Deeming Subcontractor (Federal Tort Claims Act Policy and Compliance)
About The Position
Acentra Health is seeking a Deeming Subcontractor to review deeming, redeeming, and/or supplemental applications from free clinics and health centers against a provided standard. Reviews assess risk management, credentialing and privileging, quality improvement, and claims management to determine whether standards are met and to identify problem areas. FTCA redeeming reviews typically take place from April through August. Initial deeming and supplemental free clinic and health center applications are generally reviewed year-round, while free clinic redeeming reviews typically take place from September through October. Reviewers must complete assigned reviews within three business days, attend required training and weekly calls during the deeming season, maintain access to HRSA systems, and comply with applicable security, privacy, and corporate policies.
Requirements
- FTCA Reviewer: Experience in healthcare administration.
- C/A Reviewer: Experience in medical documentation review.
- Eligibility for MBI Clearance.
- Supply a Windows laptop with approved virus and anti-spyware protection.
- Maintain medium-level security clearance/PIV card and access to HRSA data systems.
Nice To Haves
- Experience with risk management and quality improvement (FTCA Reviewer).
- Experience with risk management and quality improvement (C/A Reviewer).
Responsibilities
- Review deeming, redeeming, and/or supplemental free clinic and health center applications against provided standards for risk management, credentialing and privileging, quality improvement, and claims management.
- FTCA reviewers must accept a minimum of 75 FTCA reviews annually during the redeeming cycle; each application may take up to three hours to complete.
- FTCA/CA reviewers must accept a minimum of 75 FTCA reviews annually during the redeeming cycle; each application may take up to one hour to complete.
- Free Clinic reviewers must accept a minimum of 75 FTCA reviews annually during the redeeming cycle; each application may take 1–1.5 hours to complete.
- Complete all application reviews within three business days.
- Attend all annual training sessions, which may be in person at an HRSA-designated location or virtual as required.
- Attend weekly calls during the deeming season cycle.
- Supply a Windows laptop with approved virus and anti-spyware protection.
- Maintain medium-level security clearance/PIV card and access to HRSA data systems; connect to the HRSA VPN monthly, both during and outside the redeeming season, for password changes and access to HRSA systems.
- Follow Acentra Health procedures for reporting loss or theft of a laptop with Acentra-installed HRSA VPN software.
- During the deeming season, communicate with Acentra Health staff about upcoming unavailability to accept reviews.
- Remain responsive throughout the year to Acentra Health communications concerning deeming and redeeming matters, training, and required compliance courses.
- Comply with HRSA annual compliance training policies and procedures and observe HIPAA rules and regulations.
- Read, understand, and adhere to corporate policies, including HIPAA Privacy and Security Rules.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
