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CenterWell

Home Health Facility Licensure & Regulatory Compliance Analyst

Posted an hour ago
$65000 - $88600 per year
5-10 years experience
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AI Summary

The analyst oversees facility licensing, certification processes, and ensures ongoing regulatory compliance with federal, state, and local healthcare regulations. They are responsible for managing Medicaid and Medicare enrollment activities and conducting research to support organizational initiatives.

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As a Home Health Facility Licensure & Regulatory Compliance Analyst, you will report directly to the Manager, Home Health Licensure & Regulatory Compliance. You will be responsible for overseeing facility licensing and certification processes, ensure ongoing regulatory compliance, and support our agency's commitment to delivering compliant, high-quality home health services.

Key Responsibilities:

  • Ensure compliance with federal, state, and local healthcare regulations, including CMS guidelines.

  • Prepare and submit required facility license applications and renewals to the State Department of Health, Federal, and local agencies.

  • Oversee and manage Medicaid and Medicare enrollment, renewal, and compliance activities.

  • Track expiration dates and coordinate renewal processes to prevent lapses in facility licensure.

  • Development and maintenance of working relationships with representatives of various internal departments and external regulatory agencies.

  • Conduct research on local, state, and federal statutes and regulations to support organizational initiatives, providing clear and concise written reports of findings.

  • Conduct due diligence and analysis related to healthcare acquisitions, mergers, and facility relocations.


Use your skills to make an impact
 

Requirements:

  • Bachelor's degree in healthcare administration, Nursing, or related field; relevant experience may be considered in lieu of degree.

  • Minimum of 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.

Preferred Requirements:

  • 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.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

 

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

 

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


 

$65,000 - $88,600 per year


 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 09-07-2026


About us
 

About OneHome: OneHome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients’ homes. OneHome’s patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family.

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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