Job Details

A company is looking for a Senior Manager, Sales Investigations.Key ResponsibilitiesProvide strategic and operational leadership for the Sales Investigations Team, overseeing investigative operations and allegation intakesEstablish and govern investigation standards, protocols, and quality controls to ensure compliance with regulatory and legal requirementsLead and develop multi-layer teams, fostering a culture of integrity and continuous improvementRequired Qualifications, Training, and EducationBachelor's Degree in Compliance, Law, Criminal Justice, or related field; Master's Degree and Juris Doctor (JD) preferred6+ years of experience in compliance, investigations, law enforcement leadership, or similar roles within managed care or regulated environments2+ years of experience leading teams preferredExperience with Medicare Advantage sales distribution structures and related contractual obligations requiredRelevant industry certifications (e.g., HCCA, CFE, CPA) preferred