Senior Investigation Professional Compliance

• Independently leads and conducts compliance investigations, including, but not limited to, assessment of allegations, review of relevant documents, witness interviews and written summaries of same, analysis of facts, and preparation of investigation reports.
• Conduct forensic analyses on a variety of source data in the context of fraud, embezzlement, corruption or money laundering investigations to come up with analytically sound findings which you can translate to a non-financial audience.
• Independently conducting fact-finding and confrontational interviews with both junior and senior-level employees, preparing concise and factual investigation reports and ad hoc briefing documents, advising on appropriate remedial actions as well as monitoring the implementation of these in response to investigations
• Utilize subject matter expertise in the areas of healthcare laws and compliance to support the business.
• Accountable for outstanding customer service to all external and internal customers.
• Develops and maintains effective relationships through effective and timely communication.
• Assists with the implementation, and continuous monitoring of an enterprise-wide Compliance Investigations Program.
• Adheres to Compliance Investigation work plans and protocols, assembles and manages the necessary internal and external resources, and conducts the investigation in compliance with protocols.
• Provides timely reports, both orally and in writing, to the Director of Compliance Investigations and/or senior management regarding the status of investigations.
• Provides input into investigation best practices and recommendations for continuous improvement to the Compliance Investigation Program.
• Collaborates with other departments, including the Finance, Human Resources, and Patient Care on investigations and the investigation process.
• Maintains current knowledge of laws, regulations and market changes that impact all aspects of the business, including, but not limited to, FCPA, Stark Law, Anti-Kickback Statute, Patient Inducement Statute, Health Insurance Portability and Accountability Act, relevant Office of Inspector General, Model Guidance, and applicable advisory opinions.
• Complies with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations while maintaining the highest degree of personal ethics and integrity.
• Assist with various projects as assigned by Director of Compliance Investigations.
• Other duties as assigned.

Requirements:

• Minimum 8 years’ work experience handling investigations for a large, complex organization.
• Must have demonstrated ability to manage and conduct significant investigations with internal and external resources, including employee and third-party interviews and to advise senior management on investigation related issues.
• Demonstrated ability to develop appropriate detailed Investigation Work Plans and to devise appropriate scope for electronic data/documents searches.
• Knowledge of the healthcare industry, dialysis industry or other similar like medtech or pharma - this is critical requirement and we will not consider Candidates from outside of life sciences.
• Superior ability to communicate orally and in writing to individuals and groups from varied disciplines and levels of management.
• Excellent analytical, problem-solving and organizational skills required.
• Ability to maintain confidentiality and comply with applicable privacy and security rules and regulations, including HIPAA.
• Technical skills: proven experience with enterprise software and tools (e.g. SAP), MS office (e.g. Excel, PowerPoint) and, ideally, with investigation tools such as eDiscovery platforms (Relativity).
• Fluency in English, additional (Asian) language skills are an advantage.
• Ability to work a flexible schedule.