Compliance Analyst - Licensure

Job Description

Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.

As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge:

• We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
• We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.
• We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
• We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.

The new SCA Health represents who we are today and where we are going—and the growing career opportunities for YOU.

As a member of the Regulatory Compliance team, the Compliance Analyst - Licensure will be responsible for the day-to-day support of the Medicare enrollment of all SCA Health facilities. The Compliance Analyst – Licensure will work with Support Services departments as well as interact directly with SCA Health’s facilities.

Key Responsibilities:

• Provide support to facility leadership on all aspects of Medicare enrollment

• Assist in the maintenance and submission of Revalidations, CHOIs, and CHOWs

• Process and monitor applications for ASCs and hospitals

• Review and evaluate complex applications/forms/requests of all Medicare enrollment documentation for accuracy

• Working effectively with other departments/external sources

• Collaborate as part of a team by assisting with other healthcare regulatory related duties as needed

• • Understanding of Medicare enrollment systems and processes

  • Demonstrate knowledge of specific application information, documentation, and attestations

  • Understanding of and adherence to timelines for various applications

  • Ability to maintain strict confidentiality with experience applying good judgement and discretion

  • Excellent planning, analytical, organizational, and communication skills are essential

  • Flexible attitude and open to changes in the day-to-day work schedule

  • Absolute attention to detail

  • Demonstrated ability to manage multiple projects and tight deadlines

  • Excellent teamwork and interpersonal skills

  • Strong mission and values commitment; natural cultural fit

  Education and Work Experience:

  • Four-year college degree required.

  • 2+ years of experience related to health care operations, licensure and enrollment roles, and/or healthcare compliance preferred, but not required.

  Other considerations (not requirements):

  • Licensure experience

  • Project Management experience

USD $65,000.00/Yr. USD $70,000.00/Yr.

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