Home Health Facility Licensure – Regulatory Compliance Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Directly report to the Manager of Home Health Licensure & Regulatory Compliance.

• Manage the processes for facility licensing and certification.

• Ensure continuous adherence to federal, state, and local healthcare regulations, including CMS guidelines.

• Prepare and submit applications and renewals for facility licenses to State Departments of Health, as well as federal and local agencies.

• Oversee Medicaid and Medicare enrollment, renewal, and compliance activities.

• Monitor expiration dates and coordinate renewal processes to avoid lapses in facility licensure.

• Foster and maintain professional relationships with internal departments and external regulatory bodies.

• Investigate local, state, and federal laws and regulations to support organizational objectives.

• Provide clear and concise written reports summarizing research findings.

• Perform due diligence and analysis related to healthcare acquisitions, mergers, and facility relocations.

• Occasionally travel to Humana offices for training or meetings.

⛳️ Requirements

• Bachelor's degree in healthcare administration, nursing, or a related field; relevant experience may be accepted in place of a degree.

• At least 5 years of experience in healthcare compliance, facility licensing, or regulatory affairs, ideally in home health.

• Familiarity with CMS regulations, state facility licensing requirements, and accreditation standards.

• Proficient in interpreting and applying complex regulatory information.

• Excellent organizational skills and attention to detail.

• Experience in a regulatory or compliance role working with governmental agencies.

• Background in working with CMS, Medicaid, and State Departments of Health.

• Knowledge of home health regulations, facility licensing standards, and accreditation requirements.

• Minimum home internet speed of 25 Mbps download and 10 Mbps upload for Home or Hybrid Home/Office employees.

• Suggested connection types include wireless, wired cable, or DSL.

• Capability to work from a dedicated space without interruptions to safeguard member PHI/HIPAA information.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance.

• Flexible remote work arrangement.

• Self-provided internet service for remote work.

• Dedicated workspace to protect member PHI/HIPAA information.

• Comprehensive benefits package that supports health and financial well-being.