Compliance Manager

Compliance Manager

Provider Enrollment, Licensing & Credentialing Specialist

Schedule: Monday to Friday, 8:00 AM - 6:00 PM (EST).

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 an...