Director of Regulatory Affairs

VieMed Healthcare • Lafayette, LA

1d • Onsite

About The Position

This role leads the organization's regulatory affairs program for HME/DMEPOS operations across all markets. The position involves monitoring, interpreting, and implementing changes to licensure related to Medicare and other state regulatory requirements. It also oversees critical administrative functions like PECOS enrollment, NPI Registry, and organization licensure to ensure uninterrupted billing privileges. The Director will ensure compliance with DMEPOS Supplier Standards, Medicare regulations, and accreditation requirements. Collaboration with various departments, including Legal, Compliance, Revenue Cycle, Credentialing, Clinical Operations, and Executive Leadership, is essential for identifying regulatory risks and implementing corrective actions. The role provides regulatory guidance for licensure concerning product shipments and supports mergers, acquisitions, and new market expansions through regulatory due diligence, licensure, and enrollment activities. A key responsibility is developing and maintaining regulatory policies, procedures, and internal controls, while also educating leaders on regulatory changes and compliance expectations.

Requirements

• Minimum of eight (8) years of progressive experience in healthcare regulatory affairs, compliance, provider enrollment, reimbursement or healthcare legal operations
• Minimum of five (5) years of experience within the HME, DMEPOS, home respiratory, home health or post-acute healthcare industry
• Experience managing Medicare supplier enrollment, state licensure, accreditation and multi-state regulatory compliance

Nice To Haves

• Associate degree in Healthcare Administration, Business, Nursing, Respiratory Therapy, Legal Studies or a related field preferred
• Extensive knowledge of PECOS, NPPES/NPI Registry
• Working knowledge of LCDs, NCDs, HIPAA, OIG Compliance
• Experience with accreditation organizations, including HQAA, ACHC and Joint Commission
• Strong analytical, organizational and project management skills with the ability to interpret complex regulations and implement operational solutions
• Excellent communication and relationship-building skills with experience collaborating across legal, compliance, operations, revenue cycle and executive leadership

Responsibilities

• Lead the organization's regulatory affairs program for HME/DMEPOS operations across all markets
• Monitor, interpret and implement changes to Licensure as it relates to Medicare and other state regulatory requirements
• Oversee PECOS enrollment, NPI Registry, organization licensure and regulatory research to ensure uninterrupted billing privileges
• Ensure compliance with DMEPOS Supplier Standards, Medicare regulations and accreditation requirements
• Collaborate with Legal, Compliance, Revenue Cycle, Credentialing, Clinical Operations and Executive Leadership to identify regulatory risks and implement corrective actions
• Provide regulatory guidance for licensure as it relates to the shipment of products to organization locations
• Support mergers, acquisitions and new market expansion by managing regulatory due diligence, licensure and enrollment activities
• Develop and maintain regulatory policies, procedures and internal controls while educating leaders on regulatory changes and compliance expectations

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: Associate degree