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Acentra Health

Modernizes public healthcare with claims solutions

Deeming Subcontractor - Federal Tort Claims Act Policy and Compliance

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Part-timeUnited StatesNo salary listed

About the Job

Requirements

  • FTCA reviewers must have experience in healthcare administration.
  • FTCA reviewers must be eligible for MBI clearance.
  • C/A reviewers must have experience in medical documentation review.
  • C/A reviewers must be eligible for MBI clearance.
  • Reviewers must supply their own Windows laptop with approved virus and anti-spyware protection.
  • Reviewers must maintain medium-level security clearance/PIV card and access to HRSA data systems.
  • Reviewers must connect to the HRSA VPN monthly, both during and outside the redeeming season cycle, to change passwords and access HRSA systems.
  • Reviewers must comply with HRSA annual compliance training policies and procedures and observe HIPAA rules and regulations.
  • Reviewers must read, understand, and adhere to corporate policies, including HIPAA Privacy and Security Rules.

Responsibilities

  • Review deeming, redeeming, and/or supplemental free clinic and health center applications against the provided standard for risk management, credentialing and privileging, quality improvement, and claims management; determine whether the standard is achieved and identify problem areas.
  • FTCA reviewers must accept a minimum of 75 FTCA reviews annually during the redeeming cycle; each application may take up to three hours, and reviews must be completed within three business days.
  • FTCA/CA reviewers must accept a minimum of 75 FTCA reviews annually during the redeeming cycle; each application may take up to one hour, and reviews must be completed within three business days.
  • Free Clinic reviewers must accept a minimum of 75 FTCA reviews annually during the redeeming cycle; each application may take 1–1.5 hours, and reviews must be completed within three business days.
  • Attend all annual training sessions, which may be live in person at an HRSA-designated location or virtual as required.
  • Attend weekly calls during the deeming season cycle.
  • Follow procedures for notifying Acentra Health if the laptop with Acentra-installed HRSA VPN access is lost or stolen.
  • During the deeming season cycle, communicate with Acentra Health staff about upcoming unavailability to accept reviews.
  • Remain responsive throughout the year to Acentra Health communications about deeming and redeeming matters, training, and required annual compliance courses from Acentra Health and HRSA.

Desired Qualifications

  • FTCA reviewers should have experience with risk management and quality improvement.
  • C/A reviewers should have experience with risk management and quality improvement.

About the Company

Acentra Health

Modernizes public healthcare with claims solutions

Acentra Health helps public-sector health programs run better by combining deep knowledge of government health programs with clinical expertise and technology. It designs and delivers software and services for claims, encounter, and provider data to improve processing efficiency and reduce costs, while offering care-management and quality-oversight services that focus on clinically informed decision making. Its products connect providers, payers, and government agencies to streamline workflows and oversight across state and federal programs. The company differentiates itself through its blend of public-sector know-how, clinical focus, and technology, accelerated by the backing of Carlyle, with a goal of delivering measurable outcomes for priority populations. Overall, Acentra Health aims to improve health outcomes, increase program efficiency, and lower costs for government healthcare programs.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
McLean, VA
Founded
2023

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