Compliance Specialist

Jackson Healthcare

29d•Remote

About The Position

Overview: Who We Are HWL is a company that comes to the market with deep expertise from leading healthcare GPOs and supply chains, workforce management software providers, healthcare delivery organizations, cutting-edge technology organizations, and leading staffing agencies. Our workforce solutions deliver results that lower overall costs, produce higher-quality staff, and increase visibility into overall labor activity and metrics. Through proprietary next-generation technology and customizable MSP services, HWL delivers a vendor-neutral Total Talent Acquisition solution that lowers overall labor costs while reducing administrative burden. HWL achieves remarkable success by forging deep partnerships founded on integrity, accountability, and trust. Our company welcomes innovative thinkers who desire to work with a team that consistently displays kindness and empathy and promotes individual and collective growth. POSITION PURPOSE: The Compliance Specialist is responsible to for acting as the compliance related day-to-day point of contact with the client and the agencies. The Compliance Specialist’s sole purpose is ensuring all the client’s credentialing and onboarding requirements are understood by the agency and adhered to in a timely basis so the Provider can start on agreed start shift. The Compliance Specialist’s focus is to track new starts and keep the credentialing and privileging process moving along so that providers can start on time. The Compliance Specialist is responsible for ensuring adherence to the client’s application, Credential Committee, Medical Executives Committee (MEC) & Board meetings (BOT) expectations, and privileging requirements. This role will be reviewing & screening documents provided by the Provider’s agency, following up on missing documentation and following all compliance policies as established in the SOW and the VMS system. The Compliance Specialist will primarily serve as a liaison between the supplier and the facility to ensure that client credentialing is expedited as quickly as possible and facilitate in providing the onboarding and credential packet to the client. The Compliance Specialist will ensure no delay in initial scheduled shifts due to non-compliance, will keep the client abreast of all activities, escalate concerns early to mitigate any delay in process. The Compliance Specialist needs to be service focused and have excellent communication, interpersonal skills, organization, & conflict resolution. Finally, The Compliance Specialist will build trust and loyalty to ensure long-term client retention and exceeding client’s expectations.

Requirements

High school graduate or equivalent.
Associate or B.S. Degree preferred
All candidates must be able to fulfill E-verify requirements
Solid understanding of healthcare staffing, Locums Credentialing/Compliance.
Minimum two years or more of related experience in a Hospital Medical Staff Office or in a Locums’ Healthcare staffing company Credentialing/Compliance Department. Recent experience REQUIRED.
Good customer service and public relations.
Knowledge of related computer applications including database entry.
Able to work well independently and in a team environment.
Diligence and solid organizational skills
Adaptable to changes and able to make decisions in a demanding environment while remaining positive.
Proven interpersonal communication skills including group, verbal and written.
Highly analytical with the ability to articulate those details at a higher level.
Creative thinker and problem solver to deliver on client expectations.
Excellent relationship management that puts the customer and provider first while promoting goodwill and a positive image of the company.
This is a full-time remote position.
Standard business hours are Monday through Friday 8:30 a.m. to 5:30 p.m. Additional time outside of these hours may be needed to complete the essential functions of the job.
Successful associates in this position must be able and willing to travel nationwide up to 25% of the time.

Responsibilities

Assumes responsibility for facilitating the Onboarding and Credentialing between Agency and Client.
Communicates directly with the agencies to ensure client credentialing and onboarding requirements are supplied to the client’s MSO per their deadlines.
Facilitates providing the onboarding & credential packet to the facility contact
Reviews the Provider’s documentation in the HWL’s VSM platform provided by the agency and follows up as needed with suppliers or clients to ensure required MSO/privileging documents (physician/NP/PA) are supplied to the client in a timely manner.
Provides compliance ‘tracker’ to client for ongoing updates and monitoring.
Manages the Privileging Compliance checklist (Credential Committee, Medical Executives Committee (MEC) & Board meetings (BOT))
Ensures adherence by suppliers to client credentialing requirements and compliance policies as established in the SOW (Statement of Work), SOP (Standard Operating Procedures) and the VMS system.
Resolves or appropriately escalates inquiries and concerns.
Partners with the facility/group to resolve outstanding items to complete the file process.
Attends and participates in meetings with clients and suppliers regarding compliance related elements for the client.
Communicates clearance status of providers to the client
Ensures no delay/cancels in start dates due to non-compliance and will escalate to the aligned HWL Locums AM for necessary action.
Partners with the HWL Account Manager on each confirmed Provider’s compliance progress and will work with Compliance Manager to mitigate concerns or delays.
Follows up with all future expiring documents and ensures compliance for the life of the assignment and will follow up with agency to obtain updated requirements.
Provides the client with updates on Provider’s future expired documents to assist where needed to maintain the Provider’s privileges.
Provides support to suppliers, clients and internal teams on any policies and procedures inquiries as needed.
Remains updated on any new state mandates, licensure requirements and any other compliance related matters that could affect our current clients.
HWL Compliance Specialists and HWL Account Manager will follow up regularly with agency & facility to ensure compliance requirements met or will not cleared to start
HWL holds weekly Cadence calls with client’s compliance point of contact
Consistent collaboration & communication for risk mitigation & contingency plan
Agency is the employer of provider and will enforce and follow up
Prepares reports
Other miscellaneous projects as assigned.
Assumes responsibility for establishing and maintaining professional working relationships with providers, clients, and internal teams.
Cross selling/upselling client program
Coordinates activities effectively with stakeholders
Keeps management well informed of area activities and of any significant problems.
Ensures effective communication among all stakeholders and involved parties.
Schedules and Attends meetings as required.
Travel to client locations and meet with stakeholders
Attends meetings as required (both virtually and/or in-person as required).
Assumes responsibility for establishing and maintaining effective working relationships with Client and Agency employees, Company associates, and with management.
Coordinates activities effectively with clients, suppliers and account managers.
Keeps management informed of any issues that arise that could affect the business of clients, agencies or HWL.
Ensures effective communication among all managers and involved parties.
Attends meetings as required
Assumes responsibility for related duties as required or assigned.
Performs miscellaneous projects as assigned.
Updates job skills as required