Compliance Investigator Job at Prospect Infosys Inc, Denver, CO

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  • Prospect Infosys Inc
  • Denver, CO

Job Description

Job Title: Compliance Investigator

Location: Denver, CO(Hybrid)

Rate: $105,200/Year

Key Responsibilities:

  • Conduct thorough compliance investigations across business areas, including interviews, data analysis, process reviews, follow-up, and documentation.
  • Analyze factual findings to determine appropriate case disposition and ensure timely follow-up.
  • Influence decision-making processes, manage difficult conversations, and recommend or enforce corrective actions when necessary.
  • Prioritize and manage a large caseload, ensuring timely resolution of all investigative matters.
  • Maintain comprehensive case files and provide clear and concise summaries of investigative findings and conclusions.
  • Collaborate regularly with colleagues across departments to facilitate investigations and implement corrective actions where needed.
  • Provide regular written and verbal updates to leadership on investigation progress and outcomes.
  • Partner with other DaVita compliance functions and departments to drive overall compliance initiatives across the organization.
  • Assist with additional projects and tasks related to the investigative functions as required.
  • Occasional travel may be required (up to 10%).

Minimum Qualifications:

  • Education: Bachelor's degree required; Master's or Law degree or relevant clinical experience preferred, though not required.

Experience:

  • A minimum of five (5) years of experience leading or conducting internal investigations; healthcare compliance investigations experience preferred.
  • Knowledge: Familiarity with federal fraud and abuse laws is preferred.
  • Proven Track Record: A history of progressively responsible roles in healthcare organizations, law firms, and/or federal or state health care or enforcement agencies.

Skills:

  • Exceptional organizational skills with keen attention to detail.
  • Strong time management abilities and the capability to prioritize and meet deadlines in a fast-paced environment.
  • Excellent problem-solving and decision-making skills with the ability to identify issues, propose solutions, and implement corrective actions.
  • Ability to work independently as well as collaboratively in a team environment, effectively managing projects and delegating tasks when needed.
  • Strong interpersonal skills, with the ability to interact effectively at all organizational levels.
  • High level of discretion and ability to handle confidential information with sensitivity.

Preferred Experience: Experience working with NAVEX and EthicsPoint compliance systems.

 

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