Licensing & Regulatory Compliance Specialist

CenterWell Home Health; Kansas City (MO); Hybrid; USD 58,000 - 71,000; Full time

Job summary

Join a leading company specializing in personalized home care as a Licensing and Certification Analyst/Specialist. This in-office position transitions to remote after training. Your role will involve preparing license applications, conducting regulatory research, and building relationships with agencies. The ideal candidate will have strong analytical and communication skills, with a Bachelor's degree preferred.

Benefits

Health benefits effective day 1

Paid time off and holidays

401(k) retirement savings plan with employer match

Tuition assistance

Career development opportunities

Qualifications

• Bachelor’s Degree or equivalent work experience.
• Proven analytical skills and creativity.
• Must demonstrate attention to detail and accuracy.

Responsibilities

• Prepare and submit license applications to agencies.
• Conduct research on regulations and write reports.
• Maintain relationships with internal and regulatory agencies.

Skills

Analytical skills

Communication skills

Attention to detail

Problem-solving

Education

Bachelor’s Degree

JD Degree preferred

Tools

Microsoft Office

Job description

Become a part of our caring community and help us put health first

The Credentialing Professional 2 processes, reviews, and files documentation to determine status in a health plan. The Credentialing Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

This is an in-office position for approx 6 months during training, then remote after with occasional in office requirements. Must live in the Kansas City market/surrounding areas. The office is located in Overland Park, KS.

The role of a Licensing and Certification Analyst/Specialist will include:

• Preparation and submission of required license applications to various governmental and third party agencies, including State Departments of Health, CMS/Medicare, Medicaid, and local governmental agencies and entities.

• Conducting research of local, state, and federal statutes and regulations in support of company initiatives, culminating in clear and concise written reports of findings.

• Gathering of information pertaining to the analyst's specified region of control as it relates to licensure or certification of facilities in the region.

• Preparation and submission written notices of reportable events to appropriate state and federal agencies.

• Development and maintenance of working relationships with representatives of various internal departments and external regulatory agencies.

Use your skills to make an impact

Required Qualifications

• Bachelor’s Degree, JD Degree preferred or equivalent work experience within the field

• Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint

• Proven analytical skills and creative thinker

• Demonstrated ability to respond effectively as issues arise

• Strong written and oral communication skills

• Demonstrated attention to detail and accuracy

• Self-motivated with an ability to manage multiple priorities and work under pressure to meet deadlines

• Ability to interact effectively with associates across all levels of the organization

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Knowledge of state regulations pertaining to compliance in the health industry

• 1-2 years of healthcare / legal experience

• Experience in a regulatory or compliance position, experience working with governmental agencies

• Project Management skills

Additional Information

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

• Satellite, cellular and microwave connection can be used only if approved by leadership.

• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including:

• Health benefits effective day 1

• Paid time off, holidays, and jury duty pay

• Recognition pay

• 401(k) retirement savings plan with employer match

• Tuition assistance

• Scholarships for eligible dependents

• Caregiver leave

• Employee charity matching program

• Network Resource Groups (NRGs)

• Career development opportunities

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$58,700 - $70,400 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.