ZipRecruiter

Log In

2

Remote Risk Investigator Jobs in Tennessee (NOW HIRING)

Acadia Healthcare

Compliance Investigator

Franklin, TN · On-site +1

... and high-risk situations. This role will be located in the corporate office, with remote work capability. We are seeking a Compliance Investigator to join our Corporate Compliance team. In this ...

Akumincorp

Director, Employee Relations

Nashville, TN · Remote

$160K - $185K/yr

This will be a remote position that must be based in the United States. The Director of Employee ... Investigation Skills: Advanced expertise in conducting and managing complex, high-risk workplace ...

Humana

Senior Insider Threat Engineer

Nashville, TN · On-site +1

$110K - $151K/yr

... risk activities. Alert Triage & Tuning - Investigate Purview-generated alerts, perform root-cause ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Senior Insider Threat Engineer

Nashville, TN · On-site +1

$110K - $151K/yr

... risk activities. Alert Triage & Tuning - Investigate Purview-generated alerts, perform root-cause ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

next page

Showing results 1-20

All JobsRisk Investigator JobsRemote Risk Investigator JobsRemote Risk Investigator Jobs in Tennessee

Remote Risk Investigator information

What is a remote risk investigator?

Remote Risk Investigators are professionals who work from a remote location to identify, analyze, and mitigate risks within an organization, often related to fraud, compliance, or financial transactions. They use various tools and data sources to investigate suspicious activities, gather evidence, and create detailed reports. These specialists play a critical role in protecting companies from losses and ensuring regulatory compliance, often collaborating with other teams to resolve issues. Their work is essential across industries such as finance, e-commerce, and insurance.

How does a remote risk investigator typically collaborate with other departments to resolve complex cases?

Remote Risk Investigators frequently work cross-functionally with teams such as compliance, customer service, and legal to gather information and resolve suspicious activities. Collaboration often involves participating in virtual meetings, sharing investigative findings, and recommending actions based on analysis. Clear communication and documentation are essential, as remote investigators must coordinate efforts and ensure all stakeholders are informed. This teamwork approach helps to ensure that risk mitigation strategies are thorough and effective, even when working from different locations.

What are the key skills and qualifications needed to thrive as a remote risk investigator, and why are they important?

To thrive as a Remote Risk Investigator, you need strong analytical skills, attention to detail, and experience in fraud detection or risk management, often supported by a degree in finance, criminal justice, or a related field. Familiarity with fraud detection software, case management systems, and data analysis tools is typically required. Excellent written communication, critical thinking, and the ability to work independently are standout soft skills for this role. These capabilities are vital for accurately identifying and mitigating risks, protecting company assets, and maintaining trust in a remote work environment.

What is the difference between Remote Risk Investigator vs Remote Claims Analyst?

AspectRemote Risk InvestigatorRemote Claims Analyst
Required CredentialsRisk management certifications, insurance knowledgeClaims processing certifications, insurance industry knowledge
Work EnvironmentRemote, investigative and analytical tasksRemote, claims review and data analysis
Employer & Industry UsageInsurance companies, risk management firmsInsurance carriers, third-party administrators
Search & Comparison IntentUnderstanding risk investigation rolesUnderstanding claims processing roles

The Remote Risk Investigator and Remote Claims Analyst roles share similarities in working remotely within the insurance industry and requiring industry-specific certifications. However, Risk Investigators focus on assessing and investigating risks, while Claims Analysts handle claims processing and evaluation. Both roles are essential in insurance operations but differ in their core responsibilities and daily tasks.

What are popular job titles related to Remote Risk Investigator jobs in Tennessee?

For Remote Risk Investigator jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Remote Risk Investigator jobs in Tennessee look for?

The top searched job categories for Remote Risk Investigator jobs in Tennessee are:

Remote Risk Investigator jobs near you

Compliance Investigator

Franklin, TN • On-site, Remote

Acadia Healthcare
Hospitals • 10K+ employees

6.2

Company rating: 6.2 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

698th of 893 rated healthcare providers

People enjoy working here

Recommended by students

Recommended by parents

Learn more about Acadia Healthcareexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description

Overview
About This Role
Location: Franklin, TN corporate office with remote work flexibility
Travel: Up to 25%
The Compliance Investigator is responsible for conducting and overseeing prompt, thorough, and objective investigations of alleged or suspected violations of law, regulation, Acadia policy, and ethical standards across Acadia's facilities. This role manages investigations of high impact and complexity while relating to patients and colleagues with empathy and compassion. Supports the effectiveness of the company's Compliance Program by ensuring concerns are appropriately triaged, investigated, documented, concluded, and resolved in accordance with Company policy and procedure as well as, Federal and state requirements.
The Compliance Investigator partners closely with Legal, Human Resources, Clinical, and Operational leadership to drive standardization of the investigative process, assess risk, support and track corrective action(s), and promote a culture of accountability, integrity, and patient safety. The role requires the ability to handle sensitive matters with discretion, maintain independence and objectivity, and apply sound judgment in complex and high-risk situations. This role will be located in the corporate office, with remote work capability.
We are seeking a Compliance Investigator to join our Corporate Compliance team. In this highly visible role, you will conduct and lead investigations involving regulatory compliance, ethics, patient safety, privacy, and healthcare operations across one of the nation's leading behavioral healthcare organizations.
This position is ideal for a professional who combines strong investigative expertise with sound judgment, intellectual curiosity, and a commitment to doing the right thing. You will partner with leaders across Compliance, Legal, Human Resources, Clinical Operations, and Quality to evaluate concerns, identify risks, uncover root causes, and help drive meaningful corrective actions that strengthen compliance and protect patients.
You will manage sensitive and complex investigations with professionalism, objectivity, and empathy while contributing to a culture built on accountability, integrity, and high-quality care.
Our Mission
At Acadia Healthcare, we exist to Lead Care with Light. Every day, our teams help improve lives, inspire hope, and elevate communities through compassionate behavioral healthcare.
Compensation & Benefits
We value your expertise and dedication-and we invest in your success.
  • Competitive Base Salary commensurate with experience
  • Comprehensive Medical, Dental, and Vision Insurance
  • 401(k) Plan with Company Match
  • Paid Time Off (PTO) and recognized holidays
  • Company-paid Basic Life and AD&D Insurance
  • Employee Assistance Program (EAP) and mental wellness resources
  • Opportunities for professional growth and advancement within Acadia's nationwide network

Responsibilities
Lead Compliance Investigations
  • Conduct timely, thorough, and objective investigations involving:Healthcare regulatory compliance
    • Billing and coding concerns
    • Fraud, waste, and abuse risks
    • HIPAA privacy and security matters
    • Workplace misconduct affecting compliance or patient care
    • Patient safety and quality-of-care concerns
  • Develop investigation plans, define scope, identify key risks, and execute investigative strategies.
  • Conduct interviews with employees, leaders, and other stakeholders.
  • Collect, review, and analyze documentation, records, data, communications, and other evidence.
  • Identify root causes, control gaps, and opportunities for risk mitigation.

Manage Intake, Triage, and Case Resolution
  • Assess reports received through reporting hotlines, employees, audits, vendors, and other channels.
  • Perform risk-based triage and prioritization of compliance concerns.
  • Maintain accurate and complete case documentation throughout the investigative process.
  • Ensure investigations are conducted consistently and in accordance with company policies and regulatory requirements.

Drive Corrective Actions and Reporting
  • Translate complex findings into clear, concise, and actionable investigative reports.
  • Present conclusions and recommendations to Compliance and business leaders.
  • Partner with operational teams to develop, monitor, and validate corrective action plans.
  • Escalate significant compliance, legal, regulatory, or patient safety risks as appropriate.
  • Maintain documentation that meets legal, audit, and compliance standards.

Partner Across the Organization
  • Collaborate with Legal, Human Resources, Quality, Clinical Operations, Internal Audit, and facility leadership.
  • Support the continued evolution and standardization of Acadia's investigation processes.
  • Promote a culture of ethics, compliance, accountability, and patient-centered decision making.
  • Support organizational efforts to maintain the highest standards of integrity and regulatory compliance.

Qualifications
Required Qualifications
  • Bachelor's degree in Healthcare Administration, Business, Legal Studies, or a related field.
  • 3+ years of experience in healthcare compliance, investigations, healthcare operations, risk management, auditing, or a related discipline.
  • Working knowledge of healthcare laws and regulations, including:HIPAA Privacy and Security requirements
    • Stark Law
    • Anti-Kickback Statute
    • OIG and DOJ compliance guidance
    • Federal and state healthcare program requirements
  • Strong investigative, analytical, and critical thinking skills.
  • Excellent written and verbal communication skills, including the ability to prepare professional investigative reports.
  • Demonstrated ability to manage multiple priorities in a fast-paced environment.
  • Proficiency with Microsoft Office applications and case management systems.
  • Ability to work independently, exercise sound judgment, and manage highly sensitive information with discretion.
  • Ability to travel up to 25%.

Preferred Qualifications
  • 5+ years of healthcare compliance or investigative experience.
  • Experience in behavioral health or substance use disorder treatment settings.
  • Experience conducting complex, enterprise-wide investigations.
  • Familiarity with compliance case management and incident reporting systems.
  • Professional certification such as:
    • Certified in Healthcare Compliance (CHC)
    • Certified in Healthcare Privacy Compliance (CHPC)
    • Certified Fraud Examiner (CFE)
    • Comparable compliance or investigative certification

Why Acadia?
When you join Acadia Healthcare, you become part of a team dedicated to improving lives through compassionate care and ethical leadership. We are committed to helping our employees grow professionally while making a meaningful difference for patients, families, and communities.
At Acadia, we:
  • Lead Care with Light by supporting those who care for others.
  • Set the standard for care through accountability and excellence.
  • Lift and uplift one another through collaboration and respect.
  • Innovate quickly to save lives by improving processes and outcomes.
  • Succeed as one by working together toward a common purpose.

If you're passionate about investigations, healthcare compliance, and protecting patients while strengthening organizational integrity, we encourage you to apply.
Acadia Healthcare is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive workplace where everyone can thrive. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
AHCORP
#LI-TB1
Acadia Healthcare logo

About Acadia Healthcare

Sourced by ZipRecruiter

Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Franklin, TN, US

Year founded

2005

Social media

Facebook

View All Acadia Healthcare Jobs

What Acadia Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply