Manager Compliance Investigations

Health Care Service Corp.; Richardson (TX); Hybrid; USD 93,000 - 168,000; Full time

Benefits offered by this job

Health benefits

401(k) savings plan

Pension plan

Job summary

Health Care Service Corporation (HCSC) seeks a Senior Compliance Investigator to oversee the Corporate Integrity Hotline and investigations in accordance with the Compliance Charter and DOJ guidelines. You will analyze allegations, coordinate with leadership, document findings, prepare detailed reports, and drive corrective actions while maintaining strict confidentiality across complex investigations.

This is a hybrid role with in-office and remote work, requiring strong leadership and

Qualifications

• Bachelor’s degree in Criminal Justice, Legal Studies, Risk Management, Business, HR, or related field with 5 years of investigative experience in compliance, or 9 years total.
• 1 year of management/leadership experience.
• Knowledge of Ethics & Compliance Hotline Operations, metrics, analysis and reporting.
• Familiarity with external governmental agencies (EEOC, CMS, OIG, etc.).
• Knowledge of the 7 elements of a compliance program and policy documentation.

Responsibilities

• Operate Corporate Integrity Hotline and investigate misconduct.
• Prepare detailed reports for senior leadership.
• Analyze reported allegations and ensure timely resolution.
• Maintain confidentiality and documentation throughout investigations.

Skills

Interpersonal skills

Listening skills

Influence processes

Verbal & written communication

Education

Bachelor’s degree in Criminal Justice/related field

Juris Doctorate

Certified Fraud Examiner (CFE)

Certified Compliance & Ethics Professional (CCEP)

Certified in Healthcare Compliance (CHC)

Job description

Company Overview

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

Responsible for the effective operation of the Corporate Integrity Hotline and related responsibilities in accordance with HCSC’s Compliance Charter, Compliance Program, and U.S. Department of Justice Guidelines. Ensures timely and detailed investigation/resolution of hotline inquiries/allegations of misconduct and violations of the law. Responsible for the analysis of all reported allegations and the subsequent preparation of detailed reports for senior leadership.

Required Job Qualifications

• Bachelor’s degree in Criminal Justice, Legal Studies, Risk Management, Business, Human Resources, or related field and 5 years of investigative experience in a compliance environment or its equivalent involving researching and investigating inquiries OR 9 years of investigative experience in a compliance environment or its equivalent involving researching and investigating inquiries.
• 1 year of management/leadership experience.
• Knowledge of and/or experience in Ethics & Compliance Hotline Operations, metrics, analysis and reporting.
• Familiarity with external governmental agencies (i.e., EEOC, Department of Human Rights, CMS, OIG, etc.).
• Knowledge of and/or experience with the 7 elements of a compliance program.
• Knowledge of and/or experience in policy and procedure documentation.
• Organizational decision-making and analytical skills.
• Strong interpersonal skills.
• Listening skills and ability to accurately document information reported.
• Ability to influence processes to achieve results.
• Ability to work independently, with guidance in only the most complex situations.
• Support of high priority projects with highest level of confidentiality.
• Effective verbal and written communication skills (Clear and concise verbal & written communication skills).

Preferred Job Qualifications

• Prior Law Enforcement or Military experience.
• Juris Doctorate.
• Certified Fraud Examiner (CFE) designation.
• Certified Compliance & Ethics Professional (CCEP) designation.
• Certified in Healthcare Compliance (CHC) designation.
• Proven success managing employees, fostering team development, and achieving business objectives through effective leadership.
• Experience leading or conducting complex compliance, ethics, fraud, misconduct, regulatory, or workplace investigations.
• Demonstrated knowledge of employment laws, workplace compliance requirements, and investigative best practices.
• Strong investigative interviewing skills with experience conducting fact-finding interviews involving employees, leaders, and other stakeholders.
• Experience analyzing investigative findings, assessing risk, and preparing detailed written reports for senior leadership.
• Ability to maintain confidentiality while exercising sound judgment in sensitive and complex situations.
• Experience managing investigations from intake through resolution, including documentation, evidence review, and recommendations for corrective action.

Role Details

This is a Flex (Hybrid) role: 3 days in office; 2 days remote. Sponsorship is not available.

Pay Transparency Statement

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 https://careers.hcsc.com/totalrewards. 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.

Benefits

• 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

Salary and Compensation

Base Pay Range $92,700.00 - $167,500.00 Exact compensation may vary based on skills, experience, and location.

Employment Statement

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.

We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

Accommodations and Accessibility

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to 'candidate home' to view your job submissions.