compliance manager

Provider Enrollment, Licensing & Credentialing Specialist

Responsibilities:

• Manage end-to-end state licensing, credentialing, Medicaid and Medicare enrollment, insurance applications, and regulatory documentation for home care, home health, and hospice agencies.

• Supervise the execution and administration of all Provider Enrollment contracts.

• Support Sales team with commercial calls, contract review and issuance.

• Address and resolve client inquiries, complaints, investigations, and clarifications.

• Act as Application Traffic Coordinator.

• Prepare and oversee monthly reports including Financial Liability Report, Application Tracker, and Submission/Approval Reports.

• Handle state-specific issues with Ombudsman Offices and State Supervisors/Directors.

• Draft and update Medicaid Waiver application policies and procedures.

• Conduct state and program regulatory research to...