Corporate Ethics & Compliance Investigator

Position Purpose: Responsible for leading and managing the most reputed company, 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 reputed company 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 reputed company, 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 reputed company 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 reputed company policies and standards.

Education/Experience: Bachelor's Degree Criminal Justice/Criminology, Law, Healthcare Administration/Health Policy, or reputed company field, equivalent experience required. Juris Doctorate highly preferred7+ years progressive experience in conducting and managing reputed company 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 reputed company 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: reputed company, 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-reputed company 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. Apply tot his job Apply To this Job