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Senior Specialist - Compliance

Senior Specialist - Compliance

R1 RCM

3 - 8 years

5 - 9 Lacs

gurugram

Posted:1 hour ago| Platform:

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Skills Required

llb auditing forensic revenue cycle management ca anti money laundering internal control training quality monitoring root cause analysis internal audit fraud investigation quality analysis drafting kyc quality assurance call monitoring

Work Mode

Work from Office

Job Type

Full Time

Job Description

The Senior Specialist - Integrity & Ethics Investigations will be responsible for overseeing and performing confidential and sensitive compliance investigations, forensic data review, managing the intake and triage of complaints, concerns, and inquiries, documenting case information, and developing/writing reports/metrics.

This person will also assist in the development of compliance/integrity training content and materials and interact with the global integrity & ethics team. This person will report to the

Associate Director, Integrity & Ethics Investigations, and will assist in the development and optimization of R1s compliance investigation team.

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 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 R1s 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:

Masters 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:

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

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Healthcare Revenue Cycle Management

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Senior Specialist - Compliance