R1 RCM | Compliance Program Manager | gurugram

6 days ago

gurugram, India R1 RCM Full time

Designation : Program Manager Compliance

Reports to (level of category) : Associate Director Compliance & Audit

Mode of Work: Hybrid

Shift Timing : 1pm to 10 pm

Job Location : Tikri, Gurugram


In this role, the successful candidate will thoroughly investigate operational incidents, allegations related to violations in policy, and develop robust and timely case reports and metrics, as needed.

Responsibilities:

  • Manage and lead 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 7 years of experience in leading compliance investigations or forensic analysis/auditing
  • 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 completions
  • 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
  • Revenue cycle management experience can be an added advantage.


Language:

  • English
  • Hindi

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