Home Health Facility Licensure & Regulatory Compliance Analyst
About The Position
The Home Health Facility Licensure & Regulatory Compliance Analyst oversees facility licensing and certification processes, ensures ongoing regulatory compliance, and supports the delivery of compliant, high-quality home health services. The position reports to the Manager, Home Health Licensure & Regulatory Compliance. The analyst prepares and submits facility license applications and renewals; oversees Medicaid and Medicare enrollment, renewals, and compliance; tracks license expiration dates; and coordinates renewals to prevent lapses. The role also develops working relationships with internal departments and external regulatory agencies, researches healthcare statutes and regulations, prepares written findings, and conducts due diligence and analysis related to healthcare acquisitions, mergers, and facility relocations. This is a remote position with occasional travel to Humana offices for training or meetings. Employees working from home must have internet service with at least 25 Mbps download and 10 Mbps upload speeds and a dedicated workspace that protects member PHI/HIPAA information. The scheduled workweek is 40 hours.
Requirements
- Bachelor's degree in healthcare administration, nursing, or a related field; relevant experience may be considered in lieu of a degree.
- At least 5 years of experience in healthcare compliance, facility licensing, or regulatory affairs, preferably in home health.
- Knowledge of CMS regulations, state facility licensing requirements, and accreditation standards.
- Experience interpreting and applying complex regulatory information.
- Strong organizational skills and attention to detail.
Nice To Haves
- Experience in a regulatory or compliance position working with governmental agencies.
- Experience working with CMS, Medicaid, and State Departments of Health.
- Knowledge of home health regulations, facility licensing standards, and accreditation requirements.
Responsibilities
- Ensure compliance with federal, state, and local healthcare regulations, including CMS guidelines.
- Prepare and submit facility license applications and renewals to state, federal, and local agencies.
- Oversee and manage Medicaid and Medicare enrollment, renewal, and compliance activities.
- Track facility license expiration dates and coordinate renewals to prevent lapses.
- Develop and maintain working relationships with internal departments and external regulatory agency representatives.
- Research local, state, and federal statutes and regulations to support organizational initiatives, and provide clear, concise written reports of findings.
- Conduct due diligence and analysis related to healthcare acquisitions, mergers, and facility relocations.
Benefits
- Medical, dental, and vision benefits.
- 401(k) retirement savings plan.
- Paid time off and company and personal holidays.
- Paid parental and caregiver leave.
- Short-term and long-term disability.
- Life insurance.
- Other opportunities supporting whole-person well-being.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
