Apply before July 30, 2022 at hr@hiredirect.com

Description:

Job Summary

Completes work with a high degree of accuracy The Auditor, Legal Compliance & Regulatory conducts the standardized compliance assessments through various credentialing technology and documents the results.

Job Responsibilities

• Perform regular and ad hoc audits on the credentialing requirements to ensure clinician files meet requirements which include AMN requirements, state, federal, client specific requirements, JC and NCQA requirements
• Utilize applicable credentialing technology and audit tool to complete audits
• Track audit efforts closely against the agreed scope to ensure timely high quality accurate completion of audits
• Accurately communicate production status and risk identification to management on a weekly basis
• Proactively identify & mitigate all risks to achieve target completion dates
• Provide support to as needed for ad hoc audits (Strike events, EMR projects, State audits, facility audits, etc.)
• Proactively engage with internal functional teams, and customers as required to ensure successful completion of compliance initiatives
• Assist with workflow development and/or implementation and other quality related activities
• Demonstrate metrics driven approach to measuring success of compliance projects with strong analytical background
• Coordinate the preparation of and may prepare document packages for regulatory submissions from all areas of company as well as for internal and external audits and inspections

Requirements

Education

• Bachelor’s Degree | Preferred

Certifications

• Certified in Healthcare Compliance (CHC) | Health Care Compliance Association (HCCA) | Preferred

Minimum Work Experience

• 2+ years of regulatory research and analysis.
• 2+ years operational experience in staffing, healthcare, audit, or quality positions.
• 2+ years experience with compliance, auditing, and/or credentialing

Key Skills

• Ability to focus and manage details with precision
• Excellent time management, prioritization, and organizational skills with high work standards and attention to detail
• Excellent written and verbal communication skills
• Completes work with a high degree of accuracy

Work Enviroment

Job is typically performed in a general office environment.

Physical Requirements

• Sitting: Remaining in a normal seated position.
• Handling: Seizing, holding, grasping, turning or otherwise performing precision work with hands.
• Talking: Expressing or exchanging ideas by means of the spoken work.
• Hearing: Receiving detailed information through oral communication.
• Vision: Clarity of vision at near or far distances.