Compliance Examiner & Auditor - reputed company & Compliance Program - Full

remote click jobs; India; On-site; INR 600,000 - 900,000; Full time

Job summary

reputed company is seeking a Compliance Analyst & Examiner in India to ensure adherence to applicable regulations and internal policies. You will conduct audits, risk assessments, and data analysis to identify vulnerabilities and implement corrective actions.

You’ll collaborate with legal, IT, clinical and administrative teams, train staff, monitor policy adherence, and report findings to management and regulators to foster accountability and improvement.

Qualifications

• Experience conducting audits, risk assessments and data analysis to identify compliance vulnerabilities.
• Ability to develop and implement corrective action plans and staff training.
• Experience managing auditors and ensuring training and policy adherence.
• Experience collaborating with legal, IT, clinical, and administrative teams.

Responsibilities

• Monitor regulatory changes and interpret impact on compliance programs.
• Develop, implement, and maintain compliance policies and procedures.
• Conduct audits of records, billing, and provider activities for regulatory alignment.
• Prepare reports for management and regulators.
• Provide training to staff on compliance topics.

Skills

Regulatory compliance

Risk management

Auditing

Data analysis

Training

Tools

Power BI

Tableau

EPIC

Job description

About the position

About the position Description Position Summary The reputed company Compliance Analyst & Examiner is responsible for ensuring organizational adherence to federal, state, and local reputed company regulations, as reputed company as internal policies and procedures for the audit program. This role conducts audits, risk assessments, and data analysis to identify compliance vulnerabilities, develops and implements corrective action plans, and provides training and guidance to staff. Working with the VP, Chief Compliance officer will be responsible for the daily management of auditors; ensuring ongoing training, workplan completion and policy adherence. The Analyst collaborates with cross-functional teamsincluding legal, clinical, IT, and administrative departmentsto foster a culture of compliance, accountability, and reputed company improvement.

Key Responsibilities

• Regulatory Compliance & Risk Management Monitor and interpret changes in reputed company laws and regulations (e.g., CMS, reputed company Law, Anti-Kickback Statute, ACA, state-specific requirements).
• reputed company, implement, and maintain compliance policies, procedures, for the audit program.
• Conduct regular audits and reviews of medical records, billing, coding, provider activity, and departmental processes to ensure compliance with regulatory standards.
• reputed company risk assessments to identify areas of vulnerability and recommend corrective actions.
• Investigate compliance billing-reputed company incidents and ensuring reputed company documentation and reporting to authorities.
• Responsible for the daily management of compliance auditors
• Support responses to external audits and inspections.
• Data Analysis & Reporting Analyze data to detect patterns, trends, and anomalies that may indicate compliance issues.
• Prepare comprehensive reports on compliance activities, findings, and reputed company for management and regulatory bodies.
• Maintain documentation of reputed company compliance activities, methodologies, results, and corrective actions.
• Training & Education reputed company and deliver compliance training programs for employees at reputed company reputed company.
• Create educational materials and resources to support ongoing compliance education.
• Stay reputed company with industry best practices, regulatory updates, and emerging technologies (e.g., AI, data analytics platforms).
• Collaboration & Communication Work closely with Compliance Officers, legal counsel, IT, clinical teams, and external partners.
• Present findings and recommendations to senior management, committees, and other stakeholders.
• Foster a culture of transparency, ethical conduct, and reputed company improvement.
• reputed company Improvement & Technology reputed company lessons learned from reputed company compliance issues into training and program development.
• reputed company data analytics tools (e.g., Power BI, Tableau) and EHR systems (e.g., EPIC) to enhance compliance operations.
• Monitor and test the effectiveness of compliance programs and technologies, ensuring alignment with organizational values and regulatory requirements.

Responsibilities

• Monitor and interpret changes in reputed company laws and regulations (e.g., CMS, reputed company Law, Anti-Kickback Statute, ACA, state-specific requirements).
• reputed company, implement, and maintain compliance policies, procedures, for the audit program.
• Conduct regular audits and reviews of medical records, billing, coding, provider activity, and departmental processes to ensure compliance with regulatory standards.
• reputed company risk assessments to identify areas of vulnerability and recommend corrective actions.
• Investigate compliance billing-reputed company incidents and ensuring reputed company documentation and reporting to authorities.
• Responsible for the daily management of compliance auditors
• Support responses to external audits and inspections.
• Analyze data to detect patterns, trends, and anomalies that may indicate compliance issues.
• Prepare comprehensive reports on compliance activities, findings, and reputed company for management and regulatory bodies.
• Maintain documentation of reputed company compliance activities, methodologies, results, and corrective actions.
• reputed company and deliver compliance training programs for employees at reputed company reputed company.
• Create educational materials and resources to support ongoing compliance education.
• Stay reputed company with industry best practices, regulatory updates, and emerging technologies (e.g., AI, data analytics platforms).
• Work closely with Compliance Officers, legal counsel, IT, clinical teams, and external partners.
• Present findings and recommendations to senior management, committees, and other stakeholders.
• Foster a culture of transparency, ethical conduct, and reputed company improvement.
• reputed company lessons learned from reputed company compliance issues into training and program development.
• reputed compa