Regulatory Compliance Specialist - PRN

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates

Job Summary

• The Compliance Specialist is responsible for ensuring that the medical staff maintain current contracts, credentials, and licenses. Furthermore, this position collaborates with providers and organizations to maintain accurate and current records on practitioners

Essential Functions

• Performs FMV assessments and prepares contracts for both new and established providers
• Monitors provider licensure requirements and collaborates with providers to ensure completion as necessary
• Facilitates the credentialing of providers for insurance payors
• Acts as the sole point of contact for gathering paperwork to distribute to the relevant entities
• Guides the physician through the paperwork required for the onboarding process

Knowledge/Skills/Abilities/Expectations

• Proficient in Microsoft Office
• Knowledge of medical credentialing and privileging procedures and standards
• Knowledge of fair market value (FMV) and provider contracts
• Approximate percentage of time required to travel: 0%
• Must read, write and speak fluent English
• Must have good and regular attendance
• Performs other related duties as assigned

Education

• High school diploma or equivalent - Required
• Associates degree in business or related field - Strongly Preferred

Licenses/Certification

• N/A

Experience

• 2 years of credentialing experience with medical staff - Required
• 5 years of credentialing experience with medical staff - Strongly Preferred