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Director of Compliance Investigations, Senior Counsel The candidate will be responsible for: Ensuring that all Compliance and Ethics inquiries and reports are promptly assessed and, as warranted, timely and thoroughly investigated; Oversight of firm's Ethics helpline. Ensuring that files and materials related to Compliance Investigations are accurate and complete; In collaboration with Internal Audit and the Legal Department, developing for presentation to senior management a protocol for conducting Compliance Investigations; Ensuring that regulatory complaints related to, among other things, sales and marketing, are promptly and effectively investigated and resolved; Ensuring that findings and conclusions of Compliance Investigations are timely and effectively communicated to relevant stakeholders; In collaboration with Internal Audit and the Legal Department, determining whether matters and/or findings or conclusions should be disclosed to federal and/or state agencies; Managing the administration of the firm-HealthSpring “Secret Shopping” program and ensuring that identified concerns are promptly investigated, effectively remediated and monitored; and Ensuring that appropriate policies and procedures, and training and education programs, are adopted as warranted by findings in Compliance Investigations. Bachelor’s and JD degrees; certificate in healthcare compliance Required. Must have 10+ years of experience in positions of increasing responsibility, ideally with both a law firm and a company. Significant experience performing enforcement and/or internal investigations and expertise in Medicare and Medicaid program requirements. Must have outstanding verbal and written communications skills.
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