Sr Compliance Investigator

PURPOSE AND SCOPE:

Under the general direction of the VP of Compliance, this position assists with the development, implementation, and continuous monitoring of an enterprise-wide Compliance Investigations Program and leads the Company’s Compliance Investigations for all Business Units and Corporate functions within North America.

Supports FMCNA’s mission, vision, core values, and custom service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements. Collaborates with the appropriate personnel on selected Compliance related projects and processes.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Leads and conducts compliance investigations within North America, 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.
• 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.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Up to 25% travel as required.
• Remote work conditions will be considered.

SUPERVISION:

• None   

EDUCATION:

• Bachelor’s Degree required

EXPERIENCE AND REQUIRED SKILLS:        

• Minimum 5 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 Fresenius Medical Care desirable.
• 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.
• Highly proficient in: Microsoft Word, Excel, PowerPoint, Outlook or similar electronic mail program. Prior experience with Navex EthicsPoint desirable.
• Ability to work a flexible schedule.