Primary City/State:
Arizona, Arizona
Department Name:
Regulatory Readiness-Corp
Work Shift:
Day
Job Category:
Facilities, Environmental Services, and Culinary
Great careers are built at Banner Health. There’s more to health care than doctors and nurses. We support all staff members as they find the path that’s right for them. Apply today, this could be the perfect opportunity for you.
Becker’s Healthcare recently honored Banner as one of 150 top places to work in health care for 2024, we are proud to offer our team members many career and lifestyle choices throughout our network of facilities. At Banner Health, we’re excited about what the future holds for health care. That’s why we’re changing the industry to make the experience the best it can be. If you’re ready to change lives, we want to hear from you.
This role is remote Monday - Friday , flexible around general business hours MST. In this position you will be processing new and modification applications for any of the facilities within our six states, processing renewals for hundreds of medical, pharmacy and city business licenses, and participating in meetings for projects requiring licensing collaboration. This involves managing a shared inbox in which we receive email requests and needs from internal and external customers. Internal customers include Banner teams such as Revenue Integrity, Revenue Cycle, Compliance, Regulatory, facility administrators and practice managers, Managed Care, and Provider Credentialing. External customers include outside agencies such as state departments of health, state boards of pharmacy, and Medicare and Medicaid.
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
POSITION SUMMARY
This position is a vital resource to all health care facilities throughout the organization as it relates to all local, state, and federal regulations and submission of required licensure and group enrollment activities and certifications for all federal, state and local regulatory agencies where Banner Health operates, as well as facility credentialing for non-delegated health plans. Works in conjunction with the Licensure Consultant and Sr. Manager to ensure effective communications and processes are maintained with government agencies, facilities, and other departments. The incumbent maintains records and the integrity of highly confidential information that is protected from discovery by applicable state statutes.
CORE FUNCTIONS
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Ensures organization’s facilities maintain compliance with all local, state, and federal regulations as it relates to facility licensing, CMS, national, state, and local facility licensure and provider enrollment regulations.
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Works with internal and external representatives to facilitate all licensure and provider enrollment related processes by providing oversight, compiling data, preparing and submission of documentation.
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Prepares and submits all initial, renewal and revalidation applications timely to ensure compliance with federal and state regulations. Performs analysis and appropriate follow-up for submitted applications.
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Maintains all internal facility licensing files and databases. Maintains system for tracking changes in documents and submissions to all agencies. Monitors and maintains a comprehensive list of facility services to ensure facilities remain compliant compliance with all local, state, and federal and state licensing regulations.
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Performs relevant data entry, database maintenance, as well as appropriate queries for expired licensure, or any appropriate regulatory requirement to ensure consistency and integrity of the data.
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Interacts effectively with internal and external representatives, as appropriate, to provide guidance, support research, timely completion of applications, new facility openings, facility mergers and acquisitions, and other licensing matters.
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Collaborates as lead on special projects as assigned by the Sr. Manager, relying on experience and judgement to plan and accomplish goals.
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The incumbent performs and completes activities within the parameters established by the Sr. Manager and as outlined in the facility/entity documents. Manages own duties and functions independently. Work requires the constant exercise of a high degree of independent judgment in response to complex and sensitive materials, decision making and discretion. Uses independent decision-making processes and handles assigned duties in a meaningful and confidential manner with a minimum of supervision. Handles inquiries and problems within the scope of job function and keeps Sr. Manager apprised of all issues as they occur.
MINIMUM QUALIFICATIONS
Requires Associate’s degree or equivalent working knowledge and two or more years administrative work experience in a related area.
Must have excellent communication skills, both verbal and written. Must have strong problem solving and analytical skills. Must demonstrate an ability to meet deadlines in a multi-functional task environment with the ability to work and prioritize independently or as a team member on projects of all sizes. Must, at all times, maintain efficiency and timeliness in all daily activities with emphasis on detail orientation and accuracy. Must demonstrate the ability to accurately process a high volume of work efficiently and effectively. Requires excellent organizational skills and operational knowledge working with spreadsheets, data entry, fax machines, various software programs such as Word or Excel and other computer related skills. Requires the ability to maintain a high level of professionalism when working with coworkers and staff of all levels of management.
PREFERRED QUALIFICATIONS
Previous work experience in a licensing, legal, compliance or business setting is preferred.
Additional related education and/or experience preferred.
EEO Statement:
EEO/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)
Our organization supports a drug-free work environment.
Privacy Policy:
Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)
EOE/Female/Minority/Disability/Veterans
Banner Health supports a drug-free work environment.
Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability
