
Associate Director, Compliance, Investigations & Monitoring
Posted 16 hours ago

Posted 16 hours ago
This is a fully remote position, open to applicants in Massachusetts.
• Oversee the U.S. Compliance Investigations program and manage its daily operations.
• Take ownership of the investigations program framework and collaborate with HR, Legal, Compliance Business Partners, and various stakeholders.
• Establish standards for intake, triage, scoping, documentation, and closure.
• Conduct investigations that include data reviews, interviews, and evidence evaluation.
• Lead the presentation of investigation findings to senior leadership.
• Recommend remediation actions and independently manage cases of varying complexity.
• Interpret policies and carry out remediation efforts such as policy updates, training, coaching, and enhanced monitoring.
• Develop procedures, documentation, templates, guidance, and training for investigations.
• Educate cross-functional colleagues on investigation processes, documentation, and case management expectations.
• Design and continuously enhance the U.S. compliance monitoring program.
• Create and implement risk-based monitoring plans that cover field rides, speaker programs, advisory boards, training sessions, congresses, and promotional or educational events in the market.
• Refine monitoring methodologies and sampling techniques.
• Identify emerging risks, anomalies, and trends through transactional and data-driven monitoring and analytics.
• Develop dashboards and reporting packages.
• Provide periodic monitoring reports to leadership and committees.
• Assist with targeted reviews and foster a strong ethics and compliance culture.
• Collaborate with teams through both virtual and in-person meetings.
• Juris Doctor (JD) or prior experience in in-house compliance investigations at a pharmaceutical or medical device company.
• 8-12 years of experience advising pharmaceutical, biotechnology, or life sciences companies on compliance issues.
• Extensive experience in conducting internal compliance investigations and managing investigations programs.
• Proficient knowledge and significant experience in U.S. healthcare compliance for prescription products and devices.
• In-depth understanding of pharmaceutical industry regulations and therapeutic areas.
• Familiarity with the Federal Anti-Kickback Statute, False Claims Act, FDCA, OIG/DOJ guidance, PhRMA Code, U.S. state and local marketing compliance laws, and relevant enforcement actions.
• Experience in designing and implementing monitoring programs, including field-based monitoring and data-driven analytics.
• Strong commercial insight and awareness of market dynamics and business culture influences.
• Exceptional analytical and critical thinking abilities, including working with large datasets, identifying trends, and performing big-picture analysis.
• Strong interpersonal, communication, and influencing capabilities.
• Ability to engage effectively with senior leadership and stakeholders at all levels.
• Capacity to manage multiple complex issues in a fast-paced environment.
• Solid project management and organizational skills.
• Ability to handle confidential information responsibly and exercise sound judgment on sensitive investigations and monitoring matters.
• Proven commitment to compliance, ethics, and accountability.
• Willingness to travel up to 30%.
• Must be eligible to work in the United States.
• This position does not provide sponsorship for work authorization.
• Annual short-term incentive program, subject to plan terms and eligibility requirements.
• Medical, dental, and vision coverage.
• 401(k) plan with employer match.
• Paid time off.
• Competitive compensation.
• Comprehensive benefits.
• Opportunities for growth, development, and collaboration.
• Inclusive and innovative work environment.
• Reasonable accommodations for individuals with disabilities.
CVS Health
FreedomCare
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