Sr. Associate, Investigations

Role Scope:

The Sr. Associate, Investigations (“Investigator”) reports directly to the VP of Compliance (Compliance Officer) and serves a key role in ensuring investigations are completed in accordance with federal and state requirements and organizational policies to promote a culture of safety, accountability, and continuous improvement. The Investigator is responsible for conducting thorough, objective investigations into incidents, complaints, and reports related to regulatory compliance, patient safety events, potential ethical or policy violations, and quality of care issues.

Key Responsibilities:

Investigation & Analysis

• Conduct confidential and comprehensive investigations into clinical, operational, or compliance-related incidents, including but not limited to adverse events, near misses, privacy breaches, and allegations of misconduct.

• Collect and analyze documentation, medical records, and witness statements to determine root causes and contributing factors.

• Maintain accurate and timely documentation of all investigative activities in accordance with policy and regulatory standards.

• Develop written investigative reports summarizing findings, conclusions, and recommendations.

Regulatory Compliance & Reporting

• Ensure investigations comply with applicable laws and standards such as PACE regulations, US Department of Health & Human Services Office of Inspector General (HHS OIG) compliance program guidance, and US Department of Justice memos.

• Collaborate with Compliance, Grievance, and Quality teams to identify and report required events to external agencies as appropriate.

• Assist with the development of corrective action plans (CAPs).

Patient Safety & Quality Improvement

• Participate in root cause analyses (RCAs) and other participant safety review processes.

• Identify trends and systemic issues that may impact participant care quality or compliance.

• Provide recommendations to business owners for policy, training, or process changes to enhance safety and reduce risk.

Collaboration & Communication

• Work collaboratively with interdisciplinary teams, leadership, and staff to ensure transparent communication and consistent application of standards.

• Present investigation outcomes and lessons learned to relevant committees (e.g., Executive Compliance Committee and applicable Quality Committee).

• Support organizational efforts to foster a compliant culture and encourage event reporting and continuous learning.

As a member of the Compliance Department, the Investigator is also expected to represent the Compliance Program within the Habitat Health corporate team, including:

• developing and maintaining productive relationships with all levels of corporate management and staff;

• protecting Department and company confidentiality and information security; and

• championing the Compliance Program.

Minimum Qualifications:

• Bachelor’s degree in nursing, healthcare administration, public health, or related field.

• 3-5 years of experience in healthcare compliance, patient safety, or risk management.

• Experience conducting investigations in a healthcare or regulatory setting.

• Working knowledge of healthcare regulations and clinical processes.

Nice to have:

• Experience in early-stage healthcare startups

• Certified Professional in Healthcare Quality (CPHQ), Certified in Healthcare Compliance (CHC), or Certified Professional in Patient Safety (CPPS).

Knowledge & Abilities:

• Strong analytical, critical thinking, and investigative interviewing skills.

• Exceptional written and verbal communication; able to present findings clearly and professionally.

• High level of integrity and ability to handle confidential information with discretion.

• Familiarity with incident reporting systems (Ethico preferred) and electronic health records systems (EHRs).

• Ability to manage multiple investigations simultaneously and meet deadlines.

• Collaborative, team-oriented approach with a focus on continuous improvement.

Compensation:

We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. The expected salary range for this position is $83,000- $102,000 and is bonus eligible. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location.

How Habitat Health supports you:

• Medical, Dental, and Vision plans with competitive coverage for employees and dependents

• Health Savings Account with employer contribution

• Flexible Spending Account

• 12 weeks of fully paid Parental Leave for birthing and non-birthing parents

• 401k with match

• CME and License Reimbursements for clinical team members

• Short and Long Term Disability

• Voluntary Life Insurance

• Paid Vacation Time

• Paid Sick Time

• 10 company holidays

• Employee Assistance Program with access to mental health programs, legal and financial support, and much more!

Vaccination Policy, including COVID-19

At Habitat Health, we aim to provide safe and high-quality care to our participants. To achieve this, please note that we have vaccination policies to keep both our team members and participants safe. For covid and flu, we require either proof of vaccination or declination form and required masking while in participant locations as a safe as an essential requirement of this role. Requests for reasonable accommodations due to an applicant’s disability or sincerely held religious beliefs will be considered and may be granted based upon review. We also require that team members adhere to all infection control, PPE standards and vaccination requirements related to specific roles and locations as a condition of employment.

Our Commitment to Diversity, Equity, and Inclusion:

Habitat Health is an Equal Opportunity employer and is committed to creating a diverse and inclusive workplace. Habitat Health applicants are considered solely based on their qualifications, without regard to race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), gender identity, gender expression, sexual orientation, marital status, military or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), or other status protected by applicable law.

Habitat Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Habitat Health will take steps to provide people with disabilities and sincerely held religious beliefs with reasonable accommodations in accordance with applicable law. Accordingly, if you require a reasonable accommodation to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at [email protected].

Beware of Scams and Fraud

Please ensure your application is being submitted through a Habitat Health sponsored site only. Our emails will come from @habitathealth.com email addresses. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams’ option: https://reportfraud.ftc.gov/#/.