Top 19 Investigations manager Jobs in North Carolina

Manager, Sales Investigations
Centene —North Carolina
- $87,700 - $157,800 a year
- Full-time
- Remote
- High school diploma or GED
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Manager Manufacturing Programs – Investigations
Amgen —Holly Springs, NC
- Doctoral degree
- Engineering
- Master's degree
- Health insurance
- Paid time off
8d
Financial Crime Compliance Lead
HUB International —Charlotte, NC
- $95,000 - $120,000 a year
- Full-time
- 3 years
- Finance
- Master's degree
- Health savings account
- Disability insurance
8d
Global Customs Compliance Manager
GE Vernova —Wilmington, NC
- $98,400 - $164,000 a year
- Full-time
- Spanish
- 5 years
- Pass drug screening
- Paid parental leave
- Paid holidays
Senior Manager Compliance - Broker-Dealer & RIA (Complaints/Licensing & Registrations)(Remote)
First Citizens Bank —Raleigh, NC
- $155,000 - $175,000 a year
- Full-time
- Remote
- 7 years
- High school diploma or GED
- Bachelor's degree
8d
INFLIGHT Manager of Training and Compliance
Eastern Airlines LLC —Greensboro, NC
- Full-time
- 5 years
- Analysis skills
- Supervising experience
Quick Apply
Compliance Program Manager - Physician Compliance
UNC Health —Morrisville, NC
- Full-time
- Hybrid work
- Microsoft Outlook
- 3 years
- Master's degree
Safety, Training & Compliance Manager
AMERICAN HERITAGE RAILWAYS INC —Bryson City, NC
- $75,000 - $90,000 a year
- Office
- Analysis skills
- Team management
- Health savings account
- AD&D insurance
Quick Apply
Sr Ethics & Compliance Manager
Honeywell —Charlotte, NC
- Full-time
- 5 years
- Analysis skills
- Mentoring
- Health savings account
- Paid holidays
1h
Sr Quality & Compliance Manager onsite in Concord, NC- Life Sciences/ Pharmaceutical
CBRE —Concord, NC
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Bachelor's degree
8d
Regulatory Compliance Manager US Antiboycott
Citi —Charlotte, NC
- $167,920 - $251,880 a year
- Full-time
- Hybrid work
- Office
- Analysis skills
- Bachelor's degree
- Paid holidays
- Disability insurance
Maintenance Regulatory Compliance Manager
PSA Airlines —Charlotte, NC
- Full-time
- 5 years
- Pass drug screening
- English
HR Regulatory Compliance Lead
Lowe's —Mooresville, NC
- Full-time
- Research
- Office
- Bachelor's degree
Manager of IT Risk and Compliance
REEDS Jewelers —Wilmington, NC
- Full-time
- Hybrid work
- Computer Science
- 3 years
- Bachelor's degree
- Store discount
- Disability insurance
Quick Apply
6d
Senior Trade Compliance Manager
Xylem —Charlotte, NC
- $105,000 - $120,000 a year
- Full-time
- Hybrid work
- Office
- Residential
- Master's degree
- Paid parental leave
- Paid holidays
Trade Compliance Lead
Implus —Durham, NC
- Full-time
- 5 years
- Mid-level
- Office
Quick Apply
Compliance Manager
CTSHealth —Charlotte, NC
- Full-time
- 5 years
- Office
- Master's degree
Quick Apply
Quality/Compliance Manager
US AMR-Jones Lang LaSalle Americas, Inc. —Rocky Mount, NC
- Online Application
- Bachelor of Science
- Mid-level
- Bachelor's degree
- Paid parental leave
- Paid holidays
Quick Apply
12d
Compliance Engineering Manager
EnviroScience, Inc. —Hendersonville, NC
- Full-time
- Office
- Travel
- Organizational skills
Quick Apply

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Manager, Sales Investigations

Centene -
North Carolina

Apply Now

Job Details

Full-time
$87,700 - $157,800 a year

Benefits

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

Qualifications

Investigations regulatory compliance
Caseload management
Case review audits
Health insurance knowledge
Cross-functional collaboration
Cross-functional team management
Cross-functional communication
Audit support
Documentation reviews

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Leads day-to-day operations for a team of Sales Investigators and Senior Sales Investigators responsible for investigating allegations of sales agent, agency, broker, and related sales-practice misconduct. Serves as the first-line people leader accountable for risk-based case assignment, investigative quality, timeliness, and consistent application of established standards. Ensures investigative work is documented in a clear, complete, and defensible manner and that team outputs are aligned with internal policies, CMS requirements, and audit/regulatory expectations. Partners with Compliance leadership, Legal, Sales, HR, and other stakeholders to address case-specific issues, implement corrective actions, and escalate systemic or high-risk concerns.

Directly manages, coaches, and develops investigators and senior investigators; supports hiring, onboarding, performance management, and skills development to build and sustain a high-performing investigative team.
Assigns and rebalances caseloads based on risk, complexity, investigator capability, and regulatory time sensitivity; monitors workflow to ensure timely completion of investigations and appropriate prioritization of higher-risk matters.
Oversees day-to-day investigative execution for the team, including intake-to-closure progress, adherence to investigative protocols, and consistent use of approved templates, procedures, and documentation standards.
Conducts formal quality review of investigative plans, evidence documentation, interview records, analysis, findings, and written reports; identifies deficiencies, provides coaching, and ensures work product meets established defensibility, accuracy, and completeness standards.
Serves as the primary management escalation point for complex, sensitive, novel, or gray-area matters; reviews case direction and conclusions to promote consistent, risk-based application of standards and appropriate escalation of matters requiring senior leadership review.
Ensures team members correctly apply relevant Medicare Advantage, Marketplace, Medicaid, and related sales conduct requirements, including CMS-aligned guidance and internal policy expectations; identifies competency gaps and coordinates targeted training and reinforcement.
Partners with Legal, Compliance, HR, Sales Operations, and business leaders to coordinate interviews, obtain records, validate facts, align on remediation, and support appropriate corrective and disciplinary actions.
Tracks and reports operational and quality metrics, including case volume, timeliness, aging, quality trends, outcomes, and remediation follow-through; identifies recurring issues, emerging patterns, or control weaknesses and escalates systemic risk concerns to senior leadership.
Reinforces disciplined case documentation, evidence organization, and file maintenance practices to support audit readiness, regulatory response, and consistent retention of investigative records.
Supports implementation and continuous improvement of job aids, workflows, templates, and team procedures that promote consistency, effectiveness, and defensibility in investigative operations.
Prepares or supports materials needed for audits, regulatory inquiries, internal oversight reviews, and management reporting by ensuring case records are complete, accessible, and supportable.
Promotes a culture of sound investigative judgment, accountability, consistency, and continuous improvement within the team.

Candidate Education:

A Bachelor's Degree in Criminal Justice, Law, Compliance, Healthcare Administration, or related field required or Associates with 6 years of applicable experience, or a High School/GED with 7 years of applicable experience may substitute for the Bachelors Degree
5+ years of progressive experience in compliance, investigations, SIU, FWA, audit, or related functions in managed care, healthcare, or another similarly regulated environment required.
1+ year of experience in leading or managing others required.
Demonstrated experience reviewing investigative work product for quality, evidentiary sufficiency, and defensibility required.
Demonstrated experience coordinating cross-functional case activity and remediation with business stakeholders required.

Preferred Qualifications

2+ years of direct people leadership.
Managed care or health plan experience.
Experience supporting audit responses, regulatory inquiries, or oversight reviews.
Working knowledge of Medicare sales and marketing compliance expectations, including CMS Chapter 42 and related CMS marketing guidance.
Professional certification such as CFE, AHFI, CIA, CHC/HCCA, CCP, or similar.

Pay Range: $87,700.00 - $157,800.00 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

investigations manager jobs in north carolina

Manager, Sales Investigations

Manager Manufacturing Programs – Investigations

Financial Crime Compliance Lead

Global Customs Compliance Manager

Senior Manager Compliance - Broker-Dealer & RIA (Complaints/Licensing & Registrations)(Remote)

INFLIGHT Manager of Training and Compliance

Compliance Program Manager - Physician Compliance

Safety, Training & Compliance Manager

Sr Ethics & Compliance Manager

Sr Quality & Compliance Manager onsite in Concord, NC- Life Sciences/ Pharmaceutical

Regulatory Compliance Manager US Antiboycott

Maintenance Regulatory Compliance Manager

HR Regulatory Compliance Lead

Manager of IT Risk and Compliance

Senior Trade Compliance Manager

Trade Compliance Lead

Compliance Manager

Quality/Compliance Manager

Compliance Engineering Manager

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