Nov 27, 2018

Director, Special Investigations Unit (SIU)

  • Sutter Health
  • Sacramento, CA
Full time Health Care

Job Description

**Description** The Director is responsible for managing a comprehensive system wide Special Investigations Program. Establishes and ensures achievement of the Program's annual goals and objectives. Heavily influences initiatives and decisions of key multidisciplinary functions across the enterprise specific to the handling of critical investigations and guides the SVP, Chief People and Culture Officer in her leadership of the Interdisciplinary Advisory Team. Provides day to day leadership to the Special Investigations Unit (SIU) team. Ensures that universal investigative protocols, tools and templates are established and maintained. Oversees delivery of a comprehensive investigator orientation and ongoing training program. Builds and maintains strong collaboration and linkages between investigators and related disciplines across the enterprise. Leads the adoption of an effective document retention process for investigations across all disciplines. Collaborates with the Advisory Team to establish the protocols for handling high risk investigations. **Qualifications** **Education** Master’s degree from an accredited college or university in business, criminal justice, political science, or closely related field required or equivalent education/experience. **Licensure/Certifications** Valid Driver License Upon Hire required. Graduate of accredited law enforcement training academy preferred. Extensive interview & interrogation experience in a corporate or law enforcement investigative context preferred. **Experience** Significant experience in the area of investigating major potential compliance, privacy, fraud, abuse or other serious misconduct, as typically obtained in 7 or more years of increasingly responsible roles required. Healthcare experience of at least 3 of the 7 years preferred. Background as a Government or Corporate Investigator, such as for the FBI, Department of Justice or corporation preferred. **Skills and Knowledge** Excellent interpersonal, written/verbal communication and presentation skills. Ability to effectively use word processing, communication, spreadsheet and presentation applications, preferably Microsoft. Must be able to prioritize assignments and tasks to resolve investigations favorably within specified time parameters Must present as approachable, open, professional, and positive Must be willing to travel on short notice and during non-standard working hours Knowledge of applicable rules, regulations, requirements and standards, including those of Centers for Medicare and Medicaid (CMS), the Office of the Inspector General (HRS/OIG) and other related divisions of the Department of health and Human Services (HHS), federal and state anti-kickback and physician self-referral laws (e.g. Stark and PORA), provider/practitioner licensure and scope of practice requirements, privacy and consent laws. Working knowledge of healthcare compliance, privacy, billing compliance and/or employment law. Credible leadership presence with the ability to respond to questions with logic, clarity, calmness and authority, leading to desired support of/actions by others. Consulting, persuasion and negotiation skills to move others to take appropriate action toward identified/positive outcomes, especially when a direct reporting relationship doesn’t exist. Reputation for integrity and willingness to challenge higher levels of management on issues arising through the Ethics and Compliance programs. Ability to work with all levels of individual, from staff and particularly management/senior leadership positions Sufficient communication skills to present information to appropriate levels of employees at all levels of the organization. The ability to translate legal and regulatory complexities into terms readily understood by management and line personnel. Curriculum design and delivery for professional adult learners. Well-developed skills in problem identification/analysis/resolution, organization/prioritization, timeliness and attention to detail. Demonstrated interview and interrogation experience Demonstrated ability to document investigative results and corrective action plans that are easily understandable to auditors, regulators, and others, as appropriate Demonstrated comfort level w/ internal systems or demonstrated ability to learn new systems Demonstrated past experience working with C-suite-level executives **Primary Location:** California, Greater Sacramento Area, Sacramento **Organization:** Sutter Health System Office **Employee Status:** Regular **Benefits:** Yes **Position Status:** Exempt **Union:** No **Job Shift:** Day **Shift Hours:** 8 Hour Shift **Days of the Week Scheduled:** Monday-Friday **Weekend Requirements:** Other **Schedule:** Full Time **Hrs Per 2wk Pay Period:** 80 All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.

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