Compliance and Licensing Specialist

Company: Y.A.P.A. Apartment Living Program, Inc.
Location: Chalfont
Posted on: May 28, 2023

Job Description:

At Project Transition, it's our mission to enable individual persons who have serious mental illness, co-occurring substance use disorder and/or a dual diagnoses of SMI and IDD live a life that is meaningful to her or him in the community on terms she/he defines.

Title: Compliance and Licensing Specialist

Position Overview:

Responsible to ensure all programs and licensed, credentialed and accredited properly. Responsible for completing all licensing compliance audits.

Specific Responsibilities:

• Collaborate with all departments to help develop and maintain policies and operational forms and processes with established oversight systems to ensure full compliance with all state and local regulations and credentialing body requirements for all programs.
• Conduct and oversee all internal and external licensing and compliance audits for all programs in all states to ensure sustained operations with full licensure or accreditation.
• Collaborate with all departments to ensure employee development and training is established to meet all contract and regulatory requirements.
• Ensure all licensed staff are properly credentialed with external payers through utilization of CAQH or other state systems as required.
• Maintain documentation and communication with all licensing, credentialing and accreditation bodies to assure compliance with all required standards.
• Respond to and support the collection and distribution of all medical record requests and legal documentation requests are responded to as needed.
• Investigate and respond to all internal and external complaints received by all parties excluding HR employee only related issues.
• Support in all future licensing, credentialing and accreditation efforts to promote product development and growth.
  
  For all Full-Time Employees our benefit package includes:
  
  • Paid Time Off
  • Health Insurance available within 60 days of hire
  • Company Paid Life Insurance
  • STD/LTD
  • Dental Insurance
  • Vision Insurance
  • Health Spending Accounts
  • Able to participate in company 401K after 6 months of hire
  • Company 401K match up to 3%
    All Employees have access to our Employee Assistance Program
    
    Qualifications:
    
    • Bachelor's degree preferred and 3 or more years of quality assurance or licensing/ credentialing experience in a healthcare environment.
    • Experience with Electronic Health Record platforms and ability to work within Microsoft Office products.
    • Experienced in basic project management and data analysis.
    • Excellent attention to detail.
    • Excellent organizational, analytical, and both oral and written communication skills.
    • Must be able to work well independently and exercise independent judgment.
    • Must have the ability to understand and apply policies and procedures and regulatory standards associated with healthcare credentialing.
    • Opportunities to travel to programs if available but not a requirement.
      
      We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Keywords: Y.A.P.A. Apartment Living Program, Inc., Philadelphia , Compliance and Licensing Specialist, Other , Chalfont, Pennsylvania