About the Role
We are looking for an experienced Audit & Compliance Manager to lead compliance governance across healthcare BPO operations. This role ensures adherence to regulatory requirements, data privacy standards, and internal controls, while driving continuous improvement and risk mitigation.
Key Responsibilities:
Compliance Governance & Risk Management
- Oversee compliance across sites and ensure adherence to regulatory and organizational standards
- Monitor compliance frameworks (HIPAA, CMS, GLBA, Data Privacy)
- Identify risks and implement corrective actions
Regulatory & Screening Oversight
- Manage OIG, GSA, and OFAC exclusion screening programs
- Ensure accurate and timely screening of employees, vendors, and contractors
- Lead investigations and audits related to compliance risks
Vendor & Audit Management
- Oversee third-party/vendor compliance and due diligence
- Support internal and external audits, including client and regulatory reviews
- Ensure audit readiness and compliance documentation Data Privacy & Information Security
- Enforce compliance with data privacy and information security policies
- Oversee protection of PHI/PII and regulatory data requirements
- Support incident management, reporting, and remediation
Continuous Improvement
- Drive process improvements, automation, and compliance maturity initiatives
- Support ISMS/PIMS compliance and risk assessments
- Promote a strong compliance culture across the organization
What We're Looking For
- Strong experience in compliance, audit, or risk management within BPO or healthcare
- Knowledge of HIPAA, CMS, ISO 27001, Data Privacy, PCI DSS
- Experience in: Vendor management, Regulatory audits, Risk assessment and mitigation
- Strong stakeholder management and analytical skills
Qualifications
- Bachelor's degree or equivalent experience
- 5+ years experience in compliance / audit / risk roles (BPO preferred)
- Certifications (CISA, ISO, Six Sigma) are a plus
- Willing to work Hybrid and Midshift schedule
