Site Inspector – Credentialing

Syra Health; Indianapolis (IN); On-site; USD 60,000 - 80,000; Full time

Job summary

Syra Health is seeking a detail-oriented Site Inspector - Credentialing to perform on-site inspections of healthcare facilities, ensuring compliance with credentialing standards and regulatory requirements. The role supports the provider network's safety and quality standards and requires travel to provider sites.

Responsibilities include verification of licenses and certifications, documenting findings, and advising on corrective actions.

Qualifications

• Associate degree or CMA/RMA with relevant experience required.
• 2-3 years of experience in a clinical setting or healthcare operations.

Responsibilities

• Conduct on-site inspections of provider facilities to assess compliance with standards and regulations.
• Verify licensure, certifications, and accreditations during site visits.
• Document findings in inspection reports and recommend corrective actions.
• Engage with providers and credentialing teams to address issues and improve readiness.
• Collaborate on quality assurance initiatives and provider onboarding.
• Travel to provider locations as required.

Skills

Medicaid knowledge

Regulatory compliance

Communication skills

Multitasking

Office software

Education

Associate degree in Healthcare Administration

CMA or RMA certification

Tools

Microsoft Office

Credentialing software

Job description

SH-1059 Site Inspector Credentialing Indiana

Summary

Position Summary:

We are seeking a detail-oriented and highly organized Site Inspector - Credentialing - to join our team. The successful candidate will conduct on-site inspections of healthcare facilities to ensure compliance with credentialing standards, regulatory requirements, and quality benchmarks. This role is integral to maintaining a high-quality provider network and ensuring the safety and satisfaction of patients served by the network.

Key Responsibilities

• Site Inspections and Evaluations:
  • Perform on-site inspections of provider facilities, including clinical and administrative areas, to assess compliance with company standards, state and federal regulations, and accreditation requirements (e.g., NCQA).
  • Evaluate physical environments for cleanliness, accessibility, equipment maintenance, and patient safety protocols.
  • Review facility policies, procedures, and documentation related to patient care, infection control, and emergency preparedness.
• Credentialing Verification:
  • Confirm licensure, certifications, and accreditations of healthcare providers and facilities during site visits.
  • Ensure adherence to operational and staffing standards, including adequate training and credentialing of clinical staff.
• Reporting and Documentation:
  • Document findings in detailed inspection reports, highlighting areas of compliance and deficiencies.
  • Recommend corrective actions and follow up on implementation to ensure compliance.
• Stakeholder Engagement:
  • Act as a liaison between the provider network and the credentialing department to address compliance issues.
  • Educate providers on credentialing standards and assist in improving their readiness for inspections.
  • Conduct interviews with healthcare staff, management, and providers to gather insights on operations and patient care practices.
  • Analyze staff qualifications and training programs to ensure adherence to best practices in healthcare delivery.
• Quality Assurance and Continuous Improvement:
  • Collaborate with internal teams to improve credentialing processes and provider onboarding.
  • Participate in quality assurance initiatives to enhance overall provider network performance.
• Travel:
  • Travel to provider locations as required for on-site inspections.

Qualifications

Education and Experience:

• Associate s degree in Healthcare Administration, Social Work, Nursing, Public Health, or a related field, Certified Medical Assistant or Registered Medical Assistant with relevant experience.
• 2 3 years of experience in clinical setting or healthcare operations.

Skills And Certifications

• Understanding of state Medicaid guidelines, regulations, and policies
• Strong knowledge of healthcare accreditation standards (e.g., NCQA, Join Commission
• Familiarity with regulatory requirements, including HIPAA and OSHA
• Familiarity with coding practices (ICD 10, CPT coding) is preferred.
• Certification in healthcare credentialing or quality (e.g., CPCS, CPHQ, CJCP) is preferred.
• Excellent communication and interpersonal skills for provider engagement.
• Proficient in Microsoft Office Suite and credentialing software systems.

Other Requirements

• Valid driver s license and reliable transportation for travel to provider sites.
• Ability to manage multiple inspections and meet deadlines in a fast-paced environment.

Syra Health is an equal opportunity employer and values diversity at all levels. Lived experience and non-traditional backgrounds are welcomed and encouraged.