Overview
At SCA Health, we believe health care is about people - the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn't just what we do, it's how we do it. Each decision we make is rooted in seven core values: Clinical quality Integrity Service excellence Teamwork Accountability Continuous improvement Inclusion Our values aren't empty words - they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you'll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.
At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits.
Your ideas should inspire change. If you join our team, they will.
Responsibilities
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 and Medicaid enrollments. 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.
Qualifications
Understanding of Medicare enrollment systems and State Medicaid portals 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 is preferred. 2+ years of experience related to provider enrollment, credentialing and privileging. Strong background in health care operations and/or Compliance is preferred.
Certifications
If not already achieved, preferred to obtain Certified Provider Enrollment Specialist (CPES) certification within first two years of employment.
Salary
USD $65,000.00/Yr. USD $75,000.00/Yr.
Surgical Care Affiliates (SCA) partners with leading physicians, hospitals and health systems to develop and implement surgical services strategies across the country. With approximately 5,000 teammates, SCA operates more than 185 surgical facilities, including ambulatory surgery centers, surgical hospitals, and hospital surgery departments, in partnership with approximately 2,000 physicians and in affiliation with 45+ health systems.
At SCA, we put Clinical First. Our mission is to care for our patients, serve our physicians and improve healthcare in America by offering clinical systems, service line growth strategies, benchmarking processes, and efficiency programs that create measurable advantage for surgical facilities—clinically, operationally and financially.
An industry leader, SCA recently created industry-wide clinical outcomes reporting procedures, using metrics endorsed by the National Quality Forum. All SCA facilities pursue accreditation through The Joint Commission (TJC), the American Association of Ambulatory Surgery Centers (AAASC) or the Accreditation Association for Ambulatory Health Care (AAAHC).
Our facilities focus on short-term care and primarily provide non-emergency surgical procedures in many specialties, including orthopaedics, ophthalmology, gastroenterology, pain management, and otolaryngology, among others. Our facilities provide physicians with the logistics and support staff necessary to perform these procedures.
SCA is deeply committed to our core values of clinical quality, integrity, service excellence, teamwork, accountability and continuous improvement.