Sr. Advisor, Supplier Enrollment & Credentialing (Medicare)

Cardinal Health

6d•$89,000 - $147,550

About The Position

Cardinal Health at-Home Solutions is seeking an experienced professional to lead Medicare enrollment and credentialing for Edgepark, Advanced Diabetes Supply (ADS), US Med, United States Medical Supply (USMS), and Strive Medical. The Sr. Advisor serves as the subject matter expert and accountable owner for Medicare DMEPOS credentialing and enrollment across the five companies, helping ensure they remain compliant, in good standing, and able to serve patients without interruption. This individual contributor role requires a seasoned professional who can navigate complex regulatory environments, anticipate changing CMS requirements, and work independently with strategic perspective. The role involves completing Medicare DMEPOS supplier enrollments, advising senior leadership, and representing the organization with CMS contractors and accrediting bodies.

Requirements

At least 8 years of experience in Medicare provider or supplier enrollment.
Substantial experience with governmental credentialing and enrollment processes for suppliers or institutions, including direct interaction with federal or state agencies and their contractors.
Deep, hands-on expertise in Medicare DMEPOS enrollment, including CMS-855S, PECOS, NPPES, supplier standards, accreditation, surety bonds, revalidations, and changes of ownership.
Ability to navigate complex regulatory environments and remain current on evolving CMS requirements.
Ability to work independently, exercise sound judgment, and think strategically about enrollment risk and business impact.
Strong compliance mindset and meticulous attention to detail and accuracy.
Executive presence and ability to communicate complex regulatory topics clearly to senior leaders.
Exceptional organizational skills and ability to manage high-volume, deadline-driven work across competing priorities.

Nice To Haves

Direct, hands-on experience successfully completing DMEPOS enrollment for a multi-entity or multi-location organization.
Bachelor’s degree or equivalent experience.
CPCS, CPMSM, or similar certification.
Direct experience managing Medicare DMEPOS supplier enrollments within a DME supplier organization or with CMS, Palmetto GBA, Novitas, or a DME MAC.
Experience supporting acquisitions or developing multi-entity enrollment strategies.

Responsibilities

Own and independently execute end-to-end Medicare enrollment for all five DMEPOS entities, including initial enrollments, revalidations, changes of information, location openings and closures, and changes of ownership through CMS-855S, PECOS, and NPPES.
Serve as the primary point of contact for Palmetto GBA, Novitas, and the DME MACs on enrollment matters, site visits, and deficiency responses.
Ensure every entity and location remains compliant with DMEPOS supplier standards, accreditation requirements, certificates of insurance liabilities, surety bond obligations, and state licensure requirements.
Proactively manage revalidation cycles, deadlines, PTANs, and NPI records to prevent disruptions to billing privileges.
Lead responses to revocations, deactivations, requests for information, and corrective action plans, including application appeals and reconsiderations when needed.
Develop enrollment strategies, timelines, and risk assessments for acquisitions, new site launches, and other business changes.
Monitor CMS regulatory updates and industry developments, assess their impact, and recommend appropriate business responses.
Develop and maintain credentialing policies, procedures, tracking tools, and documentation to keep the organization audit ready.
Identify enrollment risks early and provide leadership with clear, practical recommendations.
Present status updates, risks, and strategic recommendations to senior leaders.
Partner with Compliance, Legal, Regulatory, Revenue Cycle, and Operations to align requirements and priorities.
Drive continuous improvement and standardization of enrollment processes across all entities.