Workforce Compliance Specialist

Emory Healthcare•Tucker, GA

13d

About The Position

SUMMARY: - Functions as a professional liaison between Emory Healthcare and regulatory, accrediting, membership-based organizations, and affiliated educational facilities/institutions regarding credentialing and credential verification. - Builds relationships with internal customers and client groups and liaises with Human Resources business partners (HR BP) to deliver consistent and high-quality customer service. - Accountability for compliance in accordance with accreditation standards and credentialing required by law, regulation or hospital policy. - Actively develops and maintains a working knowledge of the requirements (laws, regulations, policy, and guidelines) related to credentialing and credential verification. - Position is characterized by the ability to prioritize and organize multiple assignments and identify solutions to challenges as they occur in a growing environment. - Possesses comprehensive knowledge of subject matter. - Participates in, coordinates and implements special projects, as assigned. RESPONSIBILITIES: - Review and verify the credentials of healthcare professionals, ensuring all licenses and certifications are up-to-date and compliant with regulatory standards. - Maintain a thorough understanding of healthcare regulations and standards to ensure the organization meets all compliance requirements. - Accurately record and update credentialing information in the organizations database, ensuring data integrity and confidentiality. - Prepare for internal and external audits by ensuring all credentialing documentation is complete and readily accessible. - Liaise with healthcare professionals and regulatory bodies to resolve any credentialing issues or discrepancies. - Generate regular reports on credentialing status and compliance metrics for management review. - Identify opportunities for process improvements in credentialing and compliance monitoring. - Assists in developing training and documentation related to processes and audits.

Requirements

Education: Associate's degree in Human Resources, Healthcare Administration, Public Health, Business, or related field
Experience: Two (2) progressive experience in human resources, healthcare compliance, auditing or regulatory affairs or healthcare related experience in workforce compliance, records management, auditing or statutory and regulatory compliance.
OR in lieu of Associate's degree, 4 years total of relevant experience mentioned above.

Nice To Haves

Certification in Human Resources through workshops, seminars, or course work.
SPHR, PHR or Certified Joint Commission Professional (CJCP) certification.

Responsibilities

Review and verify the credentials of healthcare professionals, ensuring all licenses and certifications are up-to-date and compliant with regulatory standards.
Maintain a thorough understanding of healthcare regulations and standards to ensure the organization meets all compliance requirements.
Accurately record and update credentialing information in the organizations database, ensuring data integrity and confidentiality.
Prepare for internal and external audits by ensuring all credentialing documentation is complete and readily accessible.
Liaise with healthcare professionals and regulatory bodies to resolve any credentialing issues or discrepancies.
Generate regular reports on credentialing status and compliance metrics for management review.
Identify opportunities for process improvements in credentialing and compliance monitoring.
Assists in developing training and documentation related to processes and audits.