Healthcare Investigations Manager (Healthcare Compliance)

Location: United States — Remote

Company

hirify.global provides telehealth support solutions that help companies deliver virtual care to patients across multiple specialties in all 50 states.

What you will do

• Own intake, triage, assignment, and investigation of compliance hotline reports.
• Investigate potential HIPAA and Security Policy violations in coordination with IT Security.
• Define findings, drive corrective actions and remediation, confirm closure, and maintain investigation documentation.
• Conduct monthly and new-vendor screenings against federal and state exclusion lists.
• Coordinate self-disclosures and escalations with Legal and compliance leadership.
• Prepare quarterly investigation and disclosure-program reports for senior leadership, the Compliance Committee, and the Board.
• Administer compliance case-management and exclusion-screening platforms, including configuration, access, and data integrity.
• Manage and develop 2–3 direct reports while expanding the function as hotline volume grows.

Requirements

• Full-time experience running a healthcare investigations or compliance hotline function.
• Direct experience investigating HIPAA and Security Policy violations, preferably with an IT Security team.
• Hands-on administration experience with a compliance case-management or hotline platform.
• Experience preparing and presenting investigation trends and disclosure-program data to senior leadership.
• Strong root-cause analysis, policy gap analysis, and audit-ready documentation skills.
• Familiarity with OIG guidance, particularly Elements 4 and 7.
• Ability to manage a small team while remaining hands-on with casework.

Nice to have

• CHC certification.

Culture & Benefits

• Medical, dental, and vision plans.
• Flexible Spending and Health Savings Accounts.
• Flexible paid time off.
• 401(k) with company match.
• Life insurance, pet insurance, and additional benefits.
• Flat organizational structure centered on autonomy, competence, and belonging.