Director, Ethics & Investigations

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose: Conduct ethics & compliance investigations, assist in translating investigative findings into corrective action, and support ethics and compliance strategy, program development, policies, and communication

• Conduct ethics and compliance investigations, prepare high-quality written reports, and present findings as appropriate to stakeholders, including business leaders, human resources, and legal counsel
• Proactively identify and pursue investigative opportunities based on risk assessments, data analysis, and industry trends to spotlight compliance risk
• Draw actionable insights from investigative findings and trends, and communicate insights to business and compliance partners to facilitate scalable, sustainable risk mitigation 
• Review and resolve escalated ethics and compliance concerns communicated by external stakeholders
• Work at the direction of and in collaboration with legal counsel to conduct investigative work in connection with anticipated or active litigation
• Take a leading role in the development, review, revision, and presentation of ethics and compliance policies, including the Company’s Code of Conduct, and training
• Act as a strategic partner and advisor for Company employees and leaders on ethics issues, and serve as a model for the Company’s core values and behaviors

Education/Experience: Bachelor’s degree in related field or equivalent experience. 5+ years of experience conducting internal investigations, or equivalent experience, required. 5+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits; 2+ years experience in the development of compliance and fraud programs; 2 years experience with overseeing implementation of contract requirements. Previous management experience.

Advanced degree preferred, with emphasis on strong analysis, critical thinking, and writing. 3+ years experience in the healthcare industry preferred.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act