About Medallion

Healthcare is going through an unprecedented transformation towards digital care. Medallion provides the critical administrative infrastructure to make that change possible. Our platform enables organizations to license their providers in new states, verify existing credentials, and get in-network with health plans. In just over three years, our platform has become an industry standard powering hundreds of healthcare companies to reduce administrative burden for tens of thousands of providers across the country. To date, Medallion has saved over 500,000 administrative hours for our customers!

Founded in 2020, Medallion has raised $85M from world-class investors like Sequoia Capital, Google Ventures, Spark Capital, Optum Ventures, and Salesforce Ventures.

About the role

Our Credentialing team is core to our business and is responsible for making sure all of the licensing and credentialing tasks that we take on for our customers is completed efficiently and accurately. As a Credentialing Regulatory and Compliance Manager, you will be responsible for ensuring we remain compliant for all federal, state, and accrediting body requirements. Your work is critical to creating a seamless onboarding experience for clinicians. This position will not have any direct reports.

Compensation for this role is between $70,000 - $100,000 depending on location and level.

What you'll do

• Coordinate all regulatory complaints and reaccreditation survey activities, including mock surveys (collaborating with external consultants in coordination of mock surveys).

• Coordinate regulatory processes for reporting, surveys by accrediting bodies, occupancy requests, etc.

• Ensures proper documents, surveys and applications are completed timely and accurately. Advocates for a culture of continuous readiness.

• Assist in the design of new policies and procedures and the maintenance of existing policies and procedures to ensure compliance with regulatory bodies.

• Act as an internal consultant to stakeholders, collaborates with UPHS entity colleagues on continuous survey readiness activities and compliance improvement initiatives.

• Assist in the completion of accreditation, certification and other such applications, Intercycle assessments and data submission requirements.

• Work collaboratively to coordinate the development, submission and monitoring of plans of correction to resolve regulatory findings.

• Hold department leaders and process owners accountable for the timely completion of plans of correction.

• Supports understanding and participation of hospital personnel in advance of and during regulatory and accreditation surveys.

• Utilize technical and analytical skills to coordinate and facilitate data retrieval and/or collection, and analysis and distribution of information.

Qualifications

• 8+ years of experience in credentialing including demonstrated experience in NCQA audit submission

• Strong organizational and time management skills.

• Excellent communication and interpersonal skills.

• Attention to detail and a high degree of accuracy in work.

• Ability to work independently and as part of a team.

• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).