About Sound:

Sound Physicians is a leading physician partner to hospitals, health plans, physician groups, and post-acute providers seeking to transform outcomes for acute episodes of care. For 20 years our high-performing and affordable care models have combined physician leadership, clinical process, technology and analytics to consistently improve clinical and financial performance. We are pioneers in value, working together with our partners and community providers to bridge gaps in care, from hospital to home.

Sound Physicians offers a competitive benefits package inclusive of the items below, and more:

• Medical insurance, Dental insurance and Vision insurance
• Health care and dependent care flexible spending account
• 401(k) retirement savings plan with a company match
• Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
• Ten company-paid holidays per year

About the Role:
The Risk Analyst (RA) is responsible for determining the eligibility of healthcare providers seeking coverage under Sound Physician’s medical malpractice insurance policy. The RA is also responsible for determining whether or not each provider is qualified to work at the Sound facility they have been assigned to based on the site’s bylaws and quality assurance standards laid out by Sound Physicians.

Essential duties and responsibilities:

• Ensure that all necessary documentation for a thorough medical malpractice (med mal) insurance review has been received by the provider. This documentation includes, but is not limited to completed Echo application if applicable, updated CV, attestation form, Physician Services Agreement, release and authorization form, 1st and 3rd party for any background issues, etc.
• The RA will run the NPDB reports for all providers going through the med mal review process.
  Ensure that all Sound documents are received and complete (Demographic Form, Authorization and Release of Information Form, Attestation Form, and Current CV).
• The RA will run the AMA or AOA profile for each physician going through the med mal review.
• The RA will conduct prime source verification of education for all nurse candidates.
• The RA will perform online verifications of ALL medical licenses, including DEA and controlled substance registrations, past and present.
• The RA will perform OIG and SAM queries for all providers going through the med mal process.
• The RA will perform Google searches for all providers going through the med mal process.
• The RA will review the following documentation for accuracy: Echo application, Provider Services Agreement, Release of Information, and attestation.
• The RA will review the CV to ensure all needed information for med mal is included.
• The RA will ensure that three valid references have been obtained.
• The RA will ensure that the provider is qualified in the specialty they will be working under through Sound.
• The RA will further investigate all background issues that arise throughout the review to ensure they fall within the Sound guidelines.
• The RA will ensure that proper back-up documentation has been received (1st and 3rd party).
• The RA will escalate any issues as needed to the Director of Risk Management and Credentialing.
• The RA will determine if a provider’s qualifications meet the requirements specific to each assignment

Special knowledge, skills, and abilities needed to perform your job:

• Excellent organizational abilities
• Excellent written and oral communication skills
• Attention to detail and accuracy
• Customer service oriented (internal customers)
• Ability to interact and communicate with individuals at all levels of organization
• Strong interpersonal skills to handle sensitive situations and confidential information.
• Position continually requires demonstrated poise, tact, diplomacy, and good judgment.
• Ability to multi-task and prioritize workload in a fast-paced environment
• Ability to work under tight deadlines

Education and Experience:

Education
Minimum: High School education or equivalent
Preferred: College degree from an accredited institution or a combination of experience and NAMSS
CPCS Certification

Experience
Minimum: Prior experience in the health services industry or prior experience in a similar administrative role
Preferred: 1-2 years provider credentialing in a hospital Medical Staff Services Office, IPA/Medical Group or physician group practice

Other details:

• Indoor office environment
• No travel required
• Sitting at desk for up to eight hours (w/breaks)
• Working on computer for up to eight hours (w/breaks)

Pay Range: $20-$24.04 per hour. Exact pay will be determined based on candidate experience and geographical location.

This job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.