ProviderTrust empowers a safer, smarter healthcare for patients, providers, and payors. Based in Nashville, Tennessee since our launch in 2010, we create powerful solutions to solve complex problems to make healthcare data meaningful and actionable. Our mission is to create a safer healthcare for everyone.
We partner with HR, Compliance, and Provider Operations teams to monitor healthcare populations to identify license, credential, compliance, and payment eligibility issues before they impact patients. We monitor employees, vendors, provider networks, licenses, credentials and more for OIG and state Medicaid exclusions, sanctions or disciplinary actions, license expirations or suspensions and more, continuously verifying everything at the primary source.
Our solutions combine an intuitive user experience with advanced data matching algorithms and seamless integrations to continuously identify and verify compliance issues in the optimal workflow, such as an HRIS or claims processing system.
The Compliance Specialist needs to be a documentation specialist, keeping accurate records of compliance data, reports, activities, and communications, all of which need to be available and accessible to auditors or client inquiries. An analytical mindset, critical thinking skills, and experience with healthcare information systems are all beneficial in this career path. A passion for being detail oriented is essential to this role.
In this unique role, in the first two years of employment the Compliance Specialist will help the organization navigate HITRUST certification. This role will have the opportunity to become HITRUST certified as well.
The Compliance Specialist will be the primary resource for the organization and compilation of numerous policies and processes the organization needs to adhere to—from employee handbooks to department manuals to process SOP documents—that help maintain our compliance.
The Compliance Specialist may also be responsible for assisting with system reviews, risk assessments, or conducting investigations and audits (or working with the compliance team) to ensure the ongoing protection of confidential client information. Communication is key in this role, as these complex compliance findings need to be presented in an easily understandable manner.
The Compliance Specialists will be partnering with the Chief Compliance Officer on many day-to-day operational activities including reviewing and completing security risk assessments, reviewing and documenting operational processes to ensure consistency and efficiency as well as working closely with our engineering team.
Suggested Skills and Experience
We take immense pride in cultivating a strong, person-first culture always looking for ways to be intentionally uncommon. Our team is made up of talented, creative, kind, funny, and energetic folks wired for continuous and ongoing improvement. To be great at ProviderTrust, we find our team members have these things in common:
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