[Hiring] Deeming Subcontractor @Acentra Health, LLC

Role Description

Acentra is looking for a Deeming Subcontractor (Clinical reviewer for policy & procedures of medical centers) to join our growing team.

Job Summary:

• Review deeming, redeeming, and/or supplemental free clinic and health center applications against a provided standard for risk management, credentialing and privileging, quality improvement, and claims management to determine whether standard is achieved and identify problem areas.
• FTCA redeeming applications typically occurs from April – August.
• Initial deeming and/or supplemental free clinic and health center applications typically occurs year-round.
• Free Clinic redeeming applications typically occur September – October.

Job Responsibilities:

• FTCA reviewers:
  • Accept a minimum of 75 FTCA reviews annually during the redeeming cycle.
  • Each application can take up to three hours to complete.
  • All application reviews must be completed within 3 business days.
• FTCA/CA reviewers:
  • Accept a minimum of 75 FTCA reviews annually during the redeeming cycle.
  • Each application can take up to one hour to complete.
  • All application reviews must be completed within 3 business days.
• Free Clinic reviewers:
  • Accept a minimum of 75 FTCA reviews annually during the redeeming cycle.
  • Each application can take up to 1 – 1.5 hrs. to complete.
  • All application reviews must be completed within 3 business days.
• Attend 100% of annual training sessions, which may be live in-person at HRSA designated location; or virtually as required.
• Attend weekly calls during the deeming season cycle.
• Supply your own Windows laptop with approved virus and anti-spyware protection.
• Maintain medium-level security clearance/PIV card and access to HRSA data systems.
• Connect to HRSA VPN for password change and to access HRSA systems monthly inside and outside of the redeeming season cycle.
• Follow all rules and procedures for alerting Acentra Health in the event of loss or theft of laptop on which HRSA VPN software access has been installed by Acentra Health.
• During the deeming season cycle, remain in communication with Acentra Health staff to alert of upcoming unavailability to accept reviews.
• Remain responsive throughout the year to Acentra Health communication about deeming and redeeming matters, training, Acentra Health annually required compliance courses, and HRSA annually required compliance courses.
• Always comply with HRSA’s annual compliance training policies and procedures.
• Be knowledgeable and cognizant of always observing HIPAA rules and regulations.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Qualifications

• Required Qualifications:
  • FTCA Reviewer:
    • Experience in healthcare administration
    • Eligibility for MBI Clearance
  • C/A Reviewer:
    • Experience in medical documentation review required
    • Eligibility for MBI Clearance
• Preferred Qualifications:
  • FTCA Reviewer:
    • Experience with risk management and quality improvement
  • C/A Reviewer:
    • Experience with risk management and quality improvement

Benefits

• Meaningful work that genuinely improves people's lives across the country.
• A company that cares about employees and provides tools and encouragement to achieve the finest work of your career.

Company Description

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day.

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry.

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.