GeBBS Healthcare Solutions - Senior Manager - Internal Audit - CA

About GeBBS:

GeBBS Healthcare Solutions

Founded: 2005

Clients: U.S. Healthcare Providers

Solutions: Revenue Cycle Management (RCM), Health Information Management (HIM), Patient Access, Billing Insurance

Employees:14,000+

GeBBS Healthcare Solutions is a leading national provider of revenue cycle management (RCM) and health information management (HIM) solutions. Our in-depth healthcare industry expertise enables us to provide end-to-end solutions to successfully resolve our clients' billing challenges, while embracing their overall business operations. GeBBS delivers a world-class infrastructure of highly skilled professionals, robust processes, and proprietary workflow engines. This makes us an ideal partner for our clients.

For additional information on GeBBS please visit our website www.gebbs.com .

Designation: Manager / Senior Manager - Internal Audit

Department : Compliance

Work Location : Airoli,Navi Mumbai / Sakinaka , Andheri

Department : Compliance

Office Time : 12pm to 9pm / 1pm to 10pm

Work from Office

Education : Chartered Accountant (CA)

Experience : 8+ years post Qualification

Duties & Responsibilities:

As Manager, you will be tasked with providing independent and objective evaluations of company operational and compliance business activities. You will oversee reviewing and evaluating both Business Operations and Corporate functional controls, including risk and compliance governance.

1. Develop process documentation including narratives and process flows and define audit scope

2. Preparation of contractual compliance checklists by going through the Contracts (MSA, NDA, BAA and SOW)

3. Conducting the audit based the checklist for areas such as HR, Finance, Operations, Infosec, Regulatory and legal etc.

4. Prepare process, risk, and control (PRC) matrix and test plan and execute design of control and control effectiveness testing.

5. Highlighting of risks from the contracts at pre-signing stages

6. Reading of laws to draft guidelines and summary notes; and preparing training modules and policies.

7. Driving completion of training modules and awareness

8. Perform other tasks and projects as assigned in support of internal audit team and corporate objectives such as business process improvements, planning and execution of operational audit projects.

Enterprise risk management (ERM)

- Work with Head of the function for CXO / Audit committee & Board reporting presentations.

- Develop risk- based audit & compliance plan to monitor the key risks.

- Conduct independent risk reviews based on above plan to monitor critical risk areas.

- Drive independently the risk management program across organization.

- Lead & drive risk implementation committees involving cross-functional teams.

- Propose annual Internal audit plan to cover effectively the key risk areas & provide assurance

- Independently investigating and designing remedial measures on matters related to compliance to corporate policies, ethics, client contracts and regulatory matters.

- Engage in effective risk discussions with Senior Leadership and facilitate updating of Risk registers.

- Ensures periodically updating of risks to LT and in audit committee presentations.

- Support update & review the risk horizon & policy as per external environment and policy on periodic basis

- Propose Annual compliance program based on risk environment and key updates / changes internal & external environment / business/ industry/ regulations.

- Facilitate Meetings /trainings /awareness sessions / programs on core policies like ERM, ESG, Anti Bribery, Whistle-Blower, HIPAA, Environment Social & Governance policy, etc.

Regulatory, Contractual & US Healthcare compliances:

- Ensure compliance to HIPAA & Hi-Tech requirements framework through audits, policy updates, external certifications, internal awareness, etc.

- Periodically update policies and document new procedures / guidelines to update the compliance plan in line with operating changes.

- Work with legal & training teams to drive the compliance programs for awareness and update of important US healthcare regulations as applicable to business.

- Work with VP, Finance, HR & Legal team across all locations to consolidate & present the compliance to regulatory requirements periodically to LT and Audit Committee.

- Update the customer contractual checklists and monitor compliance to same through periodic reviews

- Train the team on compliance programs to deliver standard compliance experience across the locations.

Project management:

- Identify the improvement programs through risk reviews and propose the remedial programs like automation / process transformation, etc.

- Work in Collaboration with cross-functional teams to drive these programs.

- Capability to work & deliver in VUCA (Volatile Uncertain Complex and Ambiguous) environment.