[Hiring] Corporate Ethics & Compliance Investigator @Centene Corporation

Role Description

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, including:
  • Defining investigation strategy
  • Preserving evidence
  • Conducting interviews
  • Analyzing records
  • Conducting root cause analysis
  • 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.
• 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.

Qualifications

• Bachelor's Degree in 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.

Requirements

• Certified Fraud Investigator preferred.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field, or office work schedules