Payer Delegation and Compliance Specialist

The Payer Delegation and Compliance Specialist at A5 Healthcare serves a critical role in ensuring that delegated healthcare tasks and responsibilities are executed in compliance with NCQA regulatory standards and organizational policies for the Primoris Independent Physician Association (IPA). This position is responsible for delegated credentialing, compliance monitoring, performance assessment, file audits and analysis, and improving the delegation processes to enhance client quality and operational efficiency. Communication and accountability in delegated functions are essential to meeting NCQA CR accreditation requirements.