Site
Inspector – Credentialing – Indianapolis, Indiana (Part-Time)(1099)

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

1. 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.
   
   



2. 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.
   
   



3. 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.
   
   



4. 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.
   
   



5. 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.
   
   



6. 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.