Licensing Specialist

KabaFusion•Carrollton, TX

About The Position

Come join an exciting and innovative company that puts the “care” back in healthcare! At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work. About Us: What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40+ states. Couple that with over 30 years of combined experience and it’s no wonder why KabaFusion is the industry leader in home infusion. JOB SUMMARY: Responsible for monitoring, and providing support on a variety of complex federal, state, county and city regulatory licensing compliance policies and procedures for the healthcare industry. Maintains records, compiles information and submits the necessary forms in order to keep licenses and permits active, and to ensure the timely submission of renewal forms and supporting documentation to regulatory agencies in order to guarantee licenses and license renewals. Responsibilities will also include assisting the Managed Care Department with credentialing and re-credentialing functions with a variety of Payers. Management and maintenance of pharmacy profiles on NCPDP and NPI websites.

Requirements

Basic knowledge of business compliance regulatory framework
Knowledge in all aspects of healthcare industry federal, state, county and city rules and regulations pertaining to the operations of home infusion pharmacies and home health agencies.
Excellent writing skills, ability to communicate effectively with branch managers and governmental agencies processing personnel.
Highly organized
Excellent judgment and professionalism
Ability to communicate with individuals at various levels
Strong attention to detail
Ability to handle sensitive information with discretion and utmost confidentiality
Demonstrated ability to work with minimal supervision
Ability to serve as a liaison with key internal stakeholders, Pharmacists in Charge, Nursing Administrators and Directors of Nursing, attorneys, and external organizations
Superior ability to organize, prioritize, complete activities, and meet deadlines daily
Continuously monitors changes and evaluates specific activities that may have an impact on the current licenses: including but not limited to relocations, change of ownership, company name changes, DBA's, and changes of Pharmacist in Charge, Nursing Administrators and Directors of Nursing. Submit documentation as required.
Proficient with computer applications, such as Windows, Excel and Word.
High School Diploma required.
At least 2+ years State Board licensing experience preferred (Pharmacy or any healthcare entity)
At least 1 +regulatory compliance and/or credentialing experience preferred

Nice To Haves

Paralegal certificate preferred.
Bachelor's Degree preferred.

Responsibilities

Manage licensing compliance requirements and permits for pharmacies and home health agencies at all levels: federal, state, county, and city, including but not limited to: a. State Board of Pharmacy b. State Board of Nursing c. Drug Enforcement Administration (DEA) d. Medicare e. Medicaid f. County Business Licenses g. Business Licenses h. Alarm Permits 1. Clinical Laboratory Improvement (CLIA) J. Other duties as assigned
Maintenance of NCPDP and NPI websites uploading of new licenses/permits, ensuring demographic and changes of ownership, location and Pharmacist in Charge (PIC), Nursing Administrator and/or Director of Nursing information is submitted and current.
Manage and submit ownership disclosures for credentialing applications for new Payer contracts. Manage and track all requests for re-credentialing information and ownership disclosures as required.
Other duties as assigned.