Specialist-Compliance
R1 RCM · Gurugram, Haryana, India - Noida, Uttar Pradesh, India
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R1 RCM · Gurugram, Haryana, India - Noida, Uttar Pradesh, India
Role & responsibilities The 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 • 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 • Receive, document, track, investigate, and take action on potential data incidents and issues concerning compliance with applicable privacy laws and regulations and/or R1’s data protection, information security, and privacy policies and procedures; • Ensure consistent application of sanctions for failure to comply with data protection, information security, and privacy policies in cooperation with others on the R1 data protection and privacy team, Human Resources and legal counsel, as applicable; • Maintain focus on operational excellence through risk mitigation and protection of data to improve quality and customer satisfaction; • Demonstrate ability and comfort working with and reporting to a broad spectrum of service lines and professionals, ranging from senior management to front line site and service leaders, including clients and vendors; and • Flexibly assist in other areas of concern to the compliance team to benefit R1’s data protection and privacy posture. Preferred candidate profile • Master’s Degree or PGDM or CA, LLB/LLM • Minimum of 3 years of investigation experience in auditing firms or with an MNC preferably in investigations or forensic analysis/auditing or experience of data protection, privacy and/or information security compliance • 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: • Master’s Degree, LLB/LLM • Relevant professional certifications such as CFE, CAMS, CCEP etc. Revenue cycle management experience can be an added advantage Contact Person: Mansi Tanwar Suitable candidates can share their resume directly at mtanwar@r1rcm.com