Ranveer Negi
Delhi
Summary
As a Program Manager in Audit and Risk - Compliance at R1 RCM, a leader in the U.S. healthcare industry, I have over 11 years of experience in revenue cycle management, more than 5 years in audit and risk. My responsibilities include leading audit projects, testing internal operational controls (SOC 1), managing employee screening, and supporting some part of ITGC testing related to SOC 1.
Overview
12
12
years of professional experience
2
2
Certification
Work History
Program manager
R1 RCM
01.2024 - Current
- Led comprehensive risk-based audits and assurance projects for revenue cycle management processes.
- Tested internal operational controls (SOC 1) and coordinated with IT teams to support control testing.
- Managed continuous monitoring activities and exclusion screening across key compliance operations.
- Oversaw action plan monitoring for compliance initiatives.
- Reviewed audit deliverables and mentored junior staff to ensure accuracy and completeness.
- Facilitated stakeholder meetings to resolve audit findings and gain buy-in on remediation plans.
- Managed employee screening processes to support compliance objectives.
Operational audit lead
R1 RCM
01.2020 - 12.2023
- Responsible for risk based audits, testing internal operational controls (SOC 1), managing the employee screening process, and supporting the testing of ITGC (Information Technology General Controls) related to SOC 1.
Quality Analyst
R1 RCM
07.2016 - 12.2019
- As a Quality Analyst in U.S. healthcare billing ensures the accuracy and compliance of billing processes, conducts audits to minimize errors, and implements improvements to enhance efficiency. Collaborate with teams to resolve billing issues, monitor compliance with healthcare regulations, and train staff on best practices.
Associate
R1 RCM
08.2013 - 08.2016
- An associate in a billing team, I’m responsible for processing medical claims, ensuring accurate entry of patient information, verifying insurance coverage, and submitting claims to payers. Also follow up on denied or rejected claims, resolve billing issues, and assist with patient inquiries regarding their bills.
Education
Bachelor of Arts - Economic
University of Delhi
Master of Arts - Economic
IGNOU
DelhiSkills
- Analytical thinking
- Internal controls understanding
- Risk management
- Stakeholder communication
- Project management
- Critical evaluation
- Regulatory compliance
- Data analysis tools
- Decision-Making
- Audit procedures
- Compliance testing knowledge
- Audit reporting
- Internal auditing
- Data analysis
- Statistical sampling
- IT audit proficiency
Certification
- Certified Internal Auditor (CIA)
- Certified Information System Auditor (CISA)
Timeline
Program manager
R1 RCM
01.2024 - Current
Operational audit lead
R1 RCM
01.2020 - 12.2023
Quality Analyst
R1 RCM
07.2016 - 12.2019
Associate
R1 RCM
08.2013 - 08.2016
Master of Arts - Economic
IGNOU
Bachelor of Arts - Economic
University of Delhi
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