Compliance System Administrator and Investigator Job – Indianapolis, IN

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Conduct impartialinvestigations of incidents, in close collaboration with Legal Counseland other senior level staff.
• Receive confidential questions/concerns from employees, parents/guardians and community concerning compliance situations.
• Investigate questions/concerns receivedby email, voicemail, drop-ins, compliance hotline,etc. to determine specifics and provide recommendations for resolution or refer concern to appropriate individual(s) for additional investigation/follow-up.
• Respond to reports of incidents alleging Fraud, Waste, Abuse, HIPAA, and sentinel events in a thorough manner and, when necessary, conductinvestigations; maintain clear communication with all involved parties.
• Plan and conductconfidential investigations of incidents and complaints; identifyand conduct interviews with all involved parties, gather and secure relevant documentation; analyze data, compare incident reports to legal standards and policies, and develop recommendations to address and resolve issues.
• Provide a detailed report summarizing the investigation/findings of the investigation, in accordance with company policy,and when applicable, local, state and federal rulesand regulations.
• Consult with regionalpersonnel on creatingand maintaining an equal opportunity environment and the interpretation and consistent application of local, state, and federal rules, regulations and policies.
• Work collaboratively with HR and other departments, for appropriate follow-up after report summaries and findingsof investigation(s) are completed to document corrective action and potential resolution.
• Assist clinics and associated regionalteam members with incidents and investigations regarding bullying.
• Assist in researchand development of training relatedto all aspects of compliance; identify training needs and implement broad-based and customized training across all levels of employees and students on compliance topics.
• Plan and conduct compliance monitoring reviews; verify documentation to support certified monitoring plans where applicable; develop recommendations for corrective actionbased on findings.
• Follow-up and monitorto verify that corrective actionshave been implemented.
• Analyze existing policies, identify gaps, and recommend new/revised policies, procedures, and approval processes.
• Serve as the primary systemadministrator for Hopebridge’s compliance intake system(hotline and case management platform), including managinguser access and permissions, configuring intake workflows and case routing rules, and maintaining system settings to ensure accurate and timely case handling.
• Monitor the compliance intake system’s performance and data integrity; troubleshoot issues, coordinate with IT and third-party vendors to resolvetechnical problems, and lead or support system upgrades, enhancements, and user acceptance testing.
• Develop, maintain, and distribute dashboards, scorecards, and reportsusing data analytics tools to track key compliance metrics, including case volume, case type, source, resolution timeframes, and outcomes.
• Analyze intake and investigation data to identifytrends, patterns, and emerging risk areas across the organization; translate findings into actionable insights and recommendations for compliance leadership.
• Safeguard the security,confidentiality, and integrityof all data housed withinthe compliance intake system, in accordance with HIPAA and Hopebridge data governance policies.
• Support internal and external audits of the intake system’s data, controls, and reporting processes, and maintain up-to-date system documentation, user guides, and standard operating procedures.
• Perform various administrative functions: processes transactional information; perform data entry and record updates for employee tracking, records maintenance, and database management.
• Prepare correspondence and memorandums; maintain files, forms, documentation and information in accordance with policies and procedures; performspecial projects as directed and prepare reports as required.
• Follow and promoteHopebridge’s mission and priorities in compliance with all policiesand procedures.
• Review contracts for compliance with district requirements.
• Perform other dutiesas assigned.
• Attends and participates in required educational training sessions and staff meetingsas scheduled and assigned
• Completes all assignedmandatory training modules.
• Follows all state and federallaws, including HIPAA.
• Maintain a clear criminal record