Licensing & Enrollment Manager

Responsibilities

• Manage Licensing & Enrollment Operations: Oversee Medicare (PECOS) and Medicaid enrollments, revalidations, updates, and changes of ownership across all locations. Maintain active facility licensing and prevent lapses in billing eligibility
• Lead Regulatory Compliance Efforts: Ensure adherence to CMS regulations, state licensing requirements, and CLIA standards. Monitor regulatory changes and maintain audit-ready documentation across all entities
• Support Legal & Compliance Functions: Assist the General Counsel and Chief Compliance Officer with regulatory matters, compliance initiatives, and preparation for audits, inspections, and Board-level reporting
• Oversee CLIA Certification & Requirements: Manage CLIA applications, renewals, and compliance for laboratory services. Maintain documentation and readiness for inspections
• Coordinate with Regulatory Bodies: Serve as a primary point of contact for CMS, state agencies, and licensing boards. Track deadlines and manage communication to ensure timely submissions and approvals
• Build & Maintain Tracking Systems: Develop and manage centralized systems to track licensing, enrollment, and compliance activities across a multi-site organization
• Mitigate Risk & Support Audits: Identify compliance risks, support state inspections, and contribute to audit preparation and resolution of findings
• Collaborate Across Teams: Partner with internal departments and external vendors to ensure alignment on credentialing, licensing, and compliance processes.
• Essential Competencies & Skills
• Strong understanding of CMS regulations, healthcare compliance frameworks, and state licensing requirements
• Hands-on experience with PECOS, Medicaid enrollment systems, and credentialing platforms such as CAQH
• Ability to manage multiple deadlines and regulatory submissions in a fast-paced environment
• Strong attention to detail and ability to maintain audit-ready documentation
• Experience interfacing with regulatory agencies, licensing boards, and compliance vendors
• Ability to build processes and structure within a growing, multi-site organization
• Strong organizational, analytical, and problem-solving skills
• Effective communication and cross-functional collaboration skills.
• Required Education & Experience
• Bachelor's degree in Healthcare Administration, Business Administration, or a related field, or equivalent experience; paralegal experience preferred
• 5+ years of experience in Medicare enrollment (PECOS required), Medicaid enrollment, provider credentialing, licensing, or healthcare compliance
• Experience managing facility licensing through state Departments of Health strongly preferred
• Working knowledge of CLIA certification and compliance requirements
• Experience in multi-site healthcare environments such as infusion centers, specialty clinics, or outpatient settings preferred.
• About IVX Health
• Our Mission: To improve the lives of those we care for by redefining the care experience
• Our Vision: To be the nation's preferred destination for pharmaceutical care of complex chronic conditions
• Our Commitment: To deliver an unmatched care experience with a foundation in world class service and clinical excellence
• Benefits We Offer
• Comprehensive Healthcare - Medical, dental, and vision coverage, including prescription drug plans and telemedicine services.
• Flexible Savings Options - Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs.
• Supplemental Protection - Accident, critical illness, and hospital indemnity plans to provide additional financial security.
• Dependent Care FSA - Pre-tax savings for eligible childcare and dependent care expenses.
• 401(k) Retirement Plan - Secure your future with a competitive company match.
• Disability Coverage - Voluntary short-term and long-term disability plans to protect your income.
• Fertility and Family Support - Resources and benefits designed to support fertility care and family planning.
• Life and AD&D Insurance - Financial protection for you and your loved ones.
• Counseling and Wellness

Benefits

Additional Information

Join Our Team at IVX Health! IVX Health is seeking a Healthcare Licensing & Enrollment Manager to oversee Medicare and Medicaid enrollment, CLIA certification, and facility licensing across a growing national footprint. This role is responsible for ensuring continuous compliance with federal and state regulations while supporting legal and compliance initiatives in a complex, multi-site healthcare environment.

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