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Humana · 21 hours ago

Home Health Facility Licensure & Regulatory Compliance Analyst

United States

Full-time

Remote

Mid, Senior Level

$59K/yr - $70K/yr

5+ years exp

Humana is a leading provider of healthcare services, and they are seeking a Home Health Facility Licensure & Regulatory Compliance Analyst. This role involves overseeing facility licensing and certification processes, ensuring compliance with healthcare regulations, and supporting the delivery of high-quality home health services.

Health CareHealth InsuranceInsuranceVenture Capital

Responsibilities

Ensure compliance with federal, state, and local healthcare regulations, including CMS guidelines

Prepare and submit required facility license applications and renewals to the State Department of Health, Federal, and local agencies

Oversee and manage Medicaid and Medicare enrollment, renewal, and compliance activities

Track expiration dates and coordinate renewal processes to prevent lapses in facility licensure

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

Conduct thorough research on local, state, and federal statutes and regulations to support organizational initiatives, providing clear and concise written reports of findings

Conduct due diligence and analysis related to healthcare acquisitions, mergers, and facility relocations

Qualification

Healthcare complianceFacility licensingRegulatory affairsCMS regulationsMedicaid complianceState licensing requirementsRegulatory interpretationOrganizational skillsCommunication skillsInterpersonal skillsAttention to detail