Compliance & Credentialing Specialist Job at Ansible Government Solutions, Malvern, PA

TXZlcERqcFlIOFY1N01XbzRvTGZZL3FUNmc9PQ==
  • Ansible Government Solutions
  • Malvern, PA

Job Description

Overview

Ansible Government Solutions, LLC (Ansible) is seeking a full-time Compliance & Credentialing Specialist.  This work-from-home position is responsible for carrying out various day-to-day responsibilities that support the team with credentialing and compliance initiatives. This individual will evaluate, analyze, and coordinate all aspects of the credentialing process for healthcare providers. They will also help to lead  all aspects of the security and background check processes with candidates via remote correspondence. We strongly desire previous experience navigating federal background investigation requirements, and particularly the requirements of the Department of Veterans Affairs.

Ansible is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of national security, health care, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers’ success as if it is their own.

Responsibilities

  • Coordinates and reviews provider files for completeness, accuracy, and compliance with federal, state, and facility regulations, guidelines, policies, and standards.
  • Monitors provider files to ensure completeness and accuracy.
  • Conducts research on updated state and federal regulations and policies.
  • Coordinates and reviews provider security and background check documents for completeness, accuracy, and compliance with federal, state, and facility regulations, guidelines, policies, and standards.
  • Prepares, issues, electronically tracks and follows-up on appropriate verifications with providers as related to the security process.
  • Prepares and provides information to internal and external customers, as appropriate.
  • Enters, updates, and maintains data from provider files into credentialing database in accordance with internal policies and procedures.
  • Prepares, issues, electronically tracks and follows-up on appropriate verifications with providers.
  • Participates in the development and implementation of process improvements related to credentialing and compliance.
  • Prepares and analyzes reports and data and can clearly communicate findings and results.
  • Communicates clearly with providers and their liaisons to provide timely responses upon request on day-to-day credentialing and privileging matters that arise.
  • Supports multiple team members and projects simultaneously and prioritizes in a fast-paced environment.
  • Performs miscellaneous job-related duties as assigned.

Qualifications

  • Must have a minimum of 5 years of credentialing experience.
  • Bachelor’s or associate degree preferred.
  • Prior government contracting experience strongly preferred.
  • Eligible to work in the United States.
  • Highly developed oral and written communication skills.
  • Highly organized and strong time management skills.
  • Must be extremely detail oriented and able to multitask.
  • Ability to handle confidential information in a professional manner. 

All candidates must be able to:

  • Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift
  • Lift up to 50 lbs from floor to waist
  • Lift up to 20 lbs
  • Carry up to 40 lbs a reasonable distance
  • Push/pull with 30 lbs of force

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Tags

Full time, Work from home, Shift work,

Similar Jobs

V R Della Infotech Inc

1ST SHIFT Production Operator Job at V R Della Infotech Inc

 ...(); var url = $(this).attr('url'); var filepath = $(this).attr('filepath'); var doccount = $(this).attr('doccount'); if (doccount 1) { EP.openDialog(url); } else { window.open(url ? url : filepath); } }); }); 1ST SHIFT Production Operator, CWR Type:, W-2, Required

NoGigiddy

Apply Now: Remote Customer Service Jobs with Pay at 19 Per Hour Job at NoGigiddy

 ...provide superior support and ensure a positive experience for our customers, all from the comfort...  ...Communicate effectively and maintain a high level of professionalism in all...  ...with personal commitments. Competitive pay starting at $19 per hour, with potential... 

Von Oben Solutions

B2B Sales Manager Trainee Job at Von Oben Solutions

 ...At Von Oben Solutions, we are currently seeking an experienced and results-driven B2B Sales Manager Trainee to lead the way in our sales efforts and contribute to the growth and success of our business. As a B2B Sales Manager Trainee, you will be responsible for overseeing... 

New York Life Insurance Co

QA Test Engineer/Lead - Service Experience Value Stream Job at New York Life Insurance Co

 ...evolving to meet our clients' and employees needs. QA Test Engineer/Lead - Service Experience Value Stream As part of...  ...testing efforts, optimize testing processes, and improve software quality across the organization. You will collaborate with project... 

Shine To Prosper

Life Coach - Remote Job at Shine To Prosper

 ...Seeking the Doers, Builders and Connectors In Life! Are you committed to the evolution of self and the evolution of your professional financial position? If you are someone who has a commitment to grow on all levels - emotional, physical, financial - AND who is ready...