Healthcare Licensing & Provider Enrollment Director

Hudson Talent Solutions; Philadelphia (Philadelphia County); Hybrid; USD 130,000 - 180,000; Full time

Job summary

Hudson Talent Solutions in Trevose, PA is seeking a Contracts & Licensing Director to lead provider enrollment, licensing, credentialing, and regulatory compliance across multiple states. This hybrid role drives uninterrupted funding, billing, and regulatory adherence while enabling growth initiatives.

You will oversee enrollment systems, manage revalidations, and coordinate with payers and regulators to ensure audit-ready documentation and smooth operations across service lines.

Qualifications

• Experience with credentialing, recredentialing and Medicaid enrollment across states.
• Strong knowledge of licensing requirements and regulatory compliance.
• Proven ability to manage payer relations across multiple networks.

Responsibilities

• Manage Medicaid provider enrollment, revalidation, and credentialing across multiple states.
• Maintain licensing, permit, and regulatory compliance for healthcare operations.
• Serve as liaison with Medicare, Medicaid, commercial payers, and regulatory agencies.
• Oversee provider enrollment systems, CAQH maintenance, and related documentation.
• Track renewal cycles, expirations, deadlines, and compliance reporting.
• Maintain audit-ready documentation for inspections and payer reviews.
• Partner with Finance, Operations, Compliance, and Leadership to ensure uninterrupted funding and billing.
• Research licensing/enrollment requirements for growth, new locations, acquisitions.
• Develop centralized tracking systems, workflows, and documentation processes.

Skills

Credentialing & Recredentialing

Medicaid Revalidation

Regulatory Compliance

Payer Relations

Multi-State Operations

Tools

CAQH

PECOS

NPPES

Provider Data Management

Job description

Hudson Talent Solutions in Trevose, PA is seeking a Contracts & Licensing Director to lead provider enrollment, licensing, credentialing, and regulatory compliance across multiple states. This hybrid role drives uninterrupted funding, billing, and regulatory adherence while enabling growth initiatives.

You will oversee enrollment systems, manage revalidations, and coordinate with payers and regulators to ensure audit-ready documentation and smooth operations across service lines.