Assistant Manager Compliance

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

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.

The Senior Compliance Analyst is the operational owner of Sagility’s healthcare Exclusion Screening and Vendor Compliance programs and a key contributor to CMS audit readiness and response. This role ensures employees, contractors, and vendors are screened against OIG LEIE, SAM.gov, State Medicaid exclusions, and OFAC/sanctions (as applicable), maintains audit-ready evidence in AuditBoard, and supports CMS audits, state audits, payer audits, and client reviews end-to-end.
Job title:

Assistant Manager Compliance
Job Description:

Operate enterprise screening for employees, contractors, and vendors.
Perform checks against OIG LEIE, SAM.gov, State Medicaid exclusions, and OFAC/sanctions.
Use screening platforms (Certiphi, LexisNexis, Refinitiv, Exiger or equivalent) to adjudicate hits and document decisions.
Escalate confirmed/high-risk matches to Legal, HR, Compliance, and Operations.
Manage periodic re-screening cycles and maintain audit-ready evidence.
Support onboarding due diligence, ongoing monitoring, and re-certifications.
Track and validate vendor compliance artifacts and attestations.
Partner with Procurement, Legal, InfoSec, and Business Owners to remediate gaps.
Maintain records and evidence in AuditBoard or designated GRC systems.
Serve as a primary contributor for CMS audits and related state/payer audits.
Prepare and maintain audit-ready documentation (policies, SOPs, control narratives, evidence).
Coordinate audit requests, walkthroughs, and evidence submissions using AuditBoard.
Track audit findings and manage CAPs to closure with evidence.
Participate in mock audits and readiness reviews.
Use AuditBoard to manage Incidents, Issues, Actions (CAPs), Evidence, and Dashboards.
Produce management and governance reporting on screening, vendor compliance, and audits.
Draft and maintain SOPs, job aids, and process documentation.
Log and manage issues related to screening, vendor compliance, and audit findings.
Drive CAPs to on-time closure and validate effectiveness.
Escalate high-risk or overdue issues appropriately.
Guide HR, Procurement, Operations, and Business Leaders on screening and vendor compliance.
Support training on CMS audit expectations and evidence standards.
AuditBoard (or equivalent GRC)
Screening platforms: Certiphi, LexisNexis, Refinitiv, Exiger (or equivalent)
OIG LEIE, SAM.gov, State Medicaid lists, OFAC
Excel/BI and workflow/case management tools
Bachelor’s degree (or equivalent experience).
5+ years in healthcare compliance, exclusion screening, vendor compliance, or audit support.
Demonstrated experience supporting CMS audits, state audits, or payer audits.
Strong knowledge of OIG/CMS expectations and audit evidence standards.
Experience with AuditBoard or similar GRC tools preferred.
CMS audit and healthcare regulatory acumen
Risk and control mindset
Audit and evidence rigor
Process improvement and automation mindset
Stakeholder management and communication
% populations screened on time
Hit adjudication turnaround time
Vendor compliance completion rate
CMS audit findings count and severity
CAP on-time closure rate
Evidence completeness and audit re-use rate
Compliance Analyst (C2): Executes screenings and supports audits
Senior Compliance Analyst (C3 – this role): Owns operations and leads CMS audit support
Lead/Principal (C4): Designs program and leads domain audits
Manager (M1): Owns outcomes, staffing, executive and board reporting