This job has closed.

BioMatrix Infusion Pharmacy · 1 month ago

License Regulatory Specialist

Overland Park, KS

Full-time

Hybrid

Mid Level

3+ years exp

BioMatrix Infusion Pharmacy is a nationwide, independently-owned infusion pharmacy dedicated to supporting patients on specialty medications. The Licensure and Regulatory Specialist is responsible for managing licensure, credentialing, and regulatory compliance for the company’s infusion centers, ensuring that all clinical staff meet necessary requirements.

Health CarePharmaceutical

Responsibilities

Tracks license and certification expirations for all providers to ensure timely renewals

Prepare, submit, and manage Medicare and Medicaid enrollment and revalidation applications for facilities and providers

Track enrollment progress and coordinate with payers to ensure timely processing and activation

Maintain up-to-date NPI and PECOS records for facilities and clinicians

Maintenance of NPI websites uploading of new licenses/permits, ensuring demographic, location and provider and facility information is submitted and current

Maintain accurate, organized, and auditable documentation of all licensure and regulatory submissions

Develop and maintain tracking systems or databases to manage status reports, expiration dates, renewal schedules, and compliance documentation

Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed

Manage and maintain active licensures for all ambulatory infusion centers and affiliated practice sites across applicable states

Coordinate the acquisition, renewal, and verification of state facility licenses, CLIA certifications, DEA registrations, and other required credentials

Oversee the credentialing and recredentialing process for nurse practitioners, medical directors, and other clinical personnel, ensuring compliance with payer and regulatory requirements

Maintains copies of current state licenses, certificates, insurance coverage, and any other required credentialing documents for all providers

Ensures proper reporting to enforcement agencies as appropriate and/or required

Track and submit expenses as related to changes for licensure application and renewals

Notifying applicable payors, Medicare, Medicaid, and/or licensing boards of any changes i.e., change in ownership, change of location, change of name, etc

Performs other tasks as requested by the Senior Licensure and Regulatory Specialist and Legal Team

Company notary for locations within state requirements

Qualification

Healthcare licensure experienceCredentialing complianceMedicareMedicaid systemsMulti-state licensing knowledgeFacility accreditation supportMicrosoft Office proficiencyAttention to detailCommunication skillsProject managementOrganizational skills

Required

Bachelor's degree in healthcare administration, Business, or a related field (or equivalent experience)

Minimum of 3–5 years of experience in healthcare licensure, credentialing, or regulatory compliance, preferably in an infusion or ambulatory care setting

Experience with Medicare and Medicaid enrollment systems (PECOS, NPPES, state portals) required

Knowledge of multi-state licensing requirements and regulatory nuances

Advanced level skill in MS Office (including Word, Excel, PowerPoint, etc.)

Willing to travel up to 10% of the time for business purposes (when necessary to attend meetings, conferences, seminars, etc.)

Strong knowledge of healthcare licensing and credentialing standards

Familiarity with CMS, state health departments, and payer enrollment requirements

Excellent attention to detail, organization, and documentation skills

Strong written and verbal communication skills

Proficiency in Microsoft Office Suite and credentialing management software (e.g., CAQH, ProviderSource, or similar)

Ability to manage multiple projects, meet deadlines, and work independently with minimal supervision

Planning/Organizing- Uses time efficiently; sets goals and objectives; Develops realistic action plans

Demonstrates accuracy and thoroughness

Able to create and implement systems required to gather, maintain, and analyze information

Preferred

Experience supporting facility accreditation (e.g., ACHC, URAC, Joint Commission)

Company

BioMatrix Infusion Pharmacy

BioMatrix Infusion Pharmacy is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication.

Founded in 2015

Plantation, Florida, USA

201-500 employees