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 and procedures.

• Conduct state and program regulatory research to support internal teams and sales.

• Review and prepare Corrective Action Plans and required state authority documentation.

• Complete licensing, credentialing, and provider enrollment applications fully.

• Process documentation accurately on state and agency portals.

• Communicate with clients to gather required documentation per state.

• Stay updated on state regulations and insurance program requirements.

• Maintain application documentation, requirements, and status in CRM and trackers.

• Review applications to ensure completeness and accuracy before submission.

• Educate clients on timelines, requirements, and expectations throughout processes.

• Prioritize and manage incoming customer calls.

• Enter new contracts into CRM (Nutshell). • Scan, upload, and organize client documents on Shared Drive.

• Create, audit, and correct monthly reports.

• Process application cancellations and termination agreements.

• Manage emails and reception tasks.

• Provide support with copying, faxing, mailing, and internal meetings.

Education & Experience: • High school diploma or GED.

• 1 to 2 years of experience in licensing, credentialing, provider enrollment, compliance, or legal research.

• Experience in home care, home health, or hospice sectors.

• Proven ability to manage high volume caseloads and meet deadlines.

• Knowledge of regulatory research or state compliance is a plus.

Technical Skills: • Proficient with Microsoft 365 and Microsoft Office.

• Intermediate Adobe Acrobat skills.

• Experience with CRM systems (Nutshell preferred; Salesforce desirable). • Strong research skills in state government portals.

• Ability to quickly learn new systems and workflows.

• Experience documenting processes and maintaining detailed trackers.

Soft Skills: • High attention to detail and organizational skills.

• Excellent written and verbal communication in English.

• Customer service oriented with professional demeanor.

• Ability to interpret complex regulations and guidelines.

• Logical thinking and strong problem-solving skills.

• Ability to work independently and collaboratively.

• Resilience in fast-paced, high-volume environments.

#LI-Promoted #Solvo

Full-time