• Ensures the integrity, quality, and compliance of healthcare investigations through audits, process improvements, and collaboration with investigative teams. • Combines analytical review, training, reporting, and some policy development to support organizational goals and regulatory standards. • Conduct regular audits of Special Investigation Unit (SIU) and Compliance Investigation Unit (CIU) investigative case documentation and notes to ensure compliance. • Assist in identification of trends, discrepancies, or potential areas of risk, providing actionable items to leadership. • Develop and maintain audit tools, scorecards, and tracking systems. • Collaborate with Investigative teams and leadership to address audit findings and implement remediation plans. • Monitor implementation of process changes to ensure sustained compliance and improved quality outcomes. • Provide feedback and support to investigative leadership on documentation requirements, best practices, and quality standards. • Participate in training sessions to support ongoing staff education related to compliance and investigation excellence. • Prepare audit reports and present findings to management with clear insights and recommendations. • Track performance metrics, compliance trends, and improvement initiatives to measure program effectiveness.