Sr. Associate, Investigations

At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente. 

Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations. 
 
Habitat Health is growing, and we’re looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit https://www.habitathealth.com. 

Role Scope: 

The Sr. Associate, Investigations (“Investigator”) reports directly to the VP of Compliance (Compliance Officer) and serves a key role in ensuring investigations are completed in accordance with federal and state requirements and organizational policies to promote a culture of safety, accountability, and continuous improvement.  The Investigator is responsible for conducting thorough, objective investigations into incidents, complaints, and reports related to regulatory compliance, patient safety events, potential ethical or policy violations, and quality of care issues.  

Key Responsibilities: 

Investigation & Analysis 

• Conduct confidential and comprehensive investigations into clinical, operational, or compliance-related incidents, including but not limited to adverse events, near misses, privacy breaches, and allegations of misconduct. 

• Collect and analyze documentation, medical records, and witness statements to determine root causes and contributing factors. 

• Maintain accurate and timely documentation of all investigative activities in accordance with policy and regulatory standards. 

• Develop written investigative reports summarizing findings, conclusions, and recommendations. 

 

Regulatory Compliance & Reporting 

• Ensure investigations comply with applicable laws and standards such as PACE regulations, US Department of Health & Human Services Office of Inspector General (HHS OIG) compliance program guidance, and US Department of Justice memos. 

• Collaborate with Compliance, Grievance, and Quality teams to identify and report required events to external agencies as appropriate. 

• Assist with the development of corrective action plans (CAPs). 

 

Patient Safety & Quality Improvement 

• Participate in root cause analyses (RCAs) and other participant safety review processes. 

• Identify trends and systemic issues that may impact participant care quality or compliance. 

• Provide recommendations to business owners for policy, training, or process changes to enhance safety and reduce risk. 

 

Collaboration & Communication 

• Work collaboratively with interdisciplinary teams, leadership, and staff to ensure transparent communication and consistent application of standards. 

• Present investigation outcomes