Compliance and Credentialing Specialist

Description

Role: Compliance and Credentialing Specialist

Reports to: HR Business Partner

FLSA Status: Non-Exempt

Updated: October 2025

The Compliance and Credentialing Specialist is responsible for leading and managing the agency’s compliance program and credentialing processes. This role ensures that all business operations align with Arthrex’s Agency Code of Conduct and regulatory standards. The Specialist serves as a key resource to the sales teams, providing direct support with facility credentialing, HCP spend reporting, and the coordination of annual training renewals. This position requires a proactive approach to maintaining compliance and credentialing, fostering clear communication, and supporting operational excellence across the organization. This is a full-time, in office role.

Essential Responsibilities

Compliance Program Management

• Oversee the organization and maintenance of critical compliance documentation.
• Serve as the primary liaison between Arthrex Compliance and Fortis Surgical.
• Complete annual certifications to validate the effectiveness of the agency’s compliance program.
• Participate in compliance audits.
• Conduct annual compliance risk assessments, evaluate program maturity, and identify areas for improvement while ensuring preventive controls are in place.
  
  

Training & Culture

• Deliver compliance training to new hires and tenured representatives as needed.
• Foster a culture of integrity by encouraging open communication; ensure employees feel comfortable reporting potential compliance concerns.
  
  

Credentialing & Workforce Support

• Ensure all workforce credentialing documentation, vaccination records, and other facility requirements are current.
• Provide consistent support to the sales team regarding internal processes, communication, credentialing, and compliance.
  
  

Expense & Reporting Oversight

• Reconcile monthly sales team expenses and submit accurate HCP spend reports.
• Ensure complete and accurate tracking and reporting of payments or transfers of value to HCPs/HCOs in accordance with Arthrex guidelines.
• Maintain proper documentation for transactions involving HCPs, including meal receipts and attendee lists.
  
  

Investigations & Risk Reporting

• Investigate potential policy violations and apply disciplinary actions in alignment with published guidelines.
• Report substantiated violations to Arthrex Risk Management and Compliance.
• Provide regular updates to agency leadership on compliance activities, risks, and resolutions.
  
  

Relationship Management & Operational Support

• Build and maintain strong working relationships with the sales team, Arthrex, and external vendors.
• Collaborate with the operations team to support physical inventory audits as required.
• Contribute to operational goals and key business metrics as defined by leadership.
  
  

The above statements describe the general nature and level of work being performed in this role. They are not intended to be an exhaustive list of all duties, and additional responsibilities may be assigned, as required.

Work Environment

The Compliance and Credentialing Specialist is an office-based role and will spend a lot of time sitting and on the phone. The Specialist will be constantly interacting, problem solving, and adapting to the needs of the team, healthcare providers, and the business.

Requirements

Minimal Requirements:

• Possess high school diploma or equivalent
• Possess keen attention to detail
• Ability to work in a fast-paced environment; handle multiple workflows simultaneously
• Willing and able to work independently or with minimal oversight
• Demonstrated ability to be trustworthy and discreet; ability to keep sensitive information secure
• Adaptability and critical thinking skills
• Exhibit high ethical standards and reputation for following the rules
• Problem-solving skills and ability to provide action-oriented solutions
• Self-motivated with strong organizational and time management abilities
• Excellent communication, negotiation, and interpersonal skills
• Valid driver’s license, clean driving record and reliable transportation
• Resilience and adaptability in a competitive sales environment
• Proficiency in using Microsoft Office and smart phone technology
  
  

Physical Requirements

• Sitting and Standing for Long Periods: Ability to sit or stand for extended periods while working at a computer or attending meetings
• Dexterity & Fine Motor Skills: Ability to operate standard office equipment such as computers, printers, and telephones
• Visual acuity: Ability to read and interpret documents, spreadsheets, and computer screens
• Lifting & Carrying: Occasional lifting or carrying of files, documents, or office supplies (typically up to 35 pounds)