# Healthcare Investigations Manager

**Company:** [OpenLoop](https://hotfix.jobs/companies/openloop)
**Location:** Remote
**Role:** Legal
**Skills:** Healthcare Compliance, Healthcare Investigations, HIPAA, Security Policies, It Security, Compliance Hotline, Case Management, Root-Cause Analysis, Policy Gap Analysis, Exclusion Screening, Self-Disclosures, Oig Guidance, Data Analysis, Compliance Reporting, Team Management
**Posted:** 2026-08-21

> Owns the healthcare compliance hotline investigation function, including intake, triage, HIPAA and security investigations, remediation, exclusion screening, self-disclosures, reporting, and platform administration. The role manages a small team while partnering with Legal, Compliance, IT Security, and Operations.

## Job Description

## Responsibilities
- Own intake, triage, assignment, and investigation of compliance hotline reports.
- Conduct investigations by gathering facts, interpreting policy, analyzing data, handling sensitive matters discreetly, and escalating when necessary.
- Define findings, drive corrective actions and remediation, confirm closure, and maintain audit-ready documentation.
- Perform policy gap analysis and coordinate policy changes with organizational leaders.
- Investigate potential HIPAA and security policy violations in coordination with IT Security.
- Conduct monthly and new-vendor exclusion screenings against federal and state exclusion lists.
- Coordinate self-disclosures and escalations with Legal and compliance leadership.
- Prepare quarterly investigation and disclosure-program reports for senior leadership, the Compliance Committee, and the Board.
- Administer compliance case-management and exclusion-screening platforms, including configuration, user access, and data integrity.
- Manage and develop 2–3 direct reports while remaining hands-on with casework.

## Requirements
- Experience running a healthcare investigations or hotline function full-time, preferably in a compliance or regulatory setting.
- Experience investigating HIPAA and security policy violations, ideally with an IT Security team.
- Experience administering a compliance case-management or hotline platform.
- Ability to prepare and present investigation trends and disclosure-program data to senior leadership.
- Strong root-cause analysis, policy gap analysis, and audit-ready documentation skills.
- Familiarity with OIG guidance, particularly Elements 4 and 7.
- Experience managing a small team while handling investigations directly.
- High integrity and effective collaboration across Legal, Compliance, IT Security, and Operations.

## Nice to Have
- Certified in Healthcare Compliance (CHC) certification.

## Benefits
- Medical, dental, and vision plans.
- Flexible Spending Accounts and Health Savings Accounts.
- Flexible paid time off.
- 401(k) with company match.
- Life insurance and pet insurance.

## Similar jobs

- [Commercial Counsel](https://hotfix.jobs/jobs/b0bac8e2-0a26-43ba-b935-e40817652e15) - Postman - New York, NY - $153k – $194k/yr
- [Employment Counsel](https://hotfix.jobs/jobs/20b10d67-708e-4858-8543-35b57e1c2be0) - 6sense - Remote - $128k – $187k/yr
- [Privacy and Compliance Specialist](https://hotfix.jobs/jobs/10d5d4ca-13db-4e3c-a1bc-c0ece807c3bc) - Virta Health - Remote - $100k – $120k/yr
- [Privacy and AI Counsel](https://hotfix.jobs/jobs/d648c64b-2fe9-4b2f-84b9-f20452e21713) - Harvey - London, United Kingdom
- [Legal Operations Manager](https://hotfix.jobs/jobs/24c57dad-ee1e-4797-a030-f88c32b7185c) - Forus - New York, NY

**Apply:** https://hotfix.jobs/jobs/5a680724-f062-4f36-ba68-30fe4c9e170f
**Canonical:** https://hotfix.jobs/jobs/5a680724-f062-4f36-ba68-30fe4c9e170f