Healthcare Compliance Investigator

Description

Are you passionate about upholding integrity and fostering a culture of ethical behavior? As a Compliance Investigator, you'll play a crucial role in safeguarding our organization by conducting in-depth investigations into potential compliance issues and ensuring adherence to federal and state regulations and UCLA Health policies. This role offers an opportunity to work closely with diverse departments, making a tangible impact on our commitment to compliance and ethical standards. Primary duties include:

• Lead comprehensive investigations of reported compliance issues, such as fraud, waste, and abuse, with a focus on protecting the integrity of UCLA Health.

• Gather and analyze data, documentation, and evidence to support investigative findings.

• Conduct interviews with employees, patients, and external entities.

• Develop detailed investigative reports outlining findings, conclusions, and recommended corrective actions.

• Monitor the implementation of corrective actions and track their effectiveness.

• Serve as a trusted advisor, providing guidance on compliance matters and promoting awareness of our policies.

• Assist in developing and delivering compliance training to employees.

• Monitors and analyzes casework trends and provide strategic recommendations.

The full annual salary range for this position is $112,900.00 - $256,900.00/year. Please note - the department's target pay range: $115,000 - $160,000/year.

Qualifications

• Minimum 7 years of relevant experience (e.g. conducting complex investigations, interviewing witnesses, preparing investigation reports). * Prior experience as an investigator for a state or federal investigation agency (e.g., HHS OIG, FBI, etc.) is highly desirable. * Strong knowledge of federal and state healthcare regulations, including the False Claims Act, HIPAA, Stark Law, Anti-Kickback Statute, and other relevant laws.* Experience in preparing educational content for training purposes.* High level of integrity and ethical conduct, with a commitment to maintaining confidentiality.* Strong interpersonal and communication skills, with the ability to interact effectively with individuals at all levels of the organization.* Ability to manage multiple investigations simultaneously and meet deadlines.* Advanced degree (JD or Master's degree) is preferred.

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us apart.