Home Health Facility Licensure – Regulatory Compliance Analyst

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $65k - $88.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

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CenterWell Senior Primary Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

CenterWell Senior Primary Care is a healthcare provider focused on delivering personalized primary care to senior citizens. The company emphasizes a comprehensive and holistic approach to healthcare, addressing the physical, social, and emotional needs of older adults. As part of its service offerings, CenterWell includes home health services and pharmacy support to complement its senior primary care. The organization is committed to offering stability, inclusive benefits, and career growth opportunities for its employees while maintaining a culture of mutual respect and mindfulness. CenterWell is a brand under the larger healthcare entity, Humana.

📋 Description

• Report directly to the Manager, Home Health Licensure & Regulatory Compliance • Oversee facility licensing and certification processes • Ensure ongoing compliance with federal, state, and local healthcare regulations, including CMS guidelines • Prepare and submit facility license applications and renewals to State Departments of Health, federal, and local agencies • Oversee and manage Medicaid and Medicare enrollment, renewal, and compliance activities • Track expiration dates and coordinate renewal processes to prevent lapses in facility licensure • Develop and maintain working relationships with internal departments and external regulatory agencies • Research local, state, and federal statutes and regulations to support organizational initiatives • Provide clear and concise written reports of research findings • Conduct due diligence and analysis related to healthcare acquisitions, mergers, and facility relocations • Occasionally travel to Humana offices for training or meetings

🎯 Requirements

• Bachelor's degree in healthcare administration, Nursing, or related field; relevant experience may be considered in lieu of degree • Minimum of 5 years of experience in healthcare compliance, facility licensing, or regulatory affairs, preferably in home health • Knowledge of CMS regulations, State facility licensing requirements, and accreditation standards • Experience interpreting and applying complex regulatory information • Strong organizational skills and attention to detail • Experience in a regulatory or compliance position working with governmental agencies • Experience working with CMS, Medicaid, and State Departments of Health • Knowledge of home health regulations, facility licensing standards, and accreditation requirements • Minimum home internet speed of 25 Mbps download and 10 Mbps upload for Home or Hybrid Home/Office employees • Wireless, wired cable or DSL connection is suggested • Ability to work from a dedicated space without ongoing interruptions to protect member PHI / HIPAA information

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Flexible remote work arrangement • Self-provided internet service for remote work • Dedicated workspace for protecting member PHI/HIPAA information • Comprehensive benefits package supporting health and financial well-being