Senior Specialist

4 weeks ago

Gurugram, India R1 RCM Full time
Responsibilities:
  • Manage compliance investigations including data review, conducting interviews of potential witnesses and subjects of the case, and drafting investigation reports
  • Assist with determining root cause analysis and recommending corrective action plans that address concerns or errors potentially discovered in the investigation
  • Oversee operational matters and perform other operational reviews, ensuring they are executed in a sensitive and confidential manner and with the highest levels of integrity, efficiency, and respectability, using investigating tools and methodologies
  • Manage R1’s hotline system to ensure that all incoming complaints and concerns are timely and carefully handled, and appropriate follow-up action is taken
  • Assist with reviewing the compliance mailbox intake system and respond to inquiries as appropriate
  • Manage the security and storage of information, evidence, and documents related to investigations
  • Assist with preparing reports on investigation related metrics on an ad-hoc basis for presentation to senior management
  • Assist Compliance, and HR as necessary, to ensure the effective and efficient functioning of the investigation process and any other related duties as assigned from time to time
  • Stay informed of relevant compliance investigation best practices
  • Assist the global Integrity & Ethics team in the development and distribution of compliance-related training materials and “integrity insights”

Required Qualifications:

  • Master’s Degree or PGDM or CA, LLB/LLM
  • Minimum of 3 years of investigation experience in auditing firms or with an MNC.
  • Ability to read, comprehend and interpret detailed, complex written material and review data
  • Ability to simultaneously consider numerous facts, perceive patterns and relationships, develop theories about past occurrences based on numerous pieces of information or evidence, compare and interpret information, recognize and examine discrepancies, and draw logical conclusions
  • Ability to interview investigation subjects and witnesses and extract relevant information that is critical to an investigation
  • Ability to manage time to prioritize and combine investigations when practicable to ensure timely completion
  • Flexibility to work across multiple time zones when required
  • Excellent writing, communication, and analytical skills
  • Ability to handle several cases at one time
  • Ability to demonstrate cultural sensitivity through tact and courtesy when dealing with individuals from various social, cultural, racial, and economical backgrounds
  • Ability to work cooperatively as part of a team
  • Ability to prepare clear, concise written reports

Desired Qualifications:

  • Master’s Degree, LLB/LLM
  • Relevant professional certifications such as CFE, CAMS, CCEP etc.
  • Revenue cycle management experience can be an added advantage.

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package.

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