Health Care Service Corporation

Lead Compliance Investigator

Health Care Service Corporation$61K — $136K *
Legal & Accounting
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree AND 4 years of investigative experience OR 6 years of investigative experience without a degree.
  • 3 years of experience specifically investigating compliance-related issues.
  • Knowledge of compliance regulations and audit/investigative policies.
  • Strong verbal and written communication skills for documentation and report writing.
  • Proficiency in leading projects and effective communication with all organizational levels.
  • Ability to document investigations accurately and listen attentively.
  • Demonstrated leadership, decision-making, and analytical skills.
  • Proficiency in PC applications like Workday, Word, Excel, and Access.

Responsibilities

  • Conduct complex investigations of misconduct and policy violations.
  • Prepare detailed summary reports with corrective action recommendations.
  • Monitor and analyze areas identified as moderate to high risk annually.
  • Provide guidance on conflicts of interest and policy interpretation.
  • Mentor junior compliance investigators and assume duties of the senior manager as needed.

Benefits

  • Comprehensive health and wellness benefits.
  • 401(k) savings plan and pension plan.
  • Paid time off and paid parental leave.
  • Disability insurance and supplemental life insurance.
  • Employee assistance program and paid holidays.
  • Tuition reimbursement and various other incentives.
Full Job Description
Job Summary

BASIC FUNCTION
HCSC is looking for a dynamic individual to join its Corporate Compliance team! This position is responsible for conducting complex or high risk internal investigations of concerns of misconduct or potential violations of the code of business ethics and conduct and/or company policies. Will be preparing detailed summary reports and making recommendations to senior management for corrective action, including disciplinary action up to and including termination. Also engaged in performing investigations and analyses on areas identified as moderate to high risk in the annual risk assessment and monitoring corrective action plans for HCSC and subsidiary operations; as well as providing guidance on conflicts of interest and interpretation of company policies. This position provides mentoring to the Compliance Investigator II position in the absence of the senior manager and may assume some duties of the senior manager as needed.

NOTE: this role is HYBRID/FLEX and requires in-office visibility three days per week, working from home the other two days. Relocation will NOT be offered; sponsorship is not available either now or in the future.

JOB REQUIREMENTS
  • Bachelor's degree AND 4 years' experience involving researching/investigating inquiries OR 6 years' experience involving researching/investigating inquiries.
  • 3 years experience investigating compliance related issues.
  • Knowledge of audit/investigative policies and procedures and compliance regulations.
  • Strong verbal and written communication skills to document investigations, compose summaries and conduct interviews.
  • Ability to lead the work of team members and communicate with management as well as work independently with all levels of management.
  • Ability to listen and accurately document information reported.
  • Proven leadership ability with organizational, decision-making and analytical skills.
  • PC proficiency to include Workday, Word, Excel and Access.


PREFERRED REQUIREMENTS
  • Bachelor Degree in Finance, Accounting, Computer Science, Criminal Justice, Business, Health Care Administration or Education
  • Law Enforcement background.
  • Knowledge of corporate policies and organizational structure.
  • Knowledge of the Corporate Integrity and Compliance Program and regulations.
  • Certified Fraud Examiner (CFE) designation.
  • Certified Compliance & Ethics Professional (CCEP) designation or Human Resources Professional designation.
  • Juris Doctorate, Paralegal or other legal experience.
  • Investigation, auditing or related experience with a focus on corporate ethics and compliance.
  • Familiarity with external governmental agencies (i.e., EEOC, Department of Human Rights etc.


NOTE: this role is HYBRID/FLEX and requires in-office visibility three days per week, working from home the other two days. Relocation will NOT be offered; sponsorship is not available either now or in the future.

#LI-TP1

#LI-HYBRID

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

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.

Base Pay Range
$61,500.00 - $136,100.00

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

About Health Care Service Corporation

Health Care Service Corporation (HCSC) is the largest customer-owned health insurer in the United States. HCSC offers a wide variety of health insurance products and related services, through its operating divisions and subsidiaries in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC's headquarters is located in Chicago, Illinois.
Learn more about Health Care Service Corporation
Size
24,000 employees
Industry
Founded
1936

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