Senior Advisor, Supplier Enrollment & Credentialing, Medicare

Job not on LinkedIn

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $89k - $147.6k / year

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Cardinal Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1971

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

💰 $78M Post-IPO Debt on 2006-08

Logistics • Manufacturing • Healthcare

Cardinal Health is a global healthcare services and products company. It provides a comprehensive range of healthcare services, including medical supply distribution, pharmaceutical distribution, and logistics solutions to various healthcare facilities such as hospitals, community health centers, and ambulatory surgery centers. Additionally, Cardinal Health offers a variety of medical products and pharmaceutical services. The company also focuses on innovative solutions to enhance healthcare delivery, through services like patient support, pharmacy management, and advanced therapy solutions. Cardinal Health is committed to supporting healthcare providers in delivering quality patient care while optimizing operational efficiency.

📋 Description

• Own and independently execute end-to-end Medicare enrollment for five DMEPOS entities, including initial enrollments, revalidations, changes of information, location openings and closures, and changes of ownership through CMS-855S, PECOS, and NPPES • Serve as primary point of contact for Palmetto GBA, Novitas, and the DME MACs on enrollment matters, site visits, and deficiency responses • Ensure entities and locations remain compliant with DMEPOS supplier standards, accreditation requirements, certificates of insurance liabilities, surety bond obligations, and state licensure requirements • Manage revalidation cycles, deadlines, PTANs, and NPI records to prevent disruptions to billing privileges • Lead responses to revocations, deactivations, requests for information, and corrective action plans, including application appeals and reconsiderations • Develop enrollment strategies, timelines, and risk assessments for acquisitions, new site launches, and other business changes • Monitor CMS regulatory updates and industry developments, assess impacts, and recommend business responses • Develop and maintain credentialing policies, procedures, tracking tools, and documentation to keep the organization audit ready • Identify enrollment risks and provide leadership with practical recommendations • Present status updates, risks, and strategic recommendations to senior leaders • Partner with Compliance, Legal, Regulatory, Revenue Cycle, and Operations • Drive continuous improvement and standardization of enrollment processes across all entities

🎯 Requirements

• 8+ years of experience in Medicare provider or supplier enrollment • Direct, hands-on experience successfully completing DMEPOS enrollment for a multi-entity or multi-location organization preferred • Bachelor’s degree, or equivalent experience preferred • CPCS, CPMSM, or similar certification is a plus • Substantial experience with governmental credentialing and enrollment processes for suppliers or institutions, including direct interaction with federal or state agencies and their contractors • Deep, hands-on expertise in Medicare DMEPOS enrollment, including CMS-855S, PECOS, NPPES, supplier standards, accreditation, surety bonds, revalidations, and changes of ownership • Direct experience managing Medicare DMEPOS supplier enrollments within a DME supplier organization or with CMS, Palmetto GBA, Novitas, or a DME MAC strongly preferred • Proven ability to navigate complex regulatory environments and remain current on evolving CMS requirements • Ability to work independently, exercise sound judgment, and think strategically about enrollment risk and business impact • Strong compliance mindset, with meticulous attention to detail and accuracy • Executive presence and ability to communicate complex regulatory topics clearly to senior leaders • Exceptional organizational skills and ability to manage high-volume, deadline-driven work across competing priorities • Experience supporting acquisitions or developing multi-entity enrollment strategies is a plus

🏖️ Benefits

• Bonus eligible • Medical, dental and vision coverage • Paid time off plan • Health savings account (HSA) • 401k savings plan • Access to wages before pay day with myFlexPay • Flexible spending accounts (FSAs) • Short- and long-term disability coverage • Work-Life resources • Paid parental leave • Healthy lifestyle programs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume