Regulatory Specialist Jobs

About The Position

Requirements

• Bachelor's degree in healthcare or related field.
• 2 years in healthcare compliance, licensing and certification, operations, regulatory compliance, risk management, audit, law, or related field.
• Strong analytical and attention to detail skills.
• Highly effective verbal and written communication skills.
• Strong organizational and prioritization skills.
• Ability to gather information and understand problems to identify underlying issues.
• Strong interpersonal and team-building skills.
• Proficiency in Outlook, Microsoft Word, moderate-level Microsoft Excel, PowerPoint, Adobe, and other software/web-based applications.
• Ability to facilitate meetings and presentations to large groups.
• Ability to work under minimal supervision
• Ability to travel regionally to various locations (Lafayette, Shreveport/Monroe, Baton Rouge, Houma, New Orleans, Chalmette, etc.).

Nice To Haves

• Master’s degree in healthcare or related field.
• Experience with healthcare licensing and certification or healthcare corporate compliance issues.
• Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), Certified in Healthcare Research Compliance (CHRC), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS)

Responsibilities

• Timely completion of annual hospital and facility license renewals for the system, including tracking expiration dates and collecting onsite inspection reports to ensure new licenses are obtained, and ensures facility compliance with state-specific licensing standards and federal regulations, and remains knowledgeable on current federal and state regulations.
• Manages several licensing projects concurrently and ensures projects meet required standards assigned deadlines.
• Works with project stakeholders and external cohorts to collect required documents and information to complete licensing packets; communicates effectively and timely with key stakeholders about projects to resolve issues and meet deadlines.
• Facilitates project management meetings and ad hoc meetings, documents meeting notes, and completes related action items.
• Coordinates onsite on-site physical environment surveys, preparing clinical and operational teams to ensure survey readiness, and reporting onsite to act as licensing lead during those onsite surveys.
• Applies for initial Medicare and Medicaid enrollments for new hospitals, facilities, and provider types.
• Maintains existing Medicare and Medicaid enrollments, updates and revalidates enrollments as need or as required by CMS; utilizes PECOS (Provider Enrollment, Chain, and Ownership System) database to submit new enrollment applications and to update existing enrollments.
• Administers CMS Physician Time Study, which occurs 2 weeks per quarter, for a total of approximately 2,000 physicians. That includes updating the online database with participant information, maintaining instructions and training tools, conducting group and individual training sessions, monitoring and encouraging timely submission from all participants, performing quality audits of submitted time studies, and preparing quarterly and annual reports.
• Administers CMS Lay Transplant Time Study, which occurs 1 week per month, for approximately 200 participants. That includes updating the online database with participant information, maintaining instructions and training tools, conducting group and individual training sessions, monitoring and encouraging timely submission from all participants, and preparing monthly and annual reports.
• Performs other related duties as required.
• Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
• This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

Benefits

• Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or [email protected] .