Clinical Operations - Compliance Officer

Job title
Clinical Operations - Compliance Officer

About Sagility

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 Compliance Officer is responsible for supporting compliance activities across the account, ensuring adherence to regulatory standards, client requirements, and internal policies.

This role assists in audits, certifications, risk assessments, and compliance training programs to help maintain operational integrity and client trust.

The Compliance Officer may also provide guidance to Compliance Apprentices.

Job title:

Clinical Operations - Compliance Officer

Job Description:

JOB SUMMARY:

The Compliance Officer is responsible for supporting compliance activities across the account, ensuring adherence to regulatory standards, client requirements, and internal policies.

This role assists in audits, certifications, risk assessments, and compliance training programs to help maintain operational integrity and client trust.

The Compliance Officer may also provide guidance to Compliance Apprentices .

DUTIES & RESPONSIBILITIES:

Compliance Oversight



* Support the implementation and monitoring of compliance frameworks aligned with HIPAA, GLBA, PCI-DSS, and other applicable regulations.



* Ensure consistent application of internal policies and client-specific compliance requirements within assigned business units.



* Provide guidance and support to Compliance Apprentices as needed.



* Prepares any ad hoc monthly reports based on Ops needs .

Audit & Certification Support



* Assist in preparing for internal and external audits, including:



* ISO 27001 (Information Security)



* ISO 9001 (Quality Management)



* ISO 45001 (Occupational Health & Safety)



* ISAE-SOC



* PCI-DSS



* Third-party and client-specific audits



* Coordinate audit readiness activities, evidence collection, and documentation.



* Track and help close audit findings under the direction of the Operations leadership.

Compliance Readiness for Transitions and Expansions



* Participate in Tollgate Reviews and Health Checks for new accounts or expansions as assigned.



* Collaborate with operations, support teams, and client stakeholders to ensure compliance requirements are met prior to launch or transition.

Disaster Recovery & Business Continuity (DR-BCP)



* Maintain DR-BCP documentation and support testing activities.



* Ensure DR-BCP plans are updated and compliant with client requirements.

Training & Awareness



* Coordinate and track completion of company-mandated and client-initiated...