Sr. Advisor, Supplier Enrollment & Credentialing (Medicare)
Core
Lead Medicare DMEPOS enrollment and credentialing for five DMEPOS entities, ensuring compliance and uninterrupted patient service.
Role type
Senior individual contributor regulatory advisor
Builds
Compliant Medicare supplier enrollments and credentialing for DMEPOS companies
Domain
Healthcare / Medicare DMEPOS / Regulatory Compliance
Required skills
Medicare DMEPOS enrollment, CMS-855S/PECOS/NPPES, supplier standards, accreditation, surety bonds, revalidation, regulatory navigation, risk assessment, policy development, stakeholder management
Preferred skills
Multi-entity enrollment strategy, acquisition support, CPCS/CPMSM certification, prior CMS/Palmetto/Novitas experience
Technologies
CMS-855S, PECOS, NPPES
Responsibilities
Execute end-to-end Medicare enrollment and revalidation; serve as primary contact for MACs on site visits and deficiencies; manage compliance with DMEPOS standards and state licensure; develop enrollment strategies for new sites and acquisitions; monitor CMS regulatory updates; present risk assessments to senior leadership.
Seniority
Senior, hands-on IC