Investigation Specialist
Philadelphia
Saturday, 09 May 2026
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. Daily. Pay -- 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 -