Site Inspector – Credentialing

SH-690 Site Inspector – Credentialing – Indiana ( Part-Time)

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

• 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.
• 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.
• 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.
• 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.
• 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.
• 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.