Medical Staff Credentialing Manager jobs in Rock Hill, SC

TITLE:

Credentialing Analyst / Compliance Analyst

LOCATION:

Remote with minimal travel requirements.

REPORTS TO:

Product Supervisors

KEY RELATIONSHIPS AND TEAM:

The Credentialing Analyst will work collaboratively and directly with Product Supervisors and fellow Credentialing Analysts/Credentialing Attorneys in the reviewing of all assigned submissions. The Credentialing Analyst will also work with the Client Success and Technology teams on customer service tasks, system testing, and more.

THE OPPORTUNITY: As a regulatory compliance company, F&I contracts in the auto finance space, the Credentialing Analyst holds a key role by reviewing contracts sold to consumers related to vehicle maintenance, service, protection, and waiver products at the request of financial lenders. The Credentialing Analyst will review the contract submissions and determine whether to approve or reject the submissions based on a variety of criteria relating to lender requirements for loan funding, federal and state regulations, and consumer protection. The Credentialing Analyst will also help identify system and process efficiency improvements and must have a willingness to remain proactive in communicating with fellow Credentialing Analysts/Attorneys and Supervisors.

Specifically, the Credentialing Analyst will have responsibility to:

• Become independent in product submission reviews with the ability to leverage peer opinions as needed for nuance and unique situations, while staying informed about changes to customers’ Minimum Business Requirements and Standard Operating Procedures and identifying issues that are new or inconsistent for SOP management.
• Ensure accurate approval or rejection of a product form submission based on lender requirements for loan funding, federal and state regulations, and consumer protection.
• Determine effective use of tools provided for the credentialing process, to complete the timely and accurate review of submission, utilizing the company specific platform, , excel, draftable and internal library tools to increase quality, efficiency, and consistency of reviews.
• Provide accurate and complete refund rule data available in every approved submission.
• Reviews and responds to product company inquiries, in addition to managing team help desk emails to ensure timely responses via help desk to customers.
• Other duties as assigned.

Professional Qualifications:

The following knowledge, skills, education, and experiences are required:

• Bachelor’s degree
• Ability to read and understand a variety of terms and conditions within legal contracts.
• Adaptability and flexibility
• Extremely thorough with a strong attention to detail
• Self-motivated and able to work independently.
• Ability to work collaboratively with a team.
• Ability to maintain a positive and professional working relationship with all involved parties.
• Strong written and verbal communication.
• Excellent organizational and time management skills
• Proficient with various software systems including Microsoft 0365.
• Ability to use and interpret various user interfaces and functions.
• Must be comfortable in a fast paced, deadline driven environment.
• High level of personal accountability and ownership for the success of the contracts team

The following knowledge, skills, education, and experiences are preferred:

• 2-4 years’ experience with compliance and/or regulatory contract review highly preferred
• Experience working in a regulatory environment or with regulated industries
• 1-2 years’ experience working remotely

Why Consider Joining FIS Now?

• The business is poised for accelerated growth.
• The company’s story is one of protecting financial institutions and consumers alike with respect to F&I products.
• Remote work environment with flexibility.
• Competitive compensation and benefits, including life insurance and long-term disability coverage.
• And more!

The following behaviors are required:

• Attitude – Has a positive energy that is contagious and has a “can do” attitude. Thinks big and takes on big challenges – sets challenging targets, never satisfied with results, achieves results the right way – planning, perseverance, and overcomes obstacles.
• Approach – Respectful of others and culture while being able to influence team toward common goal; Great communicator who will be empathetic of culture while actively pursuing an agenda of continuous improvement.
• Business Acumen – Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition; Aligns work with strategic goals.
• Change – Implements change with a “down to earth” approach. Comfortable managing ambiguity & complexity.
• Collaborative – Charts course with colleagues having sought their views.
• Customer Service – Responds to requests for service and assistance and manages difficult or emotional customer inquiries anonymously with supervisor support via email; Meets commitments.
• Delivery – Achieves commitments and delivers personal objectives and those of the team. Demonstrates passion and innovation to continuously deliver improved results without taking “short cuts.”
• Dependability – Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
• Emotional Intelligence – Recognize, understand, manage, and express emotions effectively in oneself and others involving a combination of self-awareness, self-regulation, empathy, and social skills.
• Ethics – Treats people with respect; Keeps commitments; Inspires the trust of others; Works ethically and with integrity; Upholds organizational values.
• Influence – Persuades others to pursue a course of action.
• Integrity – Does what is right not what is politically expedient. Earns trust and maintains confidence.
• Interpersonal Skills – Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Judgment – Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
• Motivation – Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles; Measures self against standard of excellence; Takes calculated risks to accomplish goals.
• Oral Communication – Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Participates in meetings.
• Organization and planning – Plans and organizes in an effective manner focusing on the key priorities.
• Organizational Support – Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Respects and supports organizational culture of diversity and teammates.
• Problem Solving – Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
• Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Quality – Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Quality Management – Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
• Quantity – Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.
• Technical Skills – Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
• Teamwork – Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
• Written Communication – Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Able to read and interpret written information.

Physical Demands and Work Environment:

• Remote based opportunity
• Continuously required to utilize hand and finger dexterity
• Required to speak and hear
• Continuously required to utilize visual acuity to read technical information and use a keyboard

Key Words: “contract analyst”, “regulatory compliance”, “auto finance”, “finance”, “regulated products”, “regulated industry”, “work from home”, “legal”, “legal compliance”, “insurance”, “property and casualty”, “regulatory”, “contract review”, “compliance”, "paralegal", "JD preferred"