Providence Health & Services Director of Investigations in Beaverton, Oregon
Providence is calling a Director of Investigations. This role can sit in Providence Southgate II in Renton, WA or the System Office in Irvine, CA.
In this position you will have the following responsibilities:
Report to the Senior Vice President (SVP)/Chief Risk Officer
Provide direction and expertise for the organization's workplace investigations conducted under the whistleblower policy. These investigations involve all areas of improper activity including claims of harassment, discrimination, retaliation and violations of Providence St. Joseph Health (PSJH) policies and procedures. Investigations that are conducted by or supervised by the Director of Investigations regularly involve highly sensitive, complex, confidential and time sensitive matters.
Be the direct supervisor of internal staff investigators and be responsible for management and oversight of outside investigators retained for specific matters.
Implement Whistleblower Policies and recommend updates for compliance with State regulations.
Act as a liaison to ministries, affiliates and non faith based affiliates for major workplace investigations and information sharing throughout the system.
Publicize anti-fraud efforts through digital media, corporate presentations, intranet articles, posters, brochures, and ongoing training to raise the level of fraud, waste, and abuse awareness within PSJH and the provider community.
Be responsible for the development of system-wide training programs to enhance technical skills for all areas of the workplace investigation process.
Oversee the system-wide hotline by monitoring and reporting activities to ministry, affiliates and non faith based affiliate's management, the board and senior leadership.
Interact regularly with relevant senior management and chief executives on matters concerning investigation findings and outcomes. These interactions frequently involve the presentation of difficult options to senior level leaders regarding matters of significance.
Be the primary liaison with the police and outside investigators including regulatory agencies, with the goal of instilling confidence in PSJH's workplace investigation program.
Participate with other senior managers to establish strategic plans and objectives.
Required qualifications for this position include:
Law degree -or- advanced degree
State Bar licensure/certification in principle investigator within 1 year of hire
10 years of experience in fraud and abuse investigations
10 years of experience in healthcare fraud
Ability to analyze and interpret financial data
Demonstrated ability to plan and organize a system wide program requiring leadership and consensus building skills Knowledge of the workings of the law enforcement community and the ability to establish contacts with the police, FBI, district attorney's office, and other regulatory/investigatory agencies
Demonstrated ability to work as a leader in a collaborative environment, to exercise good judgment, and to bring about consensus on sensitive and politically charged issues among groups possessing diverse options and requirements
Strong investigation background including interviewing skills and the ability to draw out information, interpret responses, and ferret out the truth.
Highly developed technical skills in the conduct of complex and sensitive workplace misconduct investigations.
Excellent oral and written communication skills that demonstrate the ability to effectively synthesize, convey and explain information to individuals of all levels of the organization
Ability to draft clear, concise and logical reports, correspondence and summaries
Demonstrated ability to work independently and prioritize projects for completion in a timely manner and ability to work closely with the General Counsel's Office
Knowledge of the rules of evidence, federal and state laws protecting employees against harassment, discrimination, retaliation and employee privacy rights, etc.
Ability to serve as a witness and perhaps, as an expert witness, for the organization in administrative hearings, depositions and in court trials
Excellent qualitative and analytical skills as shown by work experience that demonstrates ability to identify, analyze and investigate potential problems; propose and develop action plans; and implement plan to resolve identified issues
Demonstrated understanding of workplace investigations and process
Ability to be an effective trainer both in a classroom setting and on the job
Demonstrated problem solving skills
Preferred qualifications for this position include:
Coursework/training in workplace misconduct investigations
State Bar License in a PSJH state
Private Investigator (PI) licensePSJH state operating in
5 years of progressively increasing management responsibility leading to high-performing teams and supervising staff investigators
About the department you will serve.
Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
We offer a full comprehensive range of benefits - see our website for details
As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.
Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 82,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 600 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Audit / Legal / Risk
Other Location(s): California-Irvine, California-Burbank, Oregon-Beaverton
Req ID: 163264