- End-to-End Application Management: Lead the compilation, drafting, submission, and tracking of initial, renewal, and change-of-ownership (CHOW) home health agency license applications across 50 states.
- Regulatory Research: Maintain an active, comprehensive database of state-specific home health regulations, application timelines, fees, and operational constraints (e.g., local office requirements, staffing mandates).
- Certificate of Need (CON) Management: Identify, navigate, and draft applications for states utilizing CON or Determination of Need processes, representing the company during state board reviews if required.
- Cross-Department Collaboration: Partner with Human Resources and Clinical Leadership to ensure state-specific staffing requirements (e.g., Director of Nursing mandates, local administrators) are satisfied prior to license submission.
- Medicare Institutional Enrollment: Oversee the submission and tracking of Form CMS-855A applications through the PECOS system to secure regional Medicare Administrative Contractor (MAC) approvals.
- Medicaid Provider Credentialing: Manage enrollment packets for state Medicaid programs and associated Medicaid Managed Care Organizations (MCOs), adhering to state-specific electronic visit verification (EVV) requirements.
- Deemed Status Accreditation Coordination: Liaise with national accrediting bodies (such as CHAP, ACHC, or The Joint Commission) to coordinate initial "deemed status" surveys required for state licensing and Medicare enrollment.
- Deficiency Resolution: Act as the primary point of contact for state DOH auditors, successfully managing requests for additional information (RFIs) and mitigating application deficiencies.
- License Maintenance: Develop an automated tracking system to monitor expiration dates, continuing education milestones, and corporate annual report filings across all active states.
- Experience: Minimum of 5–7 years of direct experience managing multi-state or nationwide corporate licensing and credentialing specifically within the home health, hospice, or distributed healthcare facility sector.
- Education: Bachelor’s degree in Healthcare Administration, Business, Legal Studies, or a related field required. A Master's degree, JD, or specialized compliance certification (e.g., CHC, CPMSM) is highly preferred.
- Technical Mastery: Proven track record of navigating diverse state DOH portals, the federal PECOS system, Identity & Access (I&A) management, and NPPES (NPI registry).
- Project Management Skills: Outstanding organizational capabilities with the ability to manage 10+ state applications in parallel without missing milestones or deadlines.
- Competitive base salary with milestone-based performance bonuses tied to successful state rollouts.
- Comprehensive health, dental, and vision benefits.
- 401(k) matching and generous paid time off (PTO).
- Flexible remote work environment.
Learn more about this Employer on their Career Site
