Director of Corporate Licensing & Credentialing (Multi-State Expansion)

Dhvaj; Clarksville (IN); À distance; USD 120 000 - 180 000; Plein temps

Avantages offerts par ce poste

Health insurance

Dental & Vision benefits

401(k) matching

PTO

Résumé du poste

Dhvaj is seeking a Director of Corporate Licensing & Credentialing to lead nationwide licensure, Medicare/Medicaid enrollment, and ongoing compliance for home health services. You will manage submissions across all states, coordinate with CMS, CHAP/ACHC and other accrediting bodies, and build scalable processes to keep pace with rapid expansion.

The role requires deep regulatory knowledge, exceptional project management, and the ability to guide cross-functional teams through complex licensing

Qualifications

• Bachelor's degree in a health or business field required; master's or professional certification preferred.
• Experience leading multi-state licensing in home health, hospice, or healthcare facilities.
• Strong regulatory navigation of DOH portals, MES, and CMS enrollment processes.

Responsabilités

• Lead end-to-end licensure across 50 states, including initial, renewal, and CHOW submissions.
• Oversee Medicare enrollment via PECOS and Medicaid provider credentialing.
• Coordinate with accrediting bodies for deemed status and ensure ongoing regulatory compliance.

Connaissances

Regulatory expertise

Multi-state licensing

Project management

PECOS system

I&A management

NPPES knowledge

Stakeholder collaboration

Regulatory research

Formation

Bachelor's degree in Healthcare Administration, Business, Legal Studies, or related field

Master's degree / JD / CHC / CPMSM

Outils

PECOS system

NPPES / NPI registry

Identity & Access Management

Description du poste

Position Overview

We are seeking a highly strategic and meticulous Director of Corporate Licensing & Credentialing to pioneer and manage our nationwide expansion footprint. This individual will be entirely responsible for researching, preparing, submitting, and maintaining health facility licensures, Medicare certifications, and Medicaid enrollments across all 50 states for our expanding home health care operations. The ideal candidate possesses deep regulatory expertise in state-by-state Department of Health (DOH) frameworks, Certificate of Need (CON) laws, and federal CMS enrollment. You will serve as the central architect of our state-level compliance roadmaps, ensuring that our agency can scale rapidly while remaining 100% compliant with varying regional requirements.

Key Responsibilities

1. Multi-State Licensure Strategy & Execution

• 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.

2. Federal CMS & Medicaid Enrollment

• 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.

3. Continuous Compliance & Maintenance

• 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.

Required Qualifications & Experience

• 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.

What We Offer

• 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.