Healthcare Credentialing Compliance Lead

African American Talent; Phoenix (AZ); On-site; USD 70,000 - 75,000; Full time

Benefits offered by this job

Medical/Prescription

Dental

Vision

Health Savings Account

401(k)

Profit Sharing

Short Term Disability

Long Term Disability

Parental Leave

Life Insurance

Pet Insurance

Transportation Benefit

Educational Assistance Program

Paid Time Off/Company Holidays

Job summary

Amergis is seeking a Compliance Manager to lead credentialing oversight for Sunburst projects and ensure contractors meet customer, Sunburst, and industry standards. The role collaborates with Credentialing Specialists, Program Management, and suppliers to enforce requirements and drive accurate reporting.

The position involves annual reviews, monitoring pre-assignment credentials, and coordinating training to maintain compliance across active accounts and assignments.

Qualifications

• High school diploma or equivalent; undergraduate degree preferred.
• Healthcare terminology experience preferred.
• One year of work experience within a team environment preferred.
• Excellent verbal and written communication skills; proficiency in the English language is required.
• Proficiency with computers, including Microsoft Office.
• Ability to work independently and multitask effectively, while maintaining attention to detail.
• Ability to effectively elicit from and provide information to all Team Members, clients and suppliers using strong communication skills.

Responsibilities

• Collaborates with Credentialing Specialists and Program Management team to enforce all compliance requirements for all active accounts
• Partners with Talent Acquisition and Program Management team to identify, screen and hire all Credentialing Specialist roles
• Supports Credentialing Specialists with proper training and continuing education necessary to perform role
• Ensures the Credentialing Specialists are tracking and monitoring all pre-assignment and contract specific requirements
• Supports Credentialing Specialists to ensure activities and plan is being executed in order to obtain updated credentials from suppliers for contractors on assignment, prior to expiration
• Executes audit plan to evaluate that active contractors are fully credentialed properly, as a further quality assurance measurement
• Collaborates with customers, suppliers, and Program Management team to ensure optimal compliance related reporting is adopted and utilized
• Partners with the Implementation and Program Management team during discovery to review customer specific and state specific credentialing requirements
• Establishes and maintains updated credentialing requirements for all Sunburst customers
• Conducts annual compliance review and refresh per customer
• Adheres to evolving healthcare mandates, policies and requirements set forth by industry, customer, and State & Federal guidelines
• Displays strong organizational and time management skills to efficiently support the Credentialing Specialists and Program Management team
• Establishes and maintains effective channels of communication within the division, as well as with customers and suppliers
• Provides excellent customer service to all customers, suppliers, and Internal Team Members
• Performs other duties as assigned

Skills

Verbal communication

Written communication

Microsoft Office

Team collaboration

Attention to detail

Education

High school diploma

Undergraduate degree

Tools

Microsoft Office

Job description

Amergis is seeking a Compliance Manager to lead credentialing oversight for Sunburst projects and ensure contractors meet customer, Sunburst, and industry standards. The role collaborates with Credentialing Specialists, Program Management, and suppliers to enforce requirements and drive accurate reporting.

The position involves annual reviews, monitoring pre-assignment credentials, and coordinating training to maintain compliance across active accounts and assignments.