Review & Appeals Specialist I

Job Description

Job Description

Job Posting Title
Review & Appeals Specialist I

Applicants must be authorized to work lawfully in the United States for NCCPA as NCCPA will not sponsor or take over sponsorship of employment visas.

As the Review & Appeals Specialist I , you will work as an integral part of the Review & Appeals team to review disciplinary notifications, exception-to-policy requests, re-establishment requests, and complaints. This role is responsible for ensuring the accuracy and integrity of case data, supporting investigations, and maintaining effective communication with internal and external stakeholders.

In accordance with NCCPA’s Conflict of Interest Policy, any NCCPA employee who is a PA, lives with or is in a committed relationship with, or is related to a PA is prohibited from working on exam content , participating in NCCPA exam-related meetings and will not have access to NCCPA systems that contain PA data.

Reports To: Director of Review & Appeals

National Commission on Certification of Physician Assistants (NCCPA) is the only certifying organization for physician assistants in the United States. Established as a not-for-profit organization in 1974, we are dedicated to assuring the public that board certified PAs meet established standards of clinical knowledge and cognitive skills upon entry into practice and throughout their careers. All U.S. states, the District of Columbia and the U.S. territories have decided to rely on NCCPA certification as one of the criteria for licensure or regulation of PAs.

Location: NCCPA is a hybrid work environment with our headquarters located in Johns Creek, Georgia. NCCPA has determined that the telecommuting status of this position is hybrid, which means employees in hybrid positions work both remotely and onsite in the NCCPA headquarters based on business needs and manager direction.

We get to do meaningful work every day, and we enjoy working and having fun together! No wonder we’ve been ranked #5 out of 62 small businesses in the metro Atlanta area by the Atlanta Journal Constitution's 2025 Top Workplaces in the Region.

How Will You Make a Difference? You will…

• Review incoming disciplinary notifications from internal and external entities, exception-to-policy requests, re-establishment requests, and complaints.
• Identify issues requiring additional investigation, validate discrepancies, and ensure appropriate follow-up.
• Obtain and organize required documentation for case consideration.
• Document case-related information and communications in established databases and systems.
• Maintain accuracy and integrity of review and appeals data, correspondence, recommendations, and related applications.
• Verify licensure status with relevant state licensing boards.
• Analyze documentation and prepare summary findings in accordance with established timeframes and policies.
• Correspond professionally with Physician Assistants and internal and external stakeholders.
• Refer findings to management or higher-level specialists as appropriate.
• Prepare cases for external reporting to FSMB and associated licensing boards.
• Maintain working knowledge of NCCPA policies, procedures, operational guidelines, and audit tools.
• Build and maintain professional rapport with internal and external partners.
• Participate in interdepartmental meetings and complete assigned projects.
• Meet departmental accuracy standards and turnaround times for case processing.
• Support UAT and other testing activities as needed.

Hard Skills You Will Have...

• An associate degree, preferably in Business, Legal Studies, Healthcare, or related field (or equivalent experience).
• Working knowledge of Microsoft Office applications, including Word, Outlook, Excel, PowerPoint, and Adobe Acrobat.
• Ability to read and interpret organizational policies and job-specific documentation.

• Strong analytical and problem-solving skills.

• Ability to manage competing priorities and meet established timeframes.

• Excellent written and verbal communication skills with strong attention to confidentiality.

• Ability to provide exceptional customer service to internal and external stakeholders.

Soft Skills You Will Have...

• Highly organized with strong attention to detail.
• Strong time-management and planning skills.
• Strong interpersonal and relationship-building skills that foster collaboration and trust.
• Professional judgment and discretion when handling sensitive matters.
• A proactive, solutions-oriented mindset.
• A collaborative approach and willingness to support team-wide initiatives.
• Ability to adapt in a structured, deadline-driven environment.

• A bachelor’s degree.

• Two or more years of professional experience in business, healthcare, appeals and grievances, state medical board, legal, or related field.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

NCCPA is committed to the full inclusion of all qualified individuals. In keeping with our commitment, NCCPA will take steps to assure that individuals with disabilities are provided reasonable accommodations. If a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Human Resources at View phone number on ziprecruiter.com .