduct or potential violations of the code of business ethics and conduct and/or company policies. Preparing detailed summary reports and making recommendations to senior management for corrective action, including disciplinary action up to and including termination. Performing investigations and analyses on areas identified as moderate to high risk in the annual risk assessment and monitoring corrective action plans for HCSC and subsidiary operations;

and providing guidance on conflicts of interest and interpretation of company policies. This position also provides mentoring to the Compliance Investigator position in the absence of the manager, this position may assume some duties of the manager as needed.

• Bachelor Degree AND 4 years experience involving researching/investigating inquiries OR 6 years experience involving researching/investigating inquiries.
• 3 years experience investigating compliance inquiries.
• Knowledge of audit/investigative policies and procedures and compliance regulations.
• Verbal and written communication skills to document investigations, compose summaries and conduct interviews.
• Lead the work of team members and communicate with management.
• Ability to work independently with all levels of management.
• Ability to listen and accurately document information reported.
• Leadership; organizational; decision-making and analytical skills.
• PC proficiency to include Word, Excel and Access.

• Experience with interviewing employees
• Investigations report writing
• Law Enforcement background.
• Knowledge of corporate policies and organizational structure.
• Knowledge of the Corporate Integrity and Compliance Program and regulations.
• Certified Fraud Examiner (CFE) designation, Certified Compliance & Ethics Professional (CCEP) designation or Human Resources Professional designation.
• Familiarity with external governmental agencies (i.e., EEOC, Department of Human Rights etc.)

Please note that this role is HYBRID with an in-office requirement of 3 days a week.

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At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.

Learn more about our benefit offerings by visiting  .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

$61,500.00 - $

Exact compensation may vary based on skills, experience, and location.

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For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought…