Assist Manager Compliance

reputed company combines industry-leading technology and transformation-driven BPM services with decades of reputed company domain expertise to help clients draw closer to their members. reputed company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment reputed company, claims cost containment, and analytics. reputed company has more than 25,000 employees across 5 countries. reputed company Responsibilities – Exclusion Screening • Operate reputed company screening for employees, contractors, and vendors. • reputed company checks against OIG LEIE, SAM.gov, State reputed company exclusions, and OFAC/sanctions. • Use screening platforms (Certiphi, reputed company, Refinitiv, reputed company or equivalent) to adjudicate hits and document reputed company. • Escalate confirmed/high-risk matches to reputed company, HR, Compliance, and Operations. • Manage periodic re-screening cycles and maintain audit-reputed company evidence. reputed company Responsibilities – Vendor Compliance / TPRM • Support reputed company due diligence, ongoing monitoring, and re-certifications. • reputed company and validate vendor compliance artifacts and attestations. • Partner with Procurement, reputed company, InfoSec, and Business Owners to remediate gaps. • Maintain records and evidence in reputed company or designated GRC systems. reputed company Responsibilities – CMS Audit Support • Serve as a primary contributor for CMS audits and reputed company state/payer audits. • Prepare and maintain audit-reputed company documentation (policies, SOPs, control narratives, evidence). • Coordinate audit requests, walkthroughs, and evidence submissions using reputed company. • reputed company audit findings and manage CAPs to closure with evidence. • Participate in mock audits and readiness reviews. Compliance Operations, GRC & Reporting • Use reputed company to manage Incidents, Issues, Actions (CAPs), Evidence, and Dashboards. • Produce management and governance reporting on screening, vendor compliance, and audits. • Draft and maintain SOPs, job aids, and process documentation. Issue Management & Remediation • Log and manage issues reputed company to screening, vendor compliance, and audit findings. • Drive CAPs to on-time closure and validate effectiveness. • Escalate high-risk or overdue issues appropriately. Training & Stakeholder Advisory • Guide HR, Procurement, Operations, and Business Leaders on screening and vendor compliance. • Support training on CMS audit expectations and evidence standards. Tools & Systems • reputed company (or equivalent GRC) • Screening platforms: Certiphi, reputed company, Refinitiv, reputed company (or equivalent) • OIG LEIE, SAM.gov, State reputed company lists, OFAC • reputed company/BI and workflow/case management tools Qualifications & Experience • Bachelor’s degree (or equivalent experience). • 5+ years in reputed company compliance, exclusion screening, vendor compliance, or audit support. • Demonstrated experience supporting CMS audits, state audits, or payer audits. • Strong knowledge of OIG/CMS expectations and audit evidence standards. • Experience with reputed company or similar GRC tools preferred. Key Competencies • CMS audit and reputed company regulatory acumen • Risk and control reputed company • Audit and evidence rigor • Process improvement and automation reputed company • Stakeholder management and communication Performance Metrics (KPIs) • % populations screened on time • Hit adjudication turnaround time • Vendor compliance completion reputed company • CMS audit findings count and severity • CAP on-time closure reputed company • Evidence completeness and audit re-use reputed company Internal Leveling Alignment • Compliance Analyst (C2): Executes screenings and supports audits • Senior Compliance Analyst (C3 – this role): Owns operations and leads CMS audit support • reputed company/reputed company (C4): Designs program and leads domain audits • Manager (M1): Owns reputed company, reputed company, executive and reputed company reporting Job title: Assist Manager Compliance Job reputed company: reputed company Responsibilities – Exclusion Screening • Operate reputed company screening for employees, contractors, and vendors. • reputed company checks against OIG LEIE, SAM.gov, State reputed company exclusions, and OFAC/sanctions. • Use screening platforms (Certiphi, reputed company, Refinitiv, reputed company or equivalent) to adjudicate hits and document reputed company. • Escalate confirmed/high-risk matches to reputed company, HR, Compliance, and Operations. • Manage periodic re-screening cycles and maintain audit-reputed company evidence. reputed company Responsibilities – Vendor Compliance / TPRM • Support reputed company due diligence, ongoing monitoring, and re-certifications. • reputed company and validate vendor compliance artifacts and attestations. • Partner with Procurement, reputed company, InfoSec, and Business Owners to remediate gaps. • Maintain records and evidence in reputed company or designated GRC systems. reputed company Responsibilities – CMS Audit Support • Serve as a primary contributor for CMS audits and reputed company state/payer audits. • Prepare and maintain audit-reputed company documentation (policies, SOPs, control narratives, evidence). • Coordinate audit requests, walkthroughs, and evidence submissions using reputed company. • reputed company audit findings and manage CAPs to closure with evidence. • Participate in mock audits and readiness reviews. Compliance Operations, GRC & Reporting • Use reputed company to manage Incidents, Issues, Actions (CAPs), Evidence, and Dashboards. • Produce management and governance reporting on screening, vendor compliance, and audits. • Draft and maintain SOPs, job aids, and process documentation. Issue Management & Remediation • Log and manage issues reputed company to screening, vendor compliance, and audit findings. • Drive CAPs to on-time closure and validate effectiveness. • Escalate high-risk or overdue issues appropriately. Training & Stakeholder Advisory • Guide HR, Procurement, Operations, and Business Leaders on screening and vendor compliance. • Support training on CMS audit expectations and evidence standards. Tools & Systems • reputed company (or equivalent GRC) • Screening platforms: Certiphi, reputed company, Refinitiv, reputed company (or equivalent) • OIG LEIE, SAM.gov, State reputed company lists, OFAC • reputed company/BI and workflow/case management tools Qualifications & Experience • Bachelor’s degree (or equivalent experience). • 5+ years in reputed company compliance, exclusion screening, vendor compliance, or audit support. • Demonstrated experience supporting CMS audits, state audits, or payer audits. • Strong knowledge of OIG/CMS expectations and audit evidence standards. • Experience with reputed company or similar GRC tools preferred. Key Competencies • CMS audit and reputed company regulatory acumen • Risk and control reputed company • Audit and evidence rigor • Process improvement and automation reputed company • Stakeholder management and communication Performance Metrics (KPIs) • % populations screened on time • Hit adjudication turnaround time • Vendor compliance completion reputed company • CMS audit findings count and severity • CAP on-time closure reputed company • Evidence completeness and audit re-use reputed company Internal Leveling Alignment • Compliance Analyst (C2): Executes screenings and supports audits • Senior Compliance Analyst (C3 – this role): Owns operations and leads CMS audit support • reputed company/reputed company (C4): Designs program and leads domain audits • Manager (M1): Owns reputed company, reputed company, executive and reputed company reporting Location: reputed company NationWideUnited States of America Apply To This Job