Manager, Sales Investigations

Location: Remote-FL

Salary: $87,700–$157,800 per year

Company

hirify.global is a diversified national healthcare organization serving 28 million members.

What you will do

• Lead day-to-day operations for Sales Investigators and Senior Sales Investigators handling allegations of sales-agent, agency, broker, and related sales-practice misconduct.
• Assign and rebalance cases based on risk, complexity, investigator capability, and regulatory deadlines.
• Review investigative plans, evidence, interviews, analysis, findings, and reports for quality, accuracy, completeness, and defensibility.
• Manage, coach, develop, hire, onboard, and performance-manage investigators.
• Coordinate case activity, remediation, and corrective actions with Legal, Compliance, HR, Sales Operations, and business stakeholders.
• Track case metrics, identify systemic risks and control weaknesses, and support audits, regulatory inquiries, and continuous process improvement.

Requirements

• Bachelor’s degree in Criminal Justice, Law, Compliance, Healthcare Administration, or a related field; equivalent experience may substitute.
• 5+ years of progressive experience in compliance, investigations, SIU, FWA, audit, or related work in managed care, healthcare, or another regulated environment.
• At least 1 year of experience leading or managing others.
• Experience reviewing investigative work for quality, evidentiary sufficiency, and defensibility.
• Experience coordinating cross-functional case activity and remediation with business stakeholders.
• Knowledge of Medicare Advantage, Marketplace, Medicaid, CMS Chapter 42, and related sales and marketing compliance expectations is preferred.

Nice to have

• 2+ years of direct people leadership.
• Managed care or health plan experience.
• Experience with audit responses, regulatory inquiries, or oversight reviews.
• Professional certification such as CFE, AHFI, CIA, CHC/HCCA, or CCP.

Culture & Benefits

• Remote, hybrid, field, and office work schedules are supported.
• Health insurance, 401(k), and stock purchase plans.
• Tuition reimbursement, paid time off, and holidays.
• Competitive pay with potential additional incentive compensation.