1. Complete and submit credentialing applications, re-credentialing renewal applications, privileging, and gather appropriate and confidential information. Ensure all practitioner documents acquired are based on and meet requirements of current federal regulatory entities.
Ensure personnel and contractor files are maintained and updated.
2. Assist in the maintenance of CAQH files on practitioners.
3. Coordinate with Clinical and/or Medical Director to ensure all verifications are complete on all contract practitioners and independently licensed staff's in accordance with required standards.
4. Maintain training records including LMS and prepare related reports and correspondence.
5. Monitor, review, and track all licensure, certifications, and documents to ensure renewals are completed and documentation received prior to experience date.
6. Conducts monthly OIG and EPLS screenings on employees, volunteers, Board members, and vendors
7. Conduct a detailed review of any new contracts or rate changes to contracts to include verification that all sites, staff and rates are paying correctly
All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county , to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.