Associate Manager

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Job Description:
Education & Experience
- Bachelor’s degree in business, Industrial Engineering, or equivalent experience
- Master’s degree in business management an advantage
- At least 4–5 years of experience in operations, quality, audit, compliance, risk management, or governance within a BPO or healthcare services environment.
- Knowledge in ISO, COPC, Six Sigma or other global certification bodies
DUTIES & RESPONSIBILITIES
Compliance Governance & Oversight
- Provide guidance and oversight to Site and Operations Compliance Officers to ensure consistent implementation of compliance programs across all in-scope operations.
- Monitor adherence to organizational compliance frameworks, policies, and regulatory requirements applicable to healthcare BPO operations.
- Review and validate compliance reports, risk registers, and monitoring activities submitted by Compliance Officers.
- Escalate significant compliance risks, control gaps, or regulatory concerns to the Compliance Manager/Director with recommended remediation plans.
- Support the development, enhancement, and standardization of compliance processes, monitoring tools, and reporting mechanisms across sites and ensure its alignment with the COC, HIPAA Privacy & Security Policies, FWA, BAA, and other Data Protection and Privacy Policies.
HIPAA, GLBA & CMS Regulatory Compliance
- Oversee site compliance with key healthcare regulatory requirements including:
- Health Insurance Portability and Accountability Act (HIPAA)
- Centers for Medicare & Medicaid Services (CMS) requirements
- Gramm-Leach-Bliley Act (GLBA)
- Data Privacy Act of 2012
- Provide guidance to Compliance Officers in monitoring controls related to the protection of PHI, PII, and Medicare/Medicaid data.
- Review incident documentation and support preparation of regulatory reporting related to potential privacy or security breaches.
- Ensure compliance validation activities, checklist reviews, and evidence documentation are completed by Compliance Officers.
- Oversee preparation and readiness for client audits, regulatory audits, and external compliance assessments.
- Monitor compliance with federal healthcare program integrity requirements by ensuring exclusion screening processes are performed against:
- Office of Inspector General (OIG) List of Excluded Individuals and Entities (LEIE)
- General Services Administration (GSA) System for Award Management (SAM) exclusion list and
- Other regulatory exclusion requirements like Office of Foreign Assets Control (OFAC), etc.
- Support preparation for client-led audits, CMS validations, security assessments, and regulatory reviews.
Contractual & Site Compliance Monitoring
- Ensure Compliance Officers monitor adherence to client contractual obligations and security requirements applicable to each account.
- Review gap assessments conducted at the site or account level and ensure remediation plans are properly documented and tracked.
- Oversee periodic site compliance walkthroughs covering physical security, logical security, and operational compliance controls.
- Escalate critical compliance risks or contractual compliance gaps to the Compliance Manager/Director with recommended mitigation strategies.
Data Privacy Compliance
- Support implementation and oversight of data privacy controls aligned with HIPAA, local data protection regulations, and client requirements.
- Provide guidance to Compliance Officers in conducting Privacy Impact Assessments (PIA) for new processes, systems, or operational changes.
- Monitor adherence to data retention schedules and secure disposal requirements across assigned accounts.
- Review privacy incident reports and ensure proper documentation, escalation, and regulatory reporting where required.
ISMS & PIMS Certification Compliance Support
- Support the governance and oversight of the Information Security Management System (ISMS) aligned with ISO/IEC 27001 across assigned sites.
- Guide Compliance Officers in maintaining the Statement of Applicability (SOA) and tracking control implementation at the site and account level.
- Review internal ISMS & PIMS audit results and ensure appropriate remediation plans are established and monitored by site Compliance Officers.
- Monitor closure of audit findings, nonconformities, and corrective action plans to ensure timely resolution.
- Provide oversight on site-level risk assessments and risk treatment plans to ensure alignment with enterprise risk management standards.
- Support governance of Business Continuity and Disaster Recovery planning and testing activities at the site level.
Privacy and Information Security Compliance Monitoring
- Oversee compliance with organizational information security policies, standards, and procedures across assigned sites.
- Guide Compliance Officers in conducting periodic access reviews and validation of user provisioning/deprovisioning controls.
- Reviews reported security incidents and vulnerabilities to ensure proper escalation, documentation, and remediation actions are completed.
- Monitor implementation of administrative, technical, and physical security controls through compliance validation and reporting.
- Support development and delivery of security and compliance awareness initiatives to reinforce compliance culture at the site level.
General Safety and Security Responsibilities
- Promote and uphold the principles of the Quality Information Security Management System (QISMS) across assigned sites.
- Ensure that all compliance activities support the confidentiality, integrity, and availability of information critical to the organization’s business operations.
- Foster a culture of compliance by providing continuous guidance, mentorship, and support to Compliance Officers and operational stakeholders.
Others
- People Management
- Strategic Planning
- Business Planning
- Budget Management
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