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Senior Compliance Investigations
2 months ago
The Senior Compliance Investigations & Analytics Manager is passionate about uncovering insights in the data by using descriptive analytics to tell the story and statistical modeling to recommend action steps that will support an effective Compliance program. This role will also utilize investigation best practices, tools, and processes in industry to identify any potential instances of fraud, waste, abuse, including all noncompliance with Company policies, which may involve taking corrective action. This role will partner with key stakeholders to provide insights from cases to improve detection and steer the organization towards prevention. There will also be partnering with internal and external legal teams to address sensitive investigations while improving stakeholder relationships. The Sr. Manager, Compliance Investigations & Analytics will be a key stakeholder in the implementation and tracking of the KSUS Compliance risk assessment process. This position can be based in either our El Segundo, CA location, or near any of our Boston area locations (Auburn, Charlton, or Franklin, MA). Remote may be considered in certain circumstances.
- Independently identifies and interprets broader, complex sources of information and appropriate investigative tools and technologies to resolve investigations of high risk, impact, or exposure. Coordinates and collaborates with relevant internal stakeholders to execute objectives. Distills information from complex data to prepare investigation plans and procedures.
- Conduct and document effective investigations with full understanding of corporate investigation best practices for case-handling, investigation, and case management, including investigative procedures, and monitoring case-handling activities, with consideration of sensitivity to KSUS employees, ensuring their fair and respectful treatment in accordance with applicable policies, guidelines and/or laws.
- May independently utilize advanced interview skills to schedule and conduct highly complex interviews to gather relevant information, establish facts, and determine root causes. Leverages compiled data from data review and synthesis during interviews to advance investigation. Conducts complex analyses on information gathered during interviews to validate facts, generate insights, and identify gaps or outliers in known information. Simplifies complex topics to assess root-cause analyses and remediation efforts.
- Develop and conduct risk assessments utilizing a combination of data analytics, external and internal benchmarking, and review of enforcement trends, to proactively identify the most pressing areas of risk.
- Support the risk assessment and mitigation planning process.
- Utilize technology and analytical tools to develop and analyze enterprise-wide compliance risk and other multi-functional data as needed and help tie Compliance analytics to business objectives and outcomes.
- Lead implementations of data pipelines, predictive models, and monitoring tools to analyze trends, patterns, relationships, and anomalies in the data and leverage data for actionable insights, including implementing data dashboards, predictive analytics, and other metrics to enhance effectiveness of the Compliance program.
- Engineer, develop, and maintain ongoing and ad-hoc metrics, reports, dashboards, and analyses, to demonstrate the impact and effectiveness of the work driven by the Compliance team.
II. Minimum Knowledge, Education and Skill Requirements
Required
- Bachelor's Degree required;
- Minimum of 9 years professional level experience in managing moderate to complex investigations focused on issues such as healthcare compliance, bribery, corruption, fraud and/or white-collar investigations, with demonstrated experience in writing investigative reports strongly preferred;
- Knowledge of and experience with laws, regulations, and industry guidance that affect the medical device, pharmaceutical, or life science industry;
- Demonstrated experience in a lead role conducting investigations and managing the investigative process as the lead investigator;
- Strong communicator in written and verbal form; ability to work well with senior leadership and technologists across all levels of the organization;
- Must have demonstrated high EQ and client-service orientation; able to recognize and respond quickly and pragmatically to urgent situations and demanding clients;
- Demonstrated ability to think critically and apply sound judgment;
- Exceptional data storytelling abilities to present compelling and clear insights to high-level leadership
- Ability to work with outside counsel and interact with senior management;
- Ability to maintain confidentiality;
- Strong process-orientation: has proven effectiveness in identifying, developing and implementing scalable/sustainable process and other continuous improvements to achieve organizational efficiencies and increase effectiveness;
- Experience in analyzing and integrating trends and patterns to determine root cause and identify remediation;
- Strong data manipulation and database modeling skills. Proficient in the use of technology, computers (hardware, operating systems, networks), and software at a power user level (M365, Outlook, Excel, Word, Powerpoint, Access/SQL, PowerBI, SharePoint, Copilot, etc.);
- Experience utilizing incident management platforms/software, e-Discovery platforms, data analytics, and forensic tools;
- Understanding of data management and data governance practices, including data stewards, data custodians, data lineage, data quality, data cleansing, metadata management, etc.;
- Ability to travel up to 25%
Preferred
- Experience with healthcare/fraud and abuse laws, including False Claims Act, Anti-Kickback Statute, and Food Drug & Cosmetic Act
- MBA, MS, or JD preferred
- Healthcare Compliance (CHC), Certified Compliance & Ethics Professional (CCEP), Certified Fraud Examiner (CFE), or related certification a plus
III. Essential Function
- Must be able to maintain productive working relationships and treat fellow employees with respect.
- This role has contact with all levels of employees inside the Company, as well as vendors and consultants external to the Company. This candidate will be responsible for delivering investigation reports to senior leadership, and must possess strong communication and presentation skills.
- This role requires a considerable time navigating various IT systems.
- Ability to work under fast-paced conditions, comfortable making decisions and demonstrates good judgment.
- Must have demonstrated high EQ and client-service orientation; able to recognize and respond quickly and pragmatically to urgent situations and demanding clients.
IV. Core Requirements
- Degree of accountability: Occasional oversight
- Degree of decision making: Wide variety of tasks, including many specialized task
- Financial/Budgetary: Supervised responsibility on revenues and costs
- Safety: Adhere to KARL STORZ Safety protocols
- Quality: Adhere to KARL STORZ Quality Management System
- Supervision: Supervisor position, direct supervision of others
- Authority to Sign (not applicable for North America):Travel: 10- 25% Travel during the year
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Eligible Employee Benefits
- Medical / Dental / Vision including a state-of-the-art wellness program and pet insurance, too
- 3 weeks vacation, 11 holidays plus paid sick time
- Up to 8 weeks of 100% paid company parental leave; includes maternal/ paternal leave, adoption, and fostering of a child.
- 401(k) retirement savings plan providing a match of 60% of the employee's first 6% contribution (up to IRS limits)
- Section 125 Flexible Spending Accounts
- Life, STD, LTD & LTC Insurance
- We prepay your tuition up to $5,250 per year - Tuition pre-imbursement
- Fitness reimbursement of up to $200 annually
- And much more
KARL STORZ reserves the right to change or modify the employee's job description whether orally or in writing, at any time during the employment relationship. Additionally, KARL STORZ, through its supervisors, may require an employee to perform duties outside their normal description within the sole discretion of the supervisor. Employees must comply will all applicable KARL STORZ policies and procedures.
Credentialing requirements at KARL STORZ
KARL STORZ is committed to maintaining a safe work environment for our employees and customers. Most field-based roles at KARL STORZ require hospital credentialing/health screens as a condition of employment. Credentialing can include required vaccinations, health screens & other requirements as outlined by our customers. During the interview process, we encourage you to ask how credentialing/health screens may impact the role you are seeking and if you require any reasonable accommodations regarding these requirements.
Pay Transparency
The pay range and/or hourly pay rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job posting and may be modified in the future. When determining a specific team member's base salary and/or hourly pay rate, several factors will be considered including such things as location, specialty, service line, years of relevant experience, education, professional credentials, internal equity, and the amount budgeted for the role.
Equal Employment Opportunity & Reasonable Accommodation Statement
KARL STORZ is committed to creating an inclusive space where employees are valued for their skills and unique experiences. To achieve this goal, we are committed to diverse voices, and all applicants will receive consideration without regard to race, color, sex, national origin, disability, veteran status, or any other protected characteristic. KARL STORZ is also committed to providing reasonable accommodations during our recruitment process. Should you need assistance or accommodation please email us at taoperations@karlstorz.com.
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