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

SE1Ub1NZZmlYSFBNUllOeUYwREQrSkZzcnc9PQ==
  • 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

Lambert Hotels

Hotel Housekeeper Job at Lambert Hotels

 ...Position: Hotel Housekeeper-Hampton Inn & Suites Whitefish. Job Description: The Hampton Inn & Suites Whitefish is looking for responsible and upbeat housekeepers to join our team. We are dedicated to providing a safe, clean, and comfortable home away from home... 

Aramark

Kitchen Supervisor Job at Aramark

 ...personal safety, by conforming to all standards and regulations. Essential functions and responsibilities of the position may vary by Aramark location based on client requirements and business needs. Benefits: Full Health Benefits, 401k*, Vacation/PTO, Holiday Pay,... 

Massaro Construction Group

Construction Management - Site Manager for K12 School Construction Job at Massaro Construction Group

 ...: site excavation; NPDES permit compliance; site utilities, temporary partitions and overall protections for students and staff; demolition related to structures; demo and sustaining interior work and mechanical systems; phased interior renovation work; foundations and... 

AdvisaCare

Part Time Hospice Registered Nurse or Licensed Practical Nurse Job at AdvisaCare

 ...Support patients and families with dignity and heart Spend real time where it matters most Care without the chaos of hospital halls...  ...Rewards AdvisaCare Can Offer YOU!~401K Retirement Plan ~ Medical Benefits Available for 30+ Hourly Employees ~ Ability to Earn... 

Confidential

Tax Analyst Consultant Job at Confidential

We are seeking an experienced Tax Analyst Consultant with specialized expertise in Workday HCM/Payroll and ADP SmartCompliance. The ideal candidate has a high level of WD tax experience (2-3 years), particularly in creating EIBs and amendments, and is comfortable providing...