Lead Compliance Audit & Investigations Program Manager

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At Exact Sciences, we're helpingchange how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you're working to help others.

Position Overview

The Lead Compliance Audit & Investigations Program Manager will support the Compliance team by conducting prompt, thorough, and fair investigations of Compliance-related complaints and allegations. This position serves as the primary point of contact for conducting or directing investigations into compliance-related concerns while collaborating with other functions/team as applicable to the specific concern. In addition, this position will assist with audits related to billing, distributors, third party vendors, and Health Care Professionals ("HCPs")/Health Care Institutions ("HCIs") or other high-risk interactions.

Essential Duties

Include, but are not limited to, the following:

• Lead complex compliance-related investigations from intake through completion by developing investigation strategy, conducting witness interviews, analyzing electronic and written records, drafting investigation reports, communicating efficiently with key leadership throughout the investigation, and delivering investigative findings to appropriate stakeholders, including executive leadership.
• Create timely and comprehensive written investigation reports that clearly identify the issues investigated, relevant policies, summary of relevant evidence and findings, and basis for investigatory conclusion, including recommendations for corrective action(s).
• Maintain accurate, timely, and confidential records of investigations, evidence, and outcomes in the appropriate case management system.
• Critically analyze and recommend improvements to investigative processes, case tracking, data and reporting, and techniques in a scalable, consistent way.
• Partner with internal departments (e.g., Human Resources, Legal, Internal Audit, Regulatory, Billing, Sales, etc.) to address compliance issues.
• Partner with outside counsel and other vendors in connection with compliance-related investigations and other projects.
• Provide investigation case and issue trend data and actionable feedback to legal, human resources, and other stakeholders to reduce overall risk in the organization.
• Conduct and document audits and reviews of interactions with HCPs/HCIs and other high-risk interactions, third party vendors, and/or international distributors to assess compliance with regulatory requirements and company policy.
• Ability to analyze processes and determine if adequate controls are in place and appropriate for the related activity.
• Prepare audit reports, conduct close-out meetings, and present summaries to management.
• Make process improvement suggestions to company management based on audit results.
• Ability to manage and prioritize cross-functional projects.
• Conducting research to gain an understanding of regulatory and compliance requirements and risks.
• Ability to work independently while appropriately escalating issues when critical risks arise and maintain pulse with project activities to ensure progress.
• Ability to handle details of a highly confidential, critical and time sensitive nature, including patient and employee information.
• Apply strong interpersonal skills, including approachability and the ability to build relationships.
• Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork.
• Support and comply with the company's Quality Management System policies and procedures.
• Maintain regular and reliable attendance.
• Ability to act with an inclusion mindset and model these behaviors for the organization.
• Ability to work designated schedule.
• Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day.
• Ability to work on a computer and phone simultaneously.
• Ability to use a telephone through a headset.
• Ability to travel 35% of working time away from work location, may include overnight/weekend travel and possible international travel.

Minimum Qualifications

• Bachelor's degree in Accounting, Business, Finance, Healthcare Administration or field relevant to the essential duties of the job.
• 7+ years of direct experience with Investigations, Compliance, Audit, Health care claims, in a life science company is a plus.
• Demonstrated ability to navigate legal and regulatory environments.
• Demonstrated knowledge of the health care industry, including experience in auditing compliance with the requirements of AdvaMed, FCPA, AKS, FCA, etc.
• Demonstrated knowledge of Federal, State and local health care laws and regulations, as well as applicable regulatory agencies.
• Demonstrated ability planning and executing health care entity auditing activities.
• Demonstrated willingness to continuously take initiative and/or lead responsibilities for the team and successfully handle cross functional, large scale high impact projects.
• Highly proficient in Microsoft Office suite applications.
• Demonstrated ability to perform the essential duties of the position with or without accommodation.
• Authorization to work in the United States without sponsorship.

Preferred Qualifications

• CIA, CPA, JD, or other relevant certification.
• Experience auditing functions for diagnostic laboratories.
• Navex or other case management system Experience.

Salary Range:

Exact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage. Learn more about our benefits.

Our success relies on the experiences and perspectives of a diverse team, and Exact Sciences fosters a culture where all employees can develop personally and professionally with a sense of respect and belonging. If you require an accommodation, please contact us here.

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We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, creed, disability, gender identity, national origin, protected veteran status, race, religion, sex, sexual orientation, and any other status protected by applicable local, state, or federal law. Any applicant or employee may request to view applicable portions of the company's affirmative action program.

To view the Right to Work, E-Verify Employer, and Pay Transparency notices and Federal, Federal Contractor, and State employment law posters, visit our compliance hub. The documents summarize important details of the law and provide key points that you have a right to know.