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Health Care Service Corporation
Health Care Service Corporation
H1B Visa SponsorConsultingHealthcareInsurance
Health Care Service Corporation (HCSC) is an independent licensee of the Blue Cross Blue Shield Association and a major U.S. health insurance and healthcare services organization. It serves nearly 23 million people through coverage and benefit programs for employers, individuals, families, and members of Medicare and Medicaid. Beyond health insurance, HCSC provides pharmacy services, life and dental coverage, and health data technology. With nearly a century of experience, the company works across insurance, healthcare, and consulting to expand access to care, support better health outcomes, and help manage costs for members and communities. Its broad operations create career opportunities spanning health benefits, healthcare services, technology, data, and related business functions.
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Compliance Investigator

Investigate alleged misconduct and policy violations at Health Care Service Corporation, prepare findings, and recommend corrective action. The role also monitors compliance risks and advises on conflicts of interest and company policies.

USUnited StatesILIllinoisTXTexas
$63,300 – $114,300 / year
HybridFull-timeMiddleSeniorEnglish RequiredCompliance

Description

  • Investigate reports of misconduct and possible violations of the Code of Conduct or company policies.
  • Write detailed reports summarizing investigation findings.
  • Recommend corrective measures to senior management, including discipline up to termination.
  • Investigate and analyze areas rated moderate risk in the annual risk assessment.
  • Track corrective action plans across HCSC and its subsidiaries.
  • Advise on conflicts of interest and how company policies should be interpreted.

Requirements

  • Bachelor’s degree in criminal justice, business, health care administration, or human resources plus three years of experience researching and investigating inquiries, or seven years of such experience.
  • Experience conducting internal investigations and interviewing individuals.
  • Understanding of human resources policies and procedures.
  • Knowledge of federal and state employment laws.
  • Strong verbal and written communication skills.
  • Ability to listen carefully and accurately document reported information.
  • Organizational, decision-making, and analytical skills.
  • Experience using a computer, including Word, Excel, and database applications.
  • Preferred: Knowledge of corporate policies and organizational structure.
  • Preferred: Knowledge of the Corporate Integrity and Compliance Program and related regulations.
  • Preferred: Certified Fraud Examiner (CFE) designation.
  • Preferred: Certified Compliance & Ethics Professional (CCEP) designation.
  • Preferred: Juris Doctor, paralegal training, or other legal experience.
  • Preferred: Familiarity with external government agencies, including the EEOC and Department of Human Rights.
  • Employment may be contingent on successful completion of drug screening, in accordance with applicable law.

Benefits

  • Professional development plans and opportunities.
  • Health and wellness benefits.
  • 401(k) savings plan.
  • Pension plan.
  • Paid time off.
  • Paid parental leave.
  • Disability insurance.
  • Supplemental life insurance.
  • Employee assistance program.
  • Paid holidays.
  • Tuition reimbursement.
  • Other incentives.
  • Annual incentive bonus plan.

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