Top 387 Healthcare administration $100,000 Jobs in Remote

Corporate Ethics & Compliance Investigator
Centene —New York, NY
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Managing Consultant – Clinical Quality Improvement – Healthcare
Berkeley Research Group, LLC —Remote
- $120,000 - $165,000 a year
- Full-time
- Remote
- Nursing
- 5 years
- Analysis skills
Managing Consultant – Quality – Sepsis/HAI - Healthcare
Berkeley Research Group, LLC —Remote
- $120,000 - $165,000 a year
- Full-time
- Remote
- Nursing
- 5 years
- Analysis skills
Managing Consultant – Quality – Patient Experience (HCAHPS) Improvement – Healthcare
Berkeley Research Group, LLC —Remote
- $120,000 - $165,000 a year
- Full-time
- Remote
- Nursing
- 5 years
- Analysis skills
Managing Consultant – Quality – Surgery Improvement – Healthcare
Berkeley Research Group, LLC —Remote
- $120,000 - $165,000 a year
- Full-time
- Remote
- Nursing
- Surgery
- 5 years
General Manager, Director of Clinical Operations
Talkiatry Management Services —Remote
- $165,000 - $175,000 a year
- Full-time
- Psychiatry
- 5 years
- Analysis skills
- Paid parental leave
- Paid holidays
Program Manager- Health Plan (Remote)
UPMC —Pittsburgh, PA
- $38.12 - $65.95 an hour
- Full-time
- Remote
- Microsoft Excel
- 5 years
- Master's degree
11d
Account Manager
Health System One —Miami, FL
- $120,000 - $135,000 a year
- Full-time
- Remote
- Microsoft Excel
- 5 years
- Mid-level
Director, State Licensure and Home Care Compliance - Remote
Sharecare —Remote
- Full-time
- Remote
- Research
- Supervising experience
- Bachelor's degree
11d
Senior Manager, Provider Partnerships
Thyme Care —Remote
- $126,000 - $140,000 a year
- Full-time
- Remote
- 3 years
- Travel
- Senior level
Quick Apply
Manager, Healthcare Technology Applications
MedVet —Remote
- $100,000 - $135,000 a year
- Full-time
- Remote
- Background check
- Computer Science
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Provider Program Manager - Provider Strat Value Base Care
TriWest Healthcare Alliance —Phoenix, AZ
- $128,000 - $140,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
- AD&D insurance
- Disability insurance
Deployment Specialist
National Veterinary Associates —Remote
- $100,000 - $125,000 a year
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
Supply Chain Assessment Manager
Vizient, Inc. —Remote
- $88,900 - $155,500 a year
- 5 years
- Analysis skills
- Quality control
Director, Utilization Management Operations
Devoted Health —Remote
- $182,000 - $248,000 a year
- Full-time
- Remote
- Travel
- In-person
- Senior level
- Dental insurance
- 401(k)
10d
Director of Strategic Operations - Remote
Medzed LLC —Los Angeles, CA
- $100,000 - $150,000 a year
- Full-time
- Remote
- 5 years
- Master's degree
- Analysis skills
Quick Apply
Director of Performance Excellence & Strategy - PACE (Remote)
Los Angeles Jewish Home —Reseda, CA
- $165,000 - $200,000 a year
- Full-time
- Remote
- Older adults
- Business Administration
- Home health
- 403(b) matching
- Paid holidays
Senior Manager, Contract Development, Provider Contracting (Remote)
Amgen —Remote
- $144,225.45 - $195,128.55 a year
- Contract
- Remote
- Writing skills
- High school diploma or GED
- Mentoring
- Disability insurance
- Health insurance
Director of Case Management
Curana Health —Remote
- Full-time
- Nursing
- Supervising experience
- Bachelor's degree
Associate Director/Director, Medicaid Entitlement & Coverage Strategy
Groups Recover Together, Inc. —Remote
- $72,000 - $130,000 a year
- Full-time
- Remote
- Background check
- Addiction Medicine
- System design
9d

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Corporate Ethics & Compliance Investigator

Centene -
New York, NY

Apply Now

Job Details

Full-time
$107,700 - $199,300 a year

Benefits

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

Qualifications

Investigations regulatory compliance
State healthcare regulations

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: Responsible for leading and managing the most complex, sensitive, and high-impact internal investigations across the organization. Serves as a strategic advisor and subject matter expert on investigative best practices, regulatory compliance, and risk mitigation. Requires exceptional judgment, discretion, and the ability to influence senior leadership decisions while ensuring adherence to federal and state regulations, internal policies, and ethical standards.

Consults with management, in-house counsel, and/or the Director of Corporate Compliance as needed to resolve difficult, highly sensitive or complex compliance issues.
Independently evaluates and assesses allegations to determine whether domestic laws, regulatory policies, or internal policies, procedures, and standards have been violated.
Plans, scopes, and conducts complex, confidential internal investigations from inception to conclusion. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Conducts, manages, and documents interviews with witnesses, as required for investigatory purposes.
Reviews investigation reports prepared by junior investigators.
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.
Plans, develops, leads, and manages multiple projects, including prioritizing and managing through execution.
Maintains meticulous case files and chronologies in accordance with best practices.
Thoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented.
Prepares clear and concise draft investigation plans and reports.
Provides support and guidance to junior investigation staff as applicable.
Attends, actively participates in, and/or leads meetings with various business area managers.
Communicates directly with Federal or State regulators.
Supports the development and maintenance of Corporate Compliance policies and procedures and workflows.
Participates in and leads special projects (e.g., auditing, training, and HIPAA compliance).
Provides support of and guidance to other associates.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience: Bachelor's Degree Criminal Justice/Criminology, Law, Healthcare Administration/Health Policy, or related field, equivalent experience required. Juris Doctorate highly preferred. 7+ years progressive experience in conducting and managing complex investigations or auditing and risk analysis required. 7+ years experience reading, analyzing and interpreting State and Federal laws, rules and regulations required. Prosecutorial experience preferred. Previous experience as an investigator within a large corporation or Federal Agency preferred.

Licenses/Certifications:
Certified Fraud Investigator preferred

Pay Range: $107,700.00 - $199,300.00 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

healthcare administration $100,000 jobs in remote

Corporate Ethics & Compliance Investigator

Managing Consultant – Clinical Quality Improvement – Healthcare

Managing Consultant – Quality – Sepsis/HAI - Healthcare

Managing Consultant – Quality – Patient Experience (HCAHPS) Improvement – Healthcare

Managing Consultant – Quality – Surgery Improvement – Healthcare

General Manager, Director of Clinical Operations

Program Manager- Health Plan (Remote)

Account Manager

Director, State Licensure and Home Care Compliance - Remote

Senior Manager, Provider Partnerships

Manager, Healthcare Technology Applications

Provider Program Manager - Provider Strat Value Base Care

Deployment Specialist

Supply Chain Assessment Manager

Director, Utilization Management Operations

Director of Strategic Operations - Remote

Director of Performance Excellence & Strategy - PACE (Remote)

Senior Manager, Contract Development, Provider Contracting (Remote)

Director of Case Management

Associate Director/Director, Medicaid Entitlement & Coverage Strategy

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