• Lead the internal contractor business system risk and self-assessment processes • Provide guidance on DFAR business system requirements and other government accounting and compliance topics to all supported organizations • Review, research, and analyze issues raised by government auditors and supports the preparation of formal written responses to various government agencies • Support internal and external contractor business system audits • Represent Government Compliance on cross-functional business system teams • Preparation & presentation of contractor business system status and key matters to senior leadership • Lead/support ad hoc requests and special projects regarding Compliance issues • Problem solve, develop, and implement innovative and creative solutions to issues and situations that exist in a complex and changing environment • Limited travel may be required, as determined by audits or business needs • Ability to obtain US Government security clearance

Job DetailsJob Location: Corporate Headquarters - Plymouth Meeting, PA 19462Position Type: Full TimeEducation Level: Bachelor's Degree PreferredTravel Percentage: 0%Job Shift: DayJob Category: Business DevelopmentWHY CHOOSE ECRI? ECRI is an inspiring place to work. We share a common mission to help healthcare organizations make smart, compassionate, and ethical decisions for patients. Consider these additional benefits of joining the ECRI team: Industry leadership: We have a long history and proven reputation in patient safety and medical technology research. On-the-job-learning: You will have the opportunity to work with specialists across medical science, patient care, healthcare management, and technology. Comprehensive healthcare benefits: We offer medical, dental, vision, life insurance, accidental death and dismemberment, and disability coverage. Retirement Savings: Our employees can participate in an employer-matching 403(b) Retirement Savings Plan. Additional benefits: ECRI offers additional benefits to our employees, including paid time off and holiday pay, paid leave for parents, tuition assistance, employee assistance program, access to LinkedIn Learning, and other voluntary benefit programs (e.g. accident insurance, identify theft insurance, flexible spending accounts). Volunteer Program: ECRI Cares, our employee volunteer program, provides a framework for us to work together and make a difference in the lives of others. All employees are provided 16 hours annually of paid time to volunteer at preapproved ECRI Cares charities during normal business hours. ABOUT ECRI At ECRI, our passion for safe, effective, and efficient care is ingrained into the fabric of who we are and why we are here. For more than 50 years, the people of ECRI have been unyielding in their work to protect patients from unsafe and ineffective medical technologies and practices. Now, with the acquisition of the Institute for Safe Medication Practices (ISMP), we have created one of the largest healthcare quality and safety entities in the world. As a non-profit, independent organization, we utilize an unbiased, evidence-based approach to develop guidance, and maintain our principles of integrity and transparent work. Our ethical standards have led us to adopt the industry's strictest conflict-of-interest policies, and they are why tens of thousands of healthcare leaders worldwide rely on ECRI to guide their clinical, operational, and strategic decisions across all sites of care. The Most Trusted Voice in Healthcare ECRI is proud to serve the healthcare industry, from providers and insurers to government agencies, and medical associations. Our areas of focus include: Patient Safety: empowering leaders to eliminate patient harm through the dissemination of best practices, guidance, benchmarking, and recommendations. Evidence-Based Medicine: providing clinical evidence to inform and support decisions on the effectiveness of medical technologies, procedures, genetic tests, and clinical practice guidelines. Technology Decision Support: arming hospital systems with unbiased insights, so they can optimize their supply chain. ECRI is the only organization worldwide to conduct independent medical device evaluations, with labs located in North America and Asia Pacific. ECRI is designated an Evidence-based Practice Center by the U.S. Agency for Healthcare Research and Quality and a federally certified Patient Safety Organization by the U.S. Department of Health and Human Services. At ECRI, our passion for the truth drives us to go further and dig deeper in our pursuit to advance effective, evidence-based healthcare globally. The success of our organization relies on the kind of creative thinking that can only result from a diverse team of individuals. ECRI is proud to be an employer of choice with an inclusive environment for all employees. As part of this goal and in compliance with various laws and regulations, ECRI provides reasonable accommodation to applicants and employees. It's what makes ECRI unique, and why we are the most trusted voice in healthcare. POSITION SUMMARY The Senior Manager, Quality & Compliance plays a critical leadership role in advancing ECRI’s presence and competitiveness in the federal, state, and private sector marketplace. This role combines proposal and grant leadership, business development support, and senior level quality and compliance governance to ensure all submissions are accurate, compliant, consistent, and risk mitigated. In addition to supporting opportunity identification and proposal development, this role serves as the organization’s functional authority for proposal quality assurance and government compliance, proactively preparing internal teams to respond to evolving regulatory and contractual requirements. The Senior Manager partners closely with leadership and cross functional stakeholders to protect ECRI’s reputation, support sustainable growth, and strengthen audit readiness. Deep knowledge of the healthcare industry, Government contracting, and particularly patient safety, healthcare quality, technology assessment, and public health—is essential. ESSENTIAL FUNCTIONS Reasonable Accommodation Statement: To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. Essential Functions: • Serve as the enterprise authority for proposal compliance and quality assurance, ensuring all submissions meet federal, state, and client specific regulatory and contractual requirements. • Own proposal compliance strategy and execution, leading compliance readiness reviews, risk assessments, and final approvals of certifications, attestations, corporate representations, and regulated content. • Interpret and operationalize evolving government regulations, including FAR, DFARS, and NAICS requirements, and establish guidance to ensure consistent application across opportunities and contracts. • Define, implement, and continuously improve proposal QA standards, compliance matrices, and final review protocols to ensure audit ready, defensible submissions. • Function as the principal advisor on proposal related compliance risks and quality considerations, providing expert guidance to proposal staff. • Set enterprise level expectations for proposal quality and compliance performance, providing functional leadership without direct personnel management unless otherwise assigned. • Lead cross functional collaboration with Legal, Finance, Contracts, HR, Compliance, Quality, Security, IT, and Data Privacy to validate organizational representations, approvals, and regulatory readiness. • Provide lead oversight and hands on participation in opportunity identification and proposal development, ensuring compliant, competitive responses to RFXs across public and private sectors • Contribute to proposal development by shaping key messages, supporting presentations, and assisting with responses to client questions and concerns. • Direct the compliance review and approval of opportunities, contracts, teaming agreements, and NDAs in partnership with Legal and Contracts leadership. • Oversee final budget compliance reviews with Finance to ensure alignment with government approved pricing and solicitation requirements. • Represent the organization in addressing client compliance inquiries and audit related questions with authority and consistency. • Collaborate and assist with market and client research to support strategic opportunity identification supporting organizational growth goals. Additional Responsibilities: • Drive and manage special projects as assigned. • Other duties, as assigned. Accountability Metrics: • Missed proposal submission deadlines for “opportunities” identified as “Go” • Proposal compliance errors • Cross-functional collaboration — Track record of working with finance, legal, contracts, and program staff to operationalize compliance • Conduct post proposal debriefs, or audits, and incorporate into a standard process. QualificationsPOSITION QUALIFICATIONS Experience: • Minimum 10 years of experience in healthcare consulting and/or government contracting arena. • Experience in managing and writing federal proposals. • Knowledge of the healthcare industry and public health, preferably in patient safety, evidence-based medicine, risk management and quality. • Strong business development experience. • Outstanding project management skills, including the ability to drive business development strategies through specific project teams comprised of clinicians, business development, and subject matter experts. • Excellent writing, editorial, and proofreading skills are essential. • Exceptional organizational and analytical skills with attention to detail and superior internal and external client service skills. Education: • Bachelor’s degree preferred or 5 years of equivalent experience in healthcare discipline and RFP management required. Computer Skills: • Advanced proficiency in Microsoft Office 365, with particular strength in PowerPoint (executive presentations) and Excel (data analysis and modeling). Certifications and Licenses: • Project management certification, such as Lean Six Sigma or Project Management Institute, is a plus. POSITION COMPENSATION The salary range for new employees in this position is $92,902.52 - $105,444.36, based on background, experience, and skills. In addition, new employees in this position are eligible for all of our benefit offerings, including, but not limited to, health and welfare benefits, 403(B) retirement savings, and paid time off (PTO). PHYSICAL DEMANDS This position operates in a remote environment and requires the individual to remain in a stationary position, whether sitting or standing, before a desk or other fixed workspace, most of their workday. In addition, this position requires the individual to occasionally move about their workspace to access and inspect work-related materials, such as file cabinets with physical files and standard office equipment. This position requires the ability to operate standard office equipment, including, but not limited to, a laptop, keyboard, mouse, webcam, and phone, as well as effectively communicate information and ideas to a wide variety of audiences in written and oral form. ADA STATEMENT ECRI is committed to equal employment opportunities and compliance with the Americans with Disabilities Act (ADA). ECRI values diversity and inclusivity, and we strive to provide a work environment that accommodates employees with disabilities. If you require reasonable accommodations to participate in the application or interview process, please inform us so that we can provide the necessary support. ECRI believes that everyone should have an equal opportunity to contribute their skills and talents, and we are dedicated to making our workplace accessible and inclusive for all. EEO STATEMENT ECRI is committed to providing equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or veteran status. We value diversity and believe that a diverse workforce enhances our ability to succeed. ECRI complies with applicable federal, state, and local laws governing nondiscrimination in employment and prohibits any form of discrimination or harassment based on these protected characteristics. #LI-Remote

• Develop, implement, and maintain the Bank’s BSA/AML/CFT and OFAC Compliance Program in accordance with 12 CFR §326.8, FinCEN regulations, and applicable FDIC and FFIEC guidance. • Conduct and periodically update the BSA/AML/CFT and OFAC risk assessments to identify, measure, and mitigate financial crime, terrorist financing, and sanctions risks across the Bank’s products, services, customers, and delivery channels. • Oversee systems and procedures for transaction monitoring, customer due diligence (CDD), enhanced due diligence (EDD), and suspicious activity detection. Ensure the timely filing of CTRs and SARs as required by FinCEN. • Implement ongoing BSA/AML/CFT/OFAC training for all employees and Board members, ensuring appropriate coverage by role and function. • Coordinate the independent testing of the BSA/AML/CFT and OFAC Compliance Program, oversee remediation of findings, and ensure ongoing program effectiveness. • Serve as the primary point of contact with the FDIC, FinCEN, and law enforcement agencies on all BSA/AML/CFT/OFAC matters for the Bank. Prepare and deliver reports to executive management and the Board’s Risk Committee on program status, risk trends, and significant issues. • Ensure compliance with the Customer Identification Program (CIP) and Customer Due Diligence (CDD) requirements. • Work closely with the Compliance, Risk, Operations, and Technology teams at the Bank and Affirm to ensure appropriate controls for new products.

Role Description UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. This is a full time position working Monday through Friday daylight hours and is a remote position. The Special Investigations Unit (SIU) Investigator is responsible for investigating assigned fraud, waste and abuse (FWA) cases, as well as researching and analyzing claims data in order to identify potential FWA. The SIU Investigator is also responsible for maintaining the FWA case system with accurate and detailed investigative activities related to assigned cases. - Investigative actions include member/provider outreach, financial tracking, prepay claims review, adhering to compliance regulations, and making healthcare oversight referrals. - Plan, organize and execute investigations or audits utilizing document review, witness interviews, and data analysis to identify, evaluate and measure potential healthcare fraud and abuse to determine valid cases for appropriate action. - Risk Assessments on FWA trends using fraud detection software and/or as assigned by Manager. - Oversight or assistance with the Medicaid Recipient Restriction program. - Present FWA trainings to internal staff. - Assist with the FWA hotline and referral intake. - Perform chart reviews to assess compliance with coding and billing regulations. - Utilize standard coding guidelines, principles, and coding clinics to monitor the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. - Document and track activity in an internal database, provide case updates on the progress of the investigation and coordinate with management recommendations and further actions and/or resolutions. - Conduct detailed research to identify and apply appropriate regulatory, contractual, and industry requirements to the different benefits and products within investigations. - Maintain or exceed designated quality and production goals. - Understand and adhere to HIPAA privacy requirements. - Perform special projects as assigned by Management. Qualifications - Bachelor's Degree preferred or 2-4 years of related experience in investigations, claims, medical coding, auditing, compliance, risk management and/or data analysis required. - The ability to problem solve and communicate professionally. - Detail oriented individual with excellent organizational skills. - High degree of oral and written communication skills. - Proficiency in MS Office/PC skills including Microsoft Excel and Word. - Experience conducting investigations within a healthcare environment preferred. - Knowledge of CPT and ICD-10 coding of procedures and diagnosis is preferred. - Knowledge of medical terminology, human anatomy/physiology, pharmacology, and pathology is preferred. Licensure, Certifications, and Clearances - CPT Preferred Company Description UPMC is an Equal Opportunity Employer/Disability/Veteran.