Investigation Specialist

Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. We are seeking a full-time Investigation Specialist to join our Quality Compliance Organization (QCO) team in Philadelphia, PA. This is a hybrid position. Travel to programs in Philadelphia and the surrounding counties is required.

Schedule:

Monday-Friday, 8:00 AM-4:00 PM with some flexibility required, plus weekend on call rotation. Earn $25.64-26.66/hour Position Summary The Investigation Specialist conducts thorough reviews and investigations of incidents across Merakey programs to protect the safety, rights, and well-being of individuals served. This role helps reduce organizational risk by ensuring timely, compliant, and accurate investigations that support Merakey's commitment to quality, integrity, and regulatory compliance. Key Responsibilities Complete assigned investigations related to consumer quality of care, including allegations of abuse, neglect, exploitation, complaints, and peer review/death investigations. Conduct investigations across Individuals with Developmental Disabilities (I/DD), Adult Behavioral Health (ABH), and Children & Families Services (CFS) programs. Utilize the Quality & Compliance Organization Management System (QCOMS) to document case activity and support Quality & Compliance KPI requirements. Navigate and maintain compliance within the Enterprise Incident Management (EIM) system for ODP, OMHSAS, and internal Service Level Agreements. Coordinate and deliver investigation outcomes during scheduled Findings Calls with Operations, HR, and other internal stakeholders. Maintain timely, professional communication with the Incident Supervisor regarding case investigations and case management activities. Collaborate with Quality & Compliance teams—including Privacy, Quality, Safety, and Compliance—on related projects and initiatives. Apply knowledge of federal/state regulations, payer standards, contracts, and corporate policies to ensure accurate investigative practices and identify policy violations. Benefits Merakey offers generous benefits that promote well-being, financial security, and work-life balance, including: Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support. Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions. DailyPay -- access your pay when you need it! On the Goga well-being platform, featuring self-care tools and resources. Access Care.com for backup childcare, elder care, and household services. Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP). Tuition reimbursement and educational partnerships. Employee discounts and savings programs on entertainment, travel, and lifestyle. Access to Pryor Online Learning for free online personal development classes. Learn more about our full benefits package - https://www.merakey.org/careers/benefits About Merakey Merakey is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year. Click here to watch a video about Merakey. Merakey strictly follows a zero-tolerance policy for abuse. Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply. Merakey welcomes all Veterans to apply!

The ideal candidate will possess the following qualifications: Minimum of 2 years' related experience. Familiarity with ODP Certified Investigation process, current CI preferred but not required. Expectation is to obtain CI certification within 90 days upon hire.

Verbal Communication:

Conducts interviews, presents findings, and communicates professionally in all investigatory meetings.

Time Management:

Prioritizes tasks effectively to meet case deadlines and support departmental needs.

Written Communication:

Prepares clear investigation reports and maintains accurate case records in QCOMS.

Objectivity:

Remains impartial throughout investigations, including interviews, summaries, findings reviews, and improvement plan activities.