Sr. Advisor, Supplier Enrollment & Credentialing (Medicare)

660 RGH Ent. LLC dba in CA as HHI Ent. LLC.; United States; On-site; USD 89,000 - 148,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401k savings plan

Paid time off

Job summary

Cardinal Health at-Home Solutions is seeking a Sr. Advisor, Supplier Enrollment & Credentialing to lead Medicare enrollment for five DMEPOS entities.

You will act as the subject matter expert, ensuring compliance and uninterrupted patient services across CMS regulations and contractor relationships. The role requires hands‑on enrollment experience, strategic risk assessment, and the ability to advise senior leaders on regulatory changes and process improvements.

Qualifications

• 8+ years of Medicare enrollment experience for multi‑entity organizations.
• Bachelor’s degree or equivalent; CPCS/CPMSM or similar is a plus.
• Direct interaction with federal/state agencies and CMS contractors.
• Deep hands‑on knowledge of CMS‑855S, PECOS and NPPES.

Responsibilities

• Own end‑to‑end Medicare enrollment for five DMEPOS entities.
• Serve as primary contact for CMS contractors and site surveys.
• Maintain compliance with DMEPOS standards and licensure requirements.
• Lead revalidations, changes of information, and ownership changes.

Skills

Medicare enrollment expertise

Regulatory compliance

Executive communication

Independent work

Education

Bachelor’s degree or equivalent

CPCS/CPMSM certification (or similar)

Tools

CMS-855S

PECOS

NPPES

Job description

What Supplier Enrollment and Credentialing contributes to Cardinal Health Cardinal Health at-Home Solutions is seeking an experienced professional to lead Medicare enrollment and credentialing for Edgepark, Advanced Diabetes Supply (ADS), US Med, United States Medical Supply (USMS), and Strive Medical. As Sr. Advisor, Supplier Enrollment & Credentialing, you will serve as the subject matter expert and accountable owner for Medicare DMEPOS credentialing and enrollment across all five DMEPOS companies, ensuring each business remains compliant, in good standing, and able to serve patients without interruption.

Job Summary

This individual contributor role requires a seasoned professional who can navigate complex regulatory environments, anticipate evolving CMS requirements, and operate with both independence and strategic perspective. The ideal candidate brings deep, hands on experience successfully completing Medicare DMEPOS supplier enrollments, knowledge of National Provider Enrollment contractors and DMEPOS supplier standards, an unwavering commitment to compliance, and the executive presence to advise senior leadership and represent the organization with CMS contractors and accrediting bodies.

Responsibilities

• Own and independently execute end-to-end Medicare enrollment for all five DMEPOS entities, including initial enrollments, revalidations, changes of information, location openings and closures, and changes of ownership through CMS-855S, PECOS, and NPPES.
• Serve as the primary point of contact for Palmetto GBA, Novitas, and the DME MACs on enrollment matters, site visits, and deficiency responses.
• Ensure that every entity and location remains compliant with DMEPOS supplier standards, accreditation requirements, certificates of insurance liabilities, surety bond obligations, and state licensure requirements.
• Proactively manage revalidation cycles, deadlines, PTANs, and NPI records to prevent disruptions to billing privileges.
• Lead responses to revocations, deactivations, requests for information, and corrective action plans, including appropriate application appeals and reconsiderations when needed.
• Develop enrollment strategies, timelines, and risk assessments for acquisitions, new site launches, and other business changes.
• Monitor CMS regulatory updates and industry developments, assess their impact, and recommend appropriate business responses.
• Develop and maintain credentialing policies, procedures, tracking tools, and documentation to keep the organization audit ready.
• Identify enrollment risks early and provide leadership with clear, practical recommendations.
• Present status updates, risks, and strategic recommendations to senior leaders with clarity and confidence.
• Partner closely with Compliance, Legal, Regulatory, Revenue Cycle, and Operations to align requirements and priorities.
• Drive continuous improvement and standardization of enrollment processes across all entities.

Qualifications

• 8+ years of experience in Medicare provider or supplier enrollment, including direct, hands‑on experience successfully completing DMEPOS enrollment for a multi‑entity or multi‑location organization preferred.
• Bachelor’s degree, or equivalent experience preferred; CPCS, CPMSM, or similar certification is a plus.
• Substantial experience with governmental credentialing and enrollment processes for, suppliers or institutions is essential, including direct interaction with federal or state agencies and their contractors.
• Deep, hands‑on expertise in Medicare DMEPOS enrollment, including CMS-855S, PECOS, NPPES, supplier standards, accreditation, surety bonds, revalidations, and changes of ownership.
• Direct experience managing Medicare DMEPOS supplier enrollments, either within a DME supplier organization—or with CMS, Palmetto GBA, Novitas, or a DME MAC is strongly preferred.
• Proven ability to navigate complex regulatory environments and remain current on evolving CMS requirements.
• Demonstrated ability to work independently, exercise sound judgment, and think strategically about enrollment risk and business impact.
• Strong compliance mindset, with meticulous attention to detail and accuracy.
• Executive presence and the ability to communicate complex regulatory topics clearly to senior leaders.
• Exceptional organizational skills and the ability to manage a high volume of deadline‑driven work across competing priorities.
• Experience supporting acquisitions or developing multi‑entity enrollment strategies is a plus.

Anticipated salary range: $89,000 - $147,550 Bonus eligible: Yes

The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience, skills and an evaluation of internal pay equity.

Benefits

Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resourcesPaid parental leave
• Healthy lifestyle programs

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities. We are a crucial link between the clinical and operational sides of healthcare, delivering end-to-end solutions and data-driving insights that advance healthcare and improve lives every day. With deep partnerships, diverse perspectives and innovative digital solutions, we build connections across the continuum of care. With more than 50 years of experience, we seize the opportunity to address healthcare's most complicated challenges - now, and in the future.