Top 10 Senior compliance investigator Jobs in Nevada

Senior Compliance Investigator
Centene —Nevada
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
12d
Lead SIU Investigator
Centene —Nevada
- $70,100 - $126,200 a year
- Full-time
- Remote
- Master's degree
- High school diploma or GED
- Mentoring
- Paid holidays
- Health insurance
MSL/Senior MSL, Hematology/Oncology - Northwest
AbbVie —Las Vegas, NV
- $124,500 - $236,500 a year
- Full-time
- Doctoral degree
- Travel
- Senior level
14d
Senior Clinical Research Coordinator
Kyvexa Clinical Trials —Las Vegas, NV
- $25 - $30 an hour
- Full-time
- Spanish
- CPR Certification
- Patient monitoring
Quick Apply
8d
General Liability Senior Technical Specialist
The Travelers Companies, Inc. —Las Vegas, NV
- $94,400 - $155,800 a year
- Hybrid work
- Residential
- High school diploma or GED
- Analysis skills
- Wellness program
- Continuing education credits
Archaeology Project Manager/Principal Investigator
Westland Resources —Reno, NV
- $95,000 - $109,000 a year
- Online Application
- Hybrid work
- 5 years
- Master's degree
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Dir, Epidemiology Pipeline (TA - Virology)
サイネオス・ヘルス —Nevada
- Urgently hiring
- Remote
- Doctoral degree
- Master's degree
- Budgeting
- Employee stock purchase plan
- Health insurance
Principal Investigators (Field Based)
ERM Group —Elko, NV
- $43.22 - $60.67 an hour
- Full-time
- Management
- Construction site
- 5 years
- Disability insurance
- Health insurance
9d
Dir, Epidemiology Pipeline (TA-Oncology)
サイネオス・ヘルス —Nevada
- Urgently hiring
- Remote
- Doctoral degree
- Master's degree
- Budgeting
- Employee stock purchase plan
- Health insurance
Dir, Epidemiology Pipeline (TA-Immunology)
サイネオス・ヘルス —Nevada
- Urgently hiring
- Remote
- Doctoral degree
- Master's degree
- Budgeting
- Employee stock purchase plan
- Health insurance

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Columbus - Senior Compliance Safety & Health Officer - PN:20068558
State of Ohio - Workers' Compensation —Columbus, OH
Ability to: (1)recognize unusual or threatening conditions & take appropriate action, (2)define problems, collect data, establish facts & draw valid conclusions…
$38.01 - $55.80 an hour
12d
Research Senior Technician - Pathology
The Ohio State University Wexner Medical Center —Columbus, OH
Research Technician to conduct complex scientific investigations in a foundational (basic) research laboratory in the Department of Pathology functioning as a…

I want to receive the latest job alert for senior compliance investigator in nevada

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

senior compliance investigator jobs near nevada

Risk And Compliance Investigator jobs in Nevada

Project Manager jobs in Reno, NV

Director jobs in Nevada

Director jobs in Morrisville, NC

Senior Technical Specialist jobs in Meriden, CT

Senior Technical Specialist jobs in Moundsville, WV

Overnight Shift Technical Support Remote jobs in Texas

Technical Support Engineer jobs in San Francisco Bay Area, CA

Senior Technical Specialist jobs in Atlanta, GA

Housekeeping Senior Living jobs in Phoenix, AZ

Insurance Investigator jobs in California

Risk And Compliance Investigator jobs in Iowa

Compliance jobs in Colorado

Risk And Compliance Investigator jobs in Oakland, CA

Risk And Compliance Investigator jobs in Los Alamitos, CA

Risk And Compliance Investigator jobs in Schaumburg, IL

Clinical Research jobs in Minneapolis, MN

Clinical Informatics jobs in Washington, DC

Senior Clinical Research Coordinator jobs in Washington, DC

Senior Clinical Research Coordinator jobs in Kansas City, MO

Senior Compliance Investigator

Centene -
Nevada

Apply Now

Job Details

Full-time
$70,100 - $126,200 a year
12 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Investigations regulatory compliance
Medical law
State healthcare regulations
Investigating compliance violations
Risk & issue management

Full Job Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Under the general direction of the VP of Compliance Investigations this position assists with the development, implementation, and continuous monitoring of an enterprise-wide Compliance Investigations Program and leads the Company's Compliance Investigations for all Business Units, Health Plans, and Corporate functions. Leads and oversees compliance and ethics investigations, facilitates and leads meetings with business management and cross-functional stakeholders, and prepares, reviews, and analyzes internal and external reporting. Supports the Director, Ethics & Investigations in the day-to-day operations of the Compliance Investigations Unit (CIU).

Leads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions.
Independently evaluates and assesses allegations to determine applicable criteria, including federal and state regulations, the Centene Code of Conduct, and internal policies, procedures, and standards that are alleged to have been violated.
Adheres to Compliance Investigation workplans and protocols and conducts investigations in compliance with established protocols and timelines.
Provides weekly case summaries and adheres to established minimum case review quotas to ensure timely progression and resolution of the investigative caseload.
Ensures all investigative findings are clearly tied to applicable company policies (e.g., Code of Conduct), federal and state regulations, and to maintain regulatory defensibility and support appropriate remediation.
Provides timely reports, both orally and in writing, to the Director of Ethics & Investigations and/or senior management regarding the status and outcomes of investigations.
Thoroughly documents, organizes, and reviews case files within centralized case management systems (e.g., Archer) in accordance with Company policy and CIU protocols.
Collaborates cross-functionally with other departments, including Legal, People Relations, SIU, Privacy, Finance, and Business Operations on investigations and the investigative process.
Prepares and analyzes departmental metrics, including investigation KPIs, case aging, and trending data, and makes recommendations accordingly.
Prepares presentations and presents findings to departmental and business management, executive leadership, and other stakeholders as needed.
Identifies risks, interprets investigation results, and recommends and communicates remedial actions to mitigate future potential risks.
Performs follow-up to ensure remedial/disciplinary measures are implemented appropriately and timely, including tracking remediation activities through case management systems.
Assists with various projects as assigned by the Director of Ethics & Investigations or the VP of Compliance Investigations.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.
4+ years of experience in investigations, auditing and risk analysis required.
1+ year of experience in reading, analyzing and interpreting State and Federal laws, rules and regulations required.

Preferred Qualifications:

Managed care or health insurance company experience preferred.
Experience with compliance case management systems (e.g., Archer, Navex) preferred.
Demonstrated experience conducting ethics and compliance investigations in a regulated healthcare environment preferred.
Experience collaborating with cross-functional teams including Legal, People Relations, SIU, and Privacy preferred.

Licenses and Certifications:

Certified Fraud Examiner (CFE) preferred.
Certified Compliance & Ethics Professional (CCEP) or Certified Healthcare Compliance (CHC) preferred.

Pay Range: $70,100.00 - $126,200.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

senior compliance investigator jobs in nevada

Senior Compliance Investigator

Lead SIU Investigator

MSL/Senior MSL, Hematology/Oncology - Northwest

Senior Clinical Research Coordinator

General Liability Senior Technical Specialist

Archaeology Project Manager/Principal Investigator

Dir, Epidemiology Pipeline (TA - Virology)

Principal Investigators (Field Based)

Dir, Epidemiology Pipeline (TA-Oncology)

Dir, Epidemiology Pipeline (TA-Immunology)

Explore jobs in cities nearby

I want to receive the latest job alert for senior compliance investigator in nevada

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected