Job Description

San Diego,CA Office-Tuesday and Wednesday in Office

Job Summary

The Auditor, Legal Compliance & Regulatory conducts standardized compliance assessments through various credentialing technologies and details the results.

Job Responsibilities

• Perform regular and ad hoc audits of credentialing processes to ensure clinician files meet company, state, federal, client, The Joint Commission on Accreditation of Healthcare Organizations requirements.
• Apply credentialing technology and audit tools to complete audits with a high degree of accuracy and observe efforts closely against the agreed scope to ensure timely and accurate completion.
• Proactively identify and mitigate all risks to achieve target completion dates and communicate production status and risk identification to management.
• Proactively engage with and support internal functional teams and customers to ensure the completion of compliance initiatives such as strike events, electronic medical records projects, state audits, and facility audits.
• Assist with workflow development and implementation of quality-related activities.
• Demonstrate analytical approach and performance drive to measure the success of compliance projects.
• Assist in the preparation of compliance submissions for internal and external audits and inspections.
• Meet daily and monthly productivity and accuracy metrics
• Technology-focused approach with ability to complete audits and assessments from various credentialing and Vendor Management technologies.

Key Skills

• Application of standardized audit and review methods
• Proficiency with Microsoft Office, specifically Microsoft Excel
• Ability to pivot and manage competing interests to meet operational needs
• Ability to focus and manage details with precision and accuracy
• Excellent time management, prioritization, and organizational skills with high work standards and attention to detail
• Excellent written and verbal communication skills

Qualifications

Education & Years of Experience

• High School Diploma/GED plus 5-7 years of work experience

Certifications

• Certified in Healthcare Compliance (CHC) (Preferred)

Additional Experience

• Experience in regulatory research and analysis
• Operational experience in staffing, healthcare, audit, or quality positions
• Experience in compliance, auditing, and/or credentialing

Work Environment / Physical Requirements

• Work is performed in an office/home office environment.
• Team Members must have the ability to operate standard office equipment and keyboards.

AMN Healthcare will provide reasonable accommodations to qualified individuals with disabilities to enable them to perform the essential functions of the job.

Our Core Values

● Respect ● Passion ● Continuous Improvement ● Trust ● Customer Focus ● Innovation

At AMN we embrace the ways we are similar and different; respecting all voices and ensuring everyone has the opportunity to contribute to our collective success. We acknowledge our shared responsibility to foster a welcoming environment where everyone feels recognized and valued. We cast a wide net to recruit and retain competitive talent and build healthcare workforces supportive of the communities we serve. We believe in the power of compassion and collaboration to build healthy communities where access to quality care is available to all. Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities.

At AMN we recognize that in-person connections have value and promote collaboration. You will be expected to come into an AMN Healthcare office at a frequency dependent on the work arrangement for your role.

Pay Rate

Final pay rate is dependent on experience, training, education, and location.

Salary : $27 - $32