Corporate Ethics & Compliance Investigator (Healthcare)

Location: Remote in Missouri, United States

Salary: $107,700–$199,300 per year

Company

A diversified national healthcare organization serving 28 million members.

What you will do

• Lead and manage complex, sensitive, and high-impact internal investigations from inception through resolution.
• Define investigation strategies, preserve evidence, conduct interviews, analyze records, and perform root cause analysis.
• Evaluate allegations for violations of domestic laws, regulatory requirements, and internal policies.
• Recommend corrective and disciplinary actions, communicate risks, and track remediation through completion.
• Advise management, in-house counsel, and Corporate Compliance leadership on complex compliance matters.
• Maintain detailed case files, review junior investigators' reports, support compliance policies, and lead special projects including audits, training, and HIPAA compliance.

Requirements

• Bachelor's degree in Criminal Justice, Criminology, Law, Healthcare Administration, Health Policy, or a related field, or equivalent experience.
• 7+ years of experience conducting and managing complex investigations, auditing, or risk analysis.
• 7+ years of experience reading, analyzing, and interpreting state and federal laws, rules, and regulations.
• Exceptional judgment, discretion, documentation, communication, and stakeholder-influence skills.
• Ability to communicate directly with federal and state regulators and guide junior investigation staff.
• Must be able to work remotely from Missouri, United States.

Nice to have

• Juris Doctorate.
• Prosecutorial experience.
• Experience as an investigator within a large corporation or federal agency.
• Certified Fraud Investigator certification.

Culture & Benefits

• Flexible approach to remote, hybrid, field, or office work schedules.
• Health insurance, 401(k), and stock purchase plans.
• Tuition reimbursement, paid time off, and holidays.
• Commitment to diversity and equal employment opportunity.