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S.O.A.R With Sagility
Assistant Manager Compliance
Location
United States
Posted
26 days ago
Salary
0
Seniority
Lead
No structured requirement data.
Job Description
Assistant Manager Compliance
Sagility
Role Description The Senior Compliance Analyst is the operational owner of Sagility’s healthcare Exclusion Screening and Vendor Compliance programs and a key contributor to CMS audit readiness and response. This role ensures employees, contractors, and vendors are screened against OIG LEIE, SAM.gov, State Medicaid exclusions, and OFAC/sanctions (as applicable), maintains audit-ready evidence in AuditBoard, and supports CMS audits, state audits, payer audits, and client reviews end-to-end. Core Responsibilities – Exclusion Screening - Operate enterprise screening for employees, contractors, and vendors. - Perform checks against OIG LEIE, SAM.gov, State Medicaid exclusions, and OFAC/sanctions. - Use screening platforms (Certiphi, LexisNexis, Refinitiv, Exiger or equivalent) to adjudicate hits and document decisions. - Escalate confirmed/high-risk matches to Legal, HR, Compliance, and Operations. - Manage periodic re-screening cycles and maintain audit-ready evidence. Core Responsibilities – Vendor Compliance / TPRM - Support onboarding due diligence, ongoing monitoring, and re-certifications. - Track and validate vendor compliance artifacts and attestations. - Partner with Procurement, Legal, InfoSec, and Business Owners to remediate gaps. - Maintain records and evidence in AuditBoard or designated GRC systems. Core Responsibilities – CMS Audit Support - Serve as a primary contributor for CMS audits and related state/payer audits. - Prepare and maintain audit-ready documentation (policies, SOPs, control narratives, evidence). - Coordinate audit requests, walkthroughs, and evidence submissions using AuditBoard. - Track audit findings and manage CAPs to closure with evidence. - Participate in mock audits and readiness reviews. Compliance Operations, GRC & Reporting - Use AuditBoard 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 related 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. Qualifications - Bachelor’s degree (or equivalent experience). - 5+ years in healthcare 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 AuditBoard or similar GRC tools preferred. Key Competencies - CMS audit and healthcare regulatory acumen - Risk and control mindset - Audit and evidence rigor - Process improvement and automation mindset - Stakeholder management and communication Performance Metrics (KPIs) - % populations screened on time - Hit adjudication turnaround time - Vendor compliance completion rate - CMS audit findings count and severity - CAP on-time closure rate - Evidence completeness and audit re-use rate Internal Leveling Alignment - Compliance Analyst (C2): Executes screenings and supports audits - Senior Compliance Analyst (C3 – this role): Owns operations and leads CMS audit support - Lead/Principal (C4): Designs program and leads domain audits - Manager (M1): Owns outcomes, staffing, executive and board reporting Location Work@Home Arizona (Mountain Day Light Time) United States of America
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