Director Regulatory Licensing

Location:Atlanta, GA 30339

Category: Management

Salary: Starting at $100,000 per year

Position Details: Current Opportunity: The Director, Regulatory Licensing is responsible for the coordination and completion of all government and regulatory filings for all business units/divisions in the organization. Works autonomously with the CFO, CEO, CNO, CCO and GC/legal entities in process and functions independently in achieving results. Responsible and leads key projects related to licensing/Medicare/Medicaid processes, adverse sanctions, and disclosures of ownership related to applications. Responsible for the security of personal and sensitive information utilized in securing licenses and provider numbers. Directs and leads the work of others.

Requirements

Essential Job Functions:

Research and monitor changes and updates in regulations relating to licensure and compliance related to licensing and provider numbers

Responsible for disseminating research to appropriate members of the Executive Team and internal departments as requested related to licensing and provider numbers

Responsible for coordination of licensing/provider number activities related to new locations and reporting progress to the CBOO

Responsible for the coordination of preparing, processing and submitting filing packages, including enrollment applications and renewal packages, to various state departments to obtain licenses and certifications

Contacts state regulatory agencies (including state sales, tax and business offices, Departments of Health or equivalent, Medicaid and Medicare intermediaries, and Secretary of State Offices) to determine regulations required to establish licensure

Coordinate change of ownership of pre and post mergers/acquisitions Coordinates with states changes in address, services, and key personnel changes

Coordinates with accrediting body changes in address, services and key personnel

Works with Controller on cost reports

Communicate with internal departments regarding changes in licensure

Coordinate documentation changes with Reimbursement and Treasury Departments (EFT/EFC)

Maintain active surety bonds and coordinate with broker and state agencies for renewals

Works with the legal department on business entity in new states

Assists RCM in billing issues as it relates to Medicare and Medicaid provider numbers

Assist Location Director, CNO/Compliance Department with information necessary to comply with state audits and/or survey requests

Assist Managed Care and Legal with information necessary for litigation and contracts.

Update databases and maintain files for licensure

Track, review, and supplement licensure spreadsheet weekly to determine priorities

Maintain relationships with state and federal agencies

Conduct consistent follow ups with governmental agencies to facilitate/expedite licensure and provider number process

Maintains relationships with state agencies

Research and obtain various regulatory guidelines as it relates to licensure and provider numbers

Evaluates and analyzes data, reports, feedback, observations and other information in determining priorities

Oversees the management and duties of the Licensure and Provider Enrollment Coordinator

Requirements:
College education preferred
Experience in provider enrollment and Medicaid programs
Minimum 2 years experience in the healthcare industry Preferred: Experience in Institutional Licensing (Home Health, Hospice, DME, Nursing Home) & experience licensing in different states. (url removed)