Healthcare Compliance Investigations Manager

NorthStar Anesthesia

Healthcare Compliance Investigations Manager overseeing investigations for NorthStar Anesthesia, a nationwide provider of anesthesia care. Driving regulatory adherence, reporting, corrective actions, and risk mitigation.

Posted 8/4/2026full-timeIrving • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare compliance investigations, including conducting interviews, preparing reports, and implementing corrective actions. Proficient in compliance risk assessment, data analytics, and maintaining knowledge of federal and state healthcare regulations.

Highest-signal resume keywords

Healthcare ComplianceInvestigative ReportingCompliance Case Management SystemsProfessional Certification in Healthcare ComplianceData Analytics

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Investigative ReportingCompliance Risk AssessmentCorrective Action PlanningData AnalyticsHealthcare Compliance

Soft Skills

Strong JudgmentExcellent Interviewing SkillsStrong Written Communication SkillsAttention to DetailStrong Organizational Skills

Tools & Technologies

Compliance Case Management SystemsElectronic Health RecordsReporting DashboardsMicrosoft ExcelMicrosoft Word

Certifications & Qualifications

Professional Certification in Healthcare Compliance

Industry Keywords

Healthcare RegulationsFraud, Waste and AbusePayer RequirementsPrivacy and SecurityCompliance Program Requirements

About the role

Key responsibilities & impact

Lead and oversee NorthStar’s compliance investigations function, including intake, triage, prioritization, planning, documentation, resolution, reporting, follow-up, and closure
Conduct interviews and gather and review relevant documentation
Prepare investigative reports, action plans, and follow-up materials
Consult with compliance program staff on investigative strategy and execute consistent investigation practices
Ensure preservation and appropriate recordkeeping of investigation documentation and case records
Evaluate and escalate allegations involving healthcare laws, regulations, payer requirements, privacy and security, billing practices, fraud, waste and abuse, and ethical conduct
Conduct the annual compliance program awareness survey, report results, and implement corrective actions
Partner with relevant departments to coordinate, resolve, and track investigations
Recommend policy updates, education, monitoring, repayment review, disciplinary referral, and process improvements
Monitor investigation metrics, timelines, outcomes, and corrective action plans for leadership reporting and oversight
Synthesize complex information, perform root cause analysis, identify compliance trends, and develop risk mitigation strategies
Prepare investigation summaries, trend reports, and recommendations for senior leadership, compliance committees, and oversight forums
Maintain current knowledge of healthcare compliance requirements, including HIPAA, fraud, waste and abuse standards, federal and state healthcare program rules, and internal policies

Requirements

What you’ll need

Bachelor’s degree in Business, Healthcare Administration, or related field of study
Experience conducting investigations in a hospital, health system, physician group, or other regulated healthcare environment
Competency in healthcare compliance
2+ years of supervisory, team lead, project lead, or case management experience, preferably in healthcare compliance or investigations
Professional certification in healthcare compliance or investigations required
Experience using compliance case management systems, audit tools, electronic health records, claims data, reporting dashboards, and data analytics
Knowledge of compliance risk assessment, corrective action planning, monitoring, reporting, and governance practices
Strong judgment and objectivity when assessing sensitive matters
Excellent interviewing, listening, and fact-gathering skills
Strong written communication skills and ability to produce clear, organized reports
High attention to detail and ability to manage complex information with discretion and professionalism
Expertise in Microsoft Office applications, including Excel, Word, and PowerPoint
Current knowledge of applicable federal and state healthcare regulations
Knowledge of compliance program requirements and procedures
Strong critical thinking and analytical skills
Excellent verbal, written, and presentation skills
Strong organizational and planning skills with ability to manage competing priorities
Ability to maintain strict confidentiality and ethical conduct
Ability to create reports, dashboards, graphs, and charts

Benefits

Comp & perks

Position can be performed from anywhere within the United States
Virtual work environment
Work site attendance may be required from time to time in accordance with business conditions