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AVP Investigations - RemoteLouisville, Kentucky

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Job # 440528 Date posted 08/03/2022

Description

LifePoint Health has an opportunity for a AVP of Investigations. This is a remote position. 
Summary:

The AVP, Investigations assists in the operation and management of the Company Investigations program and is responsible for assuring the quality of the internal investigation program to include an effective and consistent approach to reporting/intake, triage, investigation, corrective action recommendations and documentation of each step in the investigation process. The AVP will investigate, and support investigations undertaken by members of the Head of Internal Investigations, Business Integrity Partner team, the Compliance Monitoring and Regulatory Support team and market- or facility-level Ethics and Compliance Officers. The AVP will work closely with and support investigations by other functions, including Legal, Human Resources, Risk, Privacy and Security. The AVP will align their efforts to prevent, detect, and correct non-compliance and will support an environment that encourages information sharing, collaboration, and process improvement to ensure effectiveness, efficiency, and service excellence across multiple teams.

About LifePoint Health:

LifePoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities.We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

Essential Functions:

  • To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation. 
  • Responsible for continuously improving internal investigations protocol and coordinating with other functions that conduct investigations, including Human Resources, Legal, Risk, Privacy and Security.
  • Investigate, analyze, and apply judgment to complex fact patterns, including those requiring an understanding of federal health care program requirements, fraud and abuse laws and enforcement policies.
  • Supervise, support and assure the quality, thoroughness and timely completion of investigations led by members of the Investigations team, Business Integrity Partner team, the Compliance Monitoring and Regulatory Team, market- and facility-level Ethics and Compliance Officers.
  • Participate in and the lead the development of corrective action recommendations where compliance failures are identified.
  • Responsible for implementing a framework to ensure consistent corrective action recommendations across the enterprise.
  • Ensure all investigations, investigatory findings and recommendations for corrective action are appropriately documented.
  • Produce and analyze reports of investigations to identify and highlight trends or systematic concerns.
  • Participate in or otherwise support internal investigations conducted by other functional areas, including Human Resources, Legal, Risk, Privacy and Security.
  • Regular and reliable attendance.
  • Perform other duties as assigned.
  • Access to and/or works with sensitive and/or confidential information. 
  • Exhibit a comprehensive understanding of healthcare regulatory and compliance (e.g., HIPAA).  Skilled in the application of policies and procedures.  Knowledge of Business Office Standards and Recommended Practices.

Supervisory Responsibilities:

  • Responsible for supervising investigation team employee(s).
  • Ability to lead effective team initiatives around key objectives; motivates team members to achieve objectives; provides clear direction and support to team members. Works well in a team.

Knowledge, Skills and Abilities:

  • The requirements listed below are representative of the knowledge, skills and/or abilities required.
  • Moderate Computer Skills -- Frequent use of electronic mail, word processing, data entry, spreadsheets, graphics, etc. Ability to create, maintain and incorporate simple functions into documents, spreadsheets, databases, and presentations to support business objectives.
  • Complex Communication: Frequently communicates complex information and interacts with management. Can present, resolve and address delicate situations. Can motivate and persuade others.
  • Varied Business Problems: Problems are varied and complex, requiring analysis or interpretation of the situation. Problems are solved using knowledge and skills, general precedents and practices.
  • Department Specific Impact: Decisions impact the management and operations within a department. May contribute to business and operational decisions that affect the department.
  • Moderate Independent Judgement: Results are defined; sets personal own goals and determines how to achieve results with few or no guidelines to follow; supervisor/manager provides broad guidance and overall direction.
  • Project Management: Handle multiple complex projects simultaneously including task delegation, project oversight, and resource allocation.
  • Oversees and assures quality for a significant segment of a functional area within the department. 

Qualifications

Education:

Bachelor's Degree

Experience:

7+ years of experience

Certifications:

 preferred CHC, ACFE, AFHI, SHRM

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  • Benefits and Recognition

    Benefits & Recognition Our goal is to offer valuable compensation and incentive programs that enables us to attract, reward, retain, and motivate highly qualified individuals. Compensation can include bonus plans and recognition for going above & beyond.

  • Healthcare

    Healthcare We offer a variety of Health Savings Account (HSA) and PPO plan options.

  • 401(k) Plan

    401(k) Plan Employees can contribute pre-tax dollars through payroll deduction.

  • Paid Time Off

    Paid Time Off Your work/life balance is important to us. We offer our employees a flexible Paid Time Off program.

  • Wellness Program

    Wellness Program We offer tools, resources and support for weight loss, stress reduction, smoking cessation and making overall healthier choices.

  • Community

    Community Community involvement is consistent with our company's principles and with our mission of customer service and quality care.

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You have high standards. So do we. A career here will allow you to learn, thrive and grow in a positive and supportive environment where your input matters. Join us and see all that you can accomplish when you combine your talent, skills and dedication with a highly successful and compassionate healthcare leader.

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Nursing excellence practiced here. Kindred is the nation’s largest specialty hospital company, and our nurses are a big reason why. Here, you’ll engage our patients and their families by providing the skill, comfort and compassionate care needed for the best possible outcomes and reducing lengths of stay and unnecessary re-hospitalizations. Join our dedicated staff and gain valuable experience as you learn, grow and thrive in a positive and empowering environment.

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Rehabilitation is the key to everything we do. And our caring, compassionate therapists are proud to lead the way. As one of the largest providers of rehabilitation therapy in the country, we’ve been managing rehab for more than 30 years. Whether you are a physical, occupational or speech-language therapist, we have opportunities that allow you to provide exceptional care in an environment committed to career growth and continual learning and support.

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