Licensing & Enrollment Manager

IVX Health•Brentwood, TN

About The Position

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.

Requirements

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.
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.

Nice To Haves

paralegal experience preferred
Experience managing facility licensing through state Departments of Health strongly preferred
Experience in multi-site healthcare environments such as infusion centers, specialty clinics, or outpatient settings preferred.

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.

Benefits

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 Support – Free resources to support emotional, physical, and financial well-being.
Education Assistance – Tuition reimbursement and certification support to help you grow in your career.
Continuing Education – Access to a CEU library for ongoing professional development.
Charitable Giving and Volunteer Program – Matched donations and paid volunteer time off to support causes you care about.
Employee Referral Bonus – Earn rewards for helping us find top talent.