Health Care Service Corporation
Health Care Service Corporation
Health Care Service Corporation (HCSC) — Blue Cross Blue Shield Association ұйымының тәуелсіз лицензия иегері әрі АҚШ-тағы жетекші медициналық сақтандыру және денсаулық сақтау қызметтері ұйымдарының бірі. Компания жұмыс берушілерге, жеке тұлғаларға, отбасыларға, сондай-ақ Medicare және Medicaid бағдарламаларының қатысушыларына арналған сақтандыру және жеңілдіктер бағдарламалары арқылы шамамен 23 миллион адамға қызмет көрсетеді. HCSC медициналық сақтандырудан бөлек, дәріхана қызметтерін, өмірді және стоматологиялық сақтандыруды, сондай-ақ денсаулық сақтау деректеріне арналған технологияларды ұсынады. Бір ғасырға жуық тәжірибесі бар компания сақтандыру, денсаулық сақтау және консалтинг салаларында жұмыс істеп, медициналық көмекке қолжетімділікті кеңейтуге, денсаулық нәтижелерін жақсартуға және мүшелер мен қауымдастықтар үшін шығындарды басқаруға ықпал етеді. Оның ауқымды қызметі денсаулық сақтау жеңілдіктері, медициналық қызметтер, технология, деректер және соған байланысты бизнес-функциялар бойынша мансап мүмкіндіктерін қалыптастырады.

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.

Сипаттама

  • 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.

Талаптар

  • 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.

Артықшылықтар

  • 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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