JOB DESCRIPTION Job Summary Provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and requirements pertaining to delegation agreements. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Coordinates, conducts and documents pre-delegation and annual assessments as necessary to comply with state, federal and National Committee for Quality Assurance (NCQA) guidelines, and other applicable requirements. • Distributes audit results letters, follow-up letters, audit tools and annual reporting requirement as needed. • Works with delegation oversight analytics representatives on monitoring of performance reports from delegated entities. • Develops corrective action plans (CAPs) when deficiencies are identified, and documents follow-up to completion. • Assists with delegation oversight committee meetings. • Works with delegation oversight leadership to develop and maintain delegation assessment tools, policies and reporting templates. • Participates as needed in joint operation committees (JOCs) for delegated groups. • Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid, National Committee for Quality Assurance (NCQA) and/or other regulatory audits as needed. Required Qualifications • At least 3 years experience in health care, including 2 years experience in a managed care environment facilitating utilization reviews, or equivalent combination of relevant education and experience. • Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice. • Knowledge of audit processes and applicable state and federal regulations. • Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet established deadlines. • Ability to collaborate effectively with team members and internal departments. • Strong attention to detail with a focus on maintaining quality in all tasks. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

We’re seeking an experienced credentialing professional with delegated credentialing knowledge and at least three years of hands‑on experience spanning both full cycle credentialing and payer enrollment. As the Lead, you’ll play a key role in standing up a brand‑new department, helping to shape workflows, build processes, and set the foundation for long‑term success. This is an exciting opportunity for someone who thrives in dynamic environments and enjoys creating structure from the ground up. Delegated Credentialing Team Lead Schedule: Monday-Friday Job Location Type: Remote Your experience matters At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Lifepoint Business Services (LBS) team, you’ll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier ®. More about our team Our credentialing team serves Lifepoint Health facilities across the country, partnering closely with providers and facility leaders to ensure seamless, timely, and compliant credentialing. We value teamwork, continuous learning, and a shared commitment to supporting those who care for our communities. How you’ll contribute The Team Lead is responsible for managing and providing oversight to a team in areas such as training, credentialing, and maintaining enrollment workflow processes. - Create training material, PowerPoint presentations, and collaborate on the creation of enrollment policies and procedures used by the Specialists and within the department. - Provide oversight and audit the quality of work produced by the team ensuring established processes and procedures are followed. - Maintain the general enrollment mailbox, the online enrollment systems data and processes, and distribute work to the Specialists as appropriate. - Lead credentialing efforts for facility practitioners to ensure authorizations and appropriate credentials to treat patients are current and recorded. - Complete administration functions within the credentialing system. - Onboard, train, assist, coach and mentor new Specialists on department and Company specific processes, policies, and procedures. - Delegate work to the appropriate Specialist as it is received through the general department email. - Update credentialing system with new practitioner applications and re-appointment applications to reflect accurate report data. - Maintain regular and reliable attendance. - Perform other duties as assigned. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: - Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. - Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. - Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. - Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). - Professional Development: Ongoing learning and career advancement opportunities. What we’re looking for Applicants should have a high school diploma or equivalent, or combination of education and experience required for the job. Additional requirements include: - 3+ years of Medical Staff Credentialing and Privileging experience. - Strong knowledge of The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and National Committee for Quality Assurance (NCQA) guidelines. - Intermediate/advanced Microsoft Excell skills - Experience with MD-Staff a plus - Have a designated workstation in their home free from distractions. - Exhibit a general understanding of healthcare regulatory and compliance (e.g., HIPAA). - Skilled in the application of policies and procedures. - Knowledge of Business Office Standards and Recommended Practices. - Handle multiple projects simultaneously including task delegation, project oversight, and resource allocation. Pay range: $22.15 - $29.90 per hour. EEOC Statement Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment. Employment Sponsorship Statement You must be authorized to work in the United States without employer sponsorship. Pay Transparency Notice (Washington State) If you believe this job posting does not include accurate or complete pay information in accordance with the Washington State Equal Pay and Opportunities Act, please inform us immediately. You can contact us at 833-271-4269 to report the issue. For more information on your rights under Washington’s pay transparency laws, visit the Washington State Department of Labor and Industries website at: https://lni.wa.gov Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country. We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

Role Description To carry out internal audits across all CNWL sites (circa 72 sites) and ensure all cleaning services, catering and security services and action plans produced and implemented to rectify where necessary. - Report audit outcomes and action plans to the team and monitor agreed actions. - Ensure compliance with all OCS and CNWL policies with relevance to auditing. - Ensure that all cleaning tasks are carried out through audits in accordance with the NHS National Standards of Healthcare Cleanliness 2021. - Ensure catering tasks are carried out in accordance with HACCP, ensuring compliance with food safety and health & safety legislations. - Complete other audits such as efficacy, estate, clinical and Security & FOH, maintaining standards as per contractual agreements. - Assist in the collation of monthly report data. - Provide general assistance and support to the Operations Manager and Training and Compliance Manager. Your key responsibilities will include, but are not limited to: - Conduct Quality Assurance audits on Catering in compliance with National Food Standards Agency guidelines. - Conduct Cleaning audits in accordance with NHS Cleaning Standards and contract requirements. - Liaise effectively with OCS Facility Managers and Team Leaders to maintain standards and implement action plans. - Provide auditing statistics for monthly reports. - Formulate and coordinate all staff and client surveys when required. - Work with the management team in the implementation and improvement of training, administration, and audit systems in the contract. - Create action plans for failed audits, ensuring re-auditing is completed within the agreed timeframe. - Develop a good knowledge of the units you are visiting to enable efficient auditing practices. - Ensure site audits are accurate and remap if required. - Liaise with Team Leaders and QTS representatives to carry out periodic audits, KPI monitoring and improve current KPI results. - Comply with all company policies and procedures. - Comply with uniform policy. - Maintain company, patient, client confidentiality. - Carry out any other reasonable requests from the company. - Oversee catering training and work closely with the team leader to provide guidance and support, ensuring all training programs are completed efficiently. - Support menu development by assisting in planning and refreshing menu cycles every six months to maintain quality and variety. - Ensure regulatory compliance by updating the site with new mandatory catering documentation and maintaining alignment with auditor requirements. Qualifications - Must have Right to Work in the UK. - An enhanced DBS will be completed for the successful candidate. - BICS or Impact trained. - Food Hygiene Level 3 Training. - Experience of working within a healthcare setting. - Demonstrable experience of administration of management systems and spreadsheets. - Fully conversant with management systems and auditable data. How to Apply If you are interested in joining a business that encourages professional development, career progression and the chance to work with inspirational people then please click apply and register your interest! You can also sign up to our job alerts when registering which will notify you when other suitable vacancies are available. We are an equal opportunities employer and rely on a diverse workforce with a broad range of knowledge, skills, and backgrounds to deliver our goals. We offer an inclusive and welcoming environment and actively encourage applications from all individuals regardless of race, gender, nationality, religion, sexual orientation, disability, or age.

Overview Ansible Government Solutions, LLC (Ansible) is seeking a full-time Compliance & Credentialing Specialist. This work-from-home position is responsible for carrying out various day-to-day responsibilities that support the team with credentialing and compliance initiatives. This individual will evaluate, analyze, and coordinate all aspects of the credentialing process for healthcare providers. They will also help to lead all aspects of the security and background check processes with candidates via remote correspondence. We strongly desire previous experience navigating federal background investigation requirements, and particularly the requirements of the Department of Veterans Affairs. Ansible is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of national security, health care, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers’ success as if it is their own. Responsibilities - Coordinates and reviews provider files for completeness, accuracy, and compliance with federal, state, and facility regulations, guidelines, policies, and standards. - Monitors provider files to ensure completeness and accuracy. - Conducts research on updated state and federal regulations and policies. - Coordinates and reviews provider security and background check documents for completeness, accuracy, and compliance with federal, state, and facility regulations, guidelines, policies, and standards. - Prepares, issues, electronically tracks and follows-up on appropriate verifications with providers as related to the security process. - Prepares and provides information to internal and external customers, as appropriate. - Enters, updates, and maintains data from provider files into credentialing database in accordance with internal policies and procedures. - Prepares, issues, electronically tracks and follows-up on appropriate verifications with providers. - Participates in the development and implementation of process improvements related to credentialing and compliance. - Prepares and analyzes reports and data and can clearly communicate findings and results. - Communicates clearly with providers and their liaisons to provide timely responses upon request on day-to-day credentialing and privileging matters that arise. - Supports multiple team members and projects simultaneously and prioritizes in a fast-paced environment. - Performs miscellaneous job-related duties as assigned. Qualifications - Must have a minimum of 5 years of credentialing experience. - Bachelor’s or associate degree preferred. - Prior government contracting experience strongly preferred. - Eligible to work in the United States. - Highly developed oral and written communication skills. - Highly organized and strong time management skills. - Must be extremely detail oriented and able to multitask. - Ability to handle confidential information in a professional manner. All candidates must be able to: - Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift - Lift up to 50 lbs from floor to waist - Lift up to 20 lbs - Carry up to 40 lbs a reasonable distance - Push/pull with 30 lbs of force All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.