Compliance System Administrator and Investigator

Compliance System Administrator and Investigator

Indianapolis, IN

Hopebridge

As a Compliance Investigator and system administrator, you will be responsible for receiving, evaluating, triaging investigations or complaints brought to Hopebridge’s attention through a hotline, individual or group who believe that there has been a violation of policy or process.

You will need experience managing and customizing a compliance system to input investigations and track for resolution. As part of the investigation process, you will need experience in analyzing evidence, speaking to complainants and NHS/other government departments, and liaise with internal HR, Clinical, and Operational leaders to reach decisions on whether to uphold complaints. High-level responsibilities include but are not limited to reviewing and identifying complaint trends and issues, organizing and leading investigations associated with various allegations and assisting in the development of action plans for substantiated allegations.

This position also requires the ability to take the data from the investigation system and track/trend in presentations for executive leadership.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Conductimpartialinvestigationsofincidents,inclosecollaborationwith
  
  Legal
  
  Counselandother senior level staff.
• Receiveconfidentialquestions/concernsfromemployees,parents/guardiansandcommunity concerning compliance situations.
• Investigate questions/concernsreceivedbyemail,voicemail,drop-ins,compliancehotline,etc. to determine specifics and provide recommendations for resolution or refer concern to appropriate individual(s) for additional investigation/follow-up.
• Respond to reports of incidents alleging Fraud, Waste, Abuse, HIPAA, and sentinel events in a thoroughmannerand,when necessary,conduct investigations;maintainclearcommunication with all involved parties.
• Planandconductconfidentialinvestigationsofincidentsandcomplaints;identifyandconduct interviews with all involved parties, gather and secure relevant documentation; analyze data, compare incident reports to legal standards and policies, and develop recommendations to address and resolve issues.
• Provide a detailed report summarizing the investigation/findings of the investigation, in accordance with company policy,and when applicable, local, state and federal rulesand regulations.
• Consultwithregionalpersonneloncreatingandmaintaininganequalopportunityenvironment and the interpretation and consistent application of local, state, and federal rules, regulations and policies.
• Work collaboratively with HR and other departments, for appropriate follow-upafter report summariesandfindingsofinvestigation(s) arecompletedtodocumentcorrectiveactionand potential resolution.
• Assistclinicsandassociatedregionalteammemberswithincidentsandinvestigationsregarding bullying.
• Assistinresearchanddevelopmentoftrainingrelatedtoallaspectsofcompliance;identify training needs and implement broad-based and customized training across all levels of employees and students on compliance topics.
• Plan and conduct compliance monitoring reviews; verify documentation to support certified monitoringplanswhereapplicable;developrecommendationsforcorrectiveactionbasedon findings.
• Follow-upandmonitortoverifythatcorrectiveactionshavebeenimplemented.
• Analyzeexistingpolicies,identify gaps,andrecommendnew/revised policies,procedures,and approval processes.
• Serveastheprimarysystemadministratorfor Hopebridge’scomplianceintakesystem(hotline andcasemanagementplatform),includingmanaginguseraccessandpermissions,configuring intake workflows and case routing rules, and maintaining system settings to ensure…