Manager Compliance Investigations

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

Job summary

Health Care Service Corporation is seeking a Compliance Investigator to oversee the Corporate Integrity Hotline, investigate inquiries, and prepare reports for senior leadership. The role emphasizes timely investigations, strict confidentiality, and adherence to compliance guidelines.

Hybrid work arrangement with in-office and remote collaboration is available. Requirements include a Bachelor’s degree and extensive investigative experience in compliance, plus leadership exposure.

Qualifications

• Bachelor’s degree in Criminal Justice, Legal Studies, Risk Management, Business, HR or related field.
• 5+ years investigative experience in a compliance environment.
• 1 year of management/leadership experience.
• Knowledge of Ethics & Compliance Hotline Operations, metrics, analysis and reporting.
• Familiarity with external governmental agencies (EEOC, OIG, CMS, etc.).
• Knowledge of the 7 elements of a compliance program.
• Policy and procedure documentation experience.
• Strong interpersonal and communication skills.
• Listening skills and ability to accurately document information.
• Ability to influence processes to achieve results.
• Ability to work independently with guidance only on complex cases.

Responsibilities

• Operate the Corporate Integrity Hotline and related responsibilities per Compliance Charter.
• Ensure timely investigation/resolution of hotline inquiries and allegations.
• Analyze reported allegations and prepare detailed reports for senior leadership.

Job description

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.

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.

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

Sponsorship is not available.

Compensation: $92,700.00 - $167,500.00

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

HCSC 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.