As a member of the Regulatory Compliance team, the Licensure Specialist will be responsible for the day-to-day support of the Medicare enrollment of all SCA Health facilities. The Licensure Specialist 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

About SCA Health

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 dire...ctly 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.

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Connections working at SCA Health