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

V1gzVnlHbnlPUlhUTkNnSnhwTzJFeHVxNGc9PQ==
  • 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, Remote job, Work from home, Shift work,

Similar Jobs

Techmate

IT Helpdesk Technician Job at Techmate

 ...files, migrating Windows 7 to Windows 10 utilizing tools such as Azure, SCCM, PXE boot, etc. Basic networking, rack/stack/patch, remote hands support, etc. Experience working with AD (active directory), domains, group policy, etc. E-mail, A/V conferencing, VoIP... 

Netflix

Software Engineer L4/L5, Model Serving Systems, Machine Learning Platform Job at Netflix

 ...and attracting new members to our product, optimizing our payment processing, and many more. The Opportunity The Consumer ML Model Compute & Serving Systems team provides the foundation for model computation, inference, and serving for all ML/AI innovation across... 

United Health Services

Cardiology Nurse Practitioner (NP) Upstate New York Job at United Health Services

 ...Cardiology APP- Nurse Practitioner (2 Positions) Position located at United Health Services Hospitals Wilson Square, Johnson City, New York Full-time, exempt and seeking both experienced and new, motivated graduate Nurse Practitioners Focused, collaborative environment... 

John Wiley & Sons , Inc.

Editorial Assistant Job at John Wiley & Sons , Inc.

 ...learns. About the Role: The Editorial Assistant is an entry-level position responsible for executing the daily tasks of the...  ...brightest opportunities. With over 200 years of experience in publishing, we continue to evolve knowledge seekers' steps into strides,... 

Acquisition Group

Office Assistant Job at Acquisition Group

 ...groceries to electronic supplies -, picking up and dropping off documents and supplies for company executives. May occasionally drive...  ...duties, such as answering and managing phone calls, copying, scanning, and filing. Opening and closing procedures for the office,...