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Compliance Investigations Manager

United States, Denver 90000.00 - 120000.00 USD / Year · Job Posted January 10, 2026
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Job Description

A Compliance Investigators Manager ensures an organization follows laws, regulations, and internal policies by conducting investigations into potential breaches like fraud, harassment, or non-compliance, gathering evidence, interviewing witnesses, preparing detailed reports, and recommending corrective actions to mitigate risk and maintain integrity, requiring strong analytical and communication skills.

Job Responsibility

  • Conduct Investigations: Probe potential violations of laws, regulations (e.g., healthcare, finance), and company policies
  • Gather & Analyze Evidence: Collect and interpret data, documents, and physical evidence, in collaboration with other Compliance staff
  • Interview Stakeholders: Speak with witnesses, complainants, and subjects to uncover facts
  • Document Findings: Prepare comprehensive reports, summaries, and investigation plans, detailing findings and evidence
  • Risk Assessment: Identify vulnerabilities and areas prone to non-compliance
  • Recommend Solutions: Suggest corrective actions and improvements to policies and procedures
  • Liaise: Work with legal, HR, and other departments, and sometimes external agencies
  • Conflict of Interest: Develop, implement, and oversee the organization's COI program, acting as an expert to train staff, manage disclosures, research potential conflicts, and ensure compliance with laws/policies
  • Manage the Investigations & COI software portal
  • Handling complaints and disclosures via the Convercent portal (e.g., discrimination, fraud, contract breaches, COI). Review for new submission, assign owners, open/close investigations, clear disclosures
  • Maintaining meticulous records of all investigative and COI activities
  • Providing training or presentations on compliance matters
  • Schedule monthly meetings with CCO, Director of Compliance, and Director of Safety to provide updates on all outstanding investigations
  • Schedule Monthly meetings with CCO, VP Associate General Counsel, Senior Director Employee Relations to provide updates and reviews of all outstanding COIs and disclosures
  • Prepare and distribute monthly Ethics & Integrity Action Line Updates to ELT
  • Manage COIs by implementing yearly campaigns, distribution of communications, follow up on outstanding COIs, and escalation of non-compliance

Requirements

  • Bachelor's degree in a related field (Business, Finance, Criminal Justice) or a combination of related experience and education
  • Minimum of five years' related experience
  • Analytical & Investigative Skills: Strong ability to find and interpret evidence
  • Communication: Excellent written and verbal skills for reports and interviews
  • Integrity & Discretion: Handle sensitive information ethically
  • Industry Knowledge: Familiarity with relevant laws (finance, healthcare, etc.)

Nice to have

  • Prior experience with legal compliance investigations
  • Experience working within healthcare EMR
  • Healthcare administration

What we offer

  • medical/dental/vision insurance
  • short and long-term disability
  • life insurance and AD&D
  • supplemental life insurance
  • flexible spending accounts
  • 401(k) savings
  • paid time off
  • company-paid holidays

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