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: Core Responsibilities – Exclusion Screening • 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. Core Responsibilities – Vendor Compliance / TPRM • 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. Core Responsibilities – CMS Audit Support • 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. Compliance Operations, GRC & Reporting • 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. Issue Management & Remediation • 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. Training & Stakeholder Advisory • Guide HR, Procurement, Operations, and Business Leaders on screening and vendor compliance. • Support training on CMS audit expectations and evidence standards. Tools & Systems • 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 Qualifications & Experience • 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. Key Competencies • CMS audit and healthcare regulatory acumen • Risk and control mindset • Audit and evidence rigor • Process improvement and automation mindset • Stakeholder management and communication Performance Metrics (KPIs) • % 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 Internal Leveling Alignment • 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 Location: Work@Home Arizona (Mountain Day Light Time)United States of America 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.