• Conduct auditing and monitoring activities in support of innovative healthcare models • Support the development of Excel based trackers • Draft, update, and review task specific reports, templates, and procedure documents • Support Project Management Office team with project level services

• Assist in the internal Quality Audits to maintain our ISO and CMMI certifications • Analyze existing processes, identify gaps, and implement process improvements • Collaborate with Shared Services teams across the enterprise to create an AI-driven Compliance Matrix Dashboard in SharePoint • Assist in Program Management document creation and maintenance of the Process Asset Library (PAL)

• Ensure our services meet the highest standards of compliance with government and commercial payer requirements. • Audit medical documentation supporting claims billed to government and commercial payers. • Review documentation for accuracy, completeness, and alignment with payer guidelines. • Analyze payer contracts, fee schedules, databases, and system set-up requirements. • Identify audit trends, variances, deficiencies, and potential compliance risks. • Prepare clear audit reports and communicate findings to appropriate stakeholders. • Conduct follow-up audits to confirm corrective actions have been completed. • Assist with development and maintenance of compliance policies, procedures, audit standards, and reports. • Serve as a resource for billing, reimbursement, documentation, and coding-related questions. • Stay current with Medicare, Medicaid, and commercial payer rules and regulations. • Partner with internal teams to resolve billing and documentation concerns. • Prepare and deliver training related to supported billing and documentation expectations.

• Monitor & Control of Reconciliation and all control activities and fulfill regulatory requirements of the bank and regulatory authorities. • Handling and monitoring Fircosoft/UAEFTS System and total control of Referrals /Release of the messages. • Process all transactions with agreed TAT with zero error and as per bank policy and guidelines. • Ensuring completion of daily control and functional checklist (DCFC) activity without fail.