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AxleAxleCincinnati, OH

EHR Healthcare Administrator

Serve as the operational backbone for Axle's new EHR consulting division, managing contract execution, HIPAA compliance, background screenings, worker classification, and documentation across W2, 1099, C2C, and H1B staffing models to enable smooth consultant placements at hospitals and health systems. Requires 3-5+ years in healthcare administration or staffing compliance.

75k – 95k/yr
On-site3+ YOEOther

About the role

Key Responsibilities

Contract & Compliance Administration

  • Own execution and tracking of Client Master Service Agreements (MSAs), Statements of Work (SOWs), Independent Contractor Agreements (1099s), C2C vendor agreements, and W2 employment agreements
  • Maintain and manage the Epic Vendor Access Approval process and other vendor-specific credentialing requirements
  • Ensure the division maintains an active HIPAA Business Associate Agreement (BAA) and stays current on HIPAA compliance obligations
  • Track and manage general liability, professional liability, and cyber liability insurance requirements

Background Screening & Worker Classification

  • Manage background check and drug screening processes for all consultants prior to client placement, per hospital and health system requirements
  • Support correct worker classification across the W2 / H1B / 1099 / C2C staffing model, flagging compliance risk where classification is ambiguous
  • Coordinate with legal/immigration support on H1B compliance requirements, including USCIS filings and prevailing wage documentation, for long-term specialized placements

Documentation & Record-Keeping

  • Maintain a centralized system of record for all contracts, compliance documentation, and screening results
  • Build and maintain repeatable documentation templates and checklists as the division scales
  • Ensure audit-readiness of all compliance files at all times

Cross-Functional Operations Support

  • Serve as the connective tissue between Sales/BD, Recruiting, and clients — ensuring compliance and paperwork never become a bottleneck to placement
  • Support onboarding logistics for new consultants (W2, 1099, C2C, and H1B) in coordination with recruiting
  • Contribute to the buildout of supporting systems, including contract management tools and HIPAA-compliant communication platforms

Qualifications

Required

  • 3–5+ years of experience in healthcare administration, HR/staffing compliance, or contract operations, ideally within healthcare IT staffing, consulting, or a related regulated industry
  • Working knowledge of HIPAA compliance requirements and Business Associate Agreements
  • Experience with worker classification issues across W2, 1099, and contractor/vendor models
  • Experience coordinating background checks and drug screening processes, ideally in a healthcare or hospital-adjacent context
  • Strong contract administration skills — comfortable managing MSAs, SOWs, and vendor agreements
  • Exceptional organizational skills and high attention to detail; comfortable being the single point of accountability for compliance documentation

Preferred

  • Familiarity with EHR vendor credentialing processes (e.g., Epic Vendor Access Approval)
  • Experience in a healthcare IT staffing or consulting environment
  • Familiarity with contract management systems, ATS platforms, or payroll systems (e.g., ADP)
  • Bachelor's degree required; healthcare administration, business, or related field a plus

Key Competencies

  • Compliance and risk management
  • Contract administration and vendor agreement management
  • Documentation rigor and audit-readiness
  • Cross-functional coordination across sales, recruiting, and clients
  • Ability to build process from scratch and operate independently in a fast-paced, early-stage environment

Skills

HIPAAmsassowscontract administrationbackground screeningworker classificationepic vendor accesscompliance documentationh1b complianceaudit readiness

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