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.
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Job title:
Compliance Specialist
Job Description:
DUTIES & RESPONSIBILITIES:
- Responsible for effective deployment of the organizational HIPAA Policy
- Responsible for developing, implementing and maintaining the Compliance Program within the assigned program
- Monitors and reviews the effectiveness of the documented management system and ensures that all security procedures within the area of responsibility are carried out correctly to ensure compliance with security policies and standards
- Conducts periodic checks of the account to ensure that everybody in the program is complying with the rules set by the program
- Identifies the risks and appropriate controls associated with the identified assets
- Promotes visibility of business support for information security throughout the organization.
- Conducts regular updates on the organization policies and procedures
- Perform regular process audit in adherence to set procedures and streamlining of processes
- Conduct internal quality audits, report results, monitor actions, and ensure that all audited non-conformances are followed-up and closed
- Perform regular process/compliance audits in adherence to set procedures and security policies, regulatory/contractual requirements, and the ISMS and QMS standards
- Completes projects and assignments as assigned by the Compliance Associate Manger
Configuration Management:
- Responsible to control all changes/revision requests for assigned program. Monitors changes that have been made on existing process and procedures and reviews the account’s/group’s Shared Folder
Work at Home Responsibilities:
- Be familiar with and abide to all Company’s general security and Work @ Home security policies and procedures
- Be familiar with and abide by all client security policies and procedures required to protect customer data
- Maintain the security of the at home work environment and protect the assets of the Company provided equipment, the client systems and data
- Ensuring that all security related incidents are reported
- Shall work on the same Internet Connection that was tested during the setup process. If changes are made to the current Internet Connection or router during the course of application or employment, Employee will be required to notify the appropriate parties in advance and retest the connection to ensure the requirements are met
- Must immediately report system performance problems or downtime to your manager and the local IT SPOC
General Safety and Security:
- Protects the organization’s assets by upholding the principles of the Quality Information Security Management System (QISMS)
- Ensures confidentiality, integrity, and availability of information critical to fulfilling the organization’s business functions
- Reports Information Security related incidents without any delay to the right authority
Ensures compliance to the relevant business, local and international regulatory and legislative requirements particularly the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH)
Location:
Quezon City, Bridgetowne ZetaPhilippines
Top Skills
What We Do
Sagility is a U.S.-based, tech-enabled healthcare business process management company that supports payers, providers, and their partners to deliver best-in-class operations, enhance the member and provider experience, improve the quality of care and promote health equity all while delivering cost-effective healthcare financial and clinical outcomes.
Sagility Technologies uses a holistic consulting approach to identify the root causes of healthcare payer and provider pain points, analyze the issues, and provide a complete solution that encompasses people, process, and technology platform improvements. Equipped with a strategic solutions mindset, our core focus is on what most benefits the client. Combining healthcare operations and technology experience with advanced UI, UX, and analytics expertise, we develop and deploy customized solutions for our client’s business. Additionally, with our extensive global resources and facilities, we provide the best service/price ratio for any service outsourcing needs.
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