Director of Regulatory Affairs

About the role

Lead the organization's regulatory affairs program for HME/DMEPOS operations across all markets. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Responsibilities

• Monitor, interpret and implement changes to Licensure as it relates to Medicare and other state regulatory requirements
• Oversee PECOS enrollment, NPI Registry, organization licensure and regulatory research to ensure uninterrupted billing privileges
• Ensure compliance with DMEPOS Supplier Standards, Medicare regulations and accreditation requirements
• Collaborate with Legal, Compliance, Revenue Cycle, Credentialing, Clinical Operations and Executive Leadership to identify regulatory risks and implement corrective actions
• Provide regulatory guidance for licensure as it relates to the shipment of products to organization locations
• Support mergers, acquisitions and new market expansion by managing regulatory due diligence, licensure and enrollment activities
• Develop and maintain regulatory policies, procedures and internal controls while educating leaders on regulatory changes and compliance expectations

Qualifications

• Associate degree in Healthcare Administration, Business, Nursing, Respiratory Therapy, Legal Studies or a related field preferred
• Minimum of eight (8) years of progressive experience in healthcare regulatory affairs, compliance, provider enrollment, reimbursement or healthcare legal operations
• Minimum of five (5) years of experience within the HME, DMEPOS, home respiratory, home health or post-acute healthcare industry
• Experience managing Medicare supplier enrollment, state licensure, accreditation and multi-state regulatory compliance

Skills

• Extensive knowledge of PECOS, NPPES/NPI Registry
• Working knowledge of LCDs, NCDs, HIPAA, OIG Compliance
• Experience with accreditation organizations, including HQAA, ACHC and Joint Commission
• Strong analytical, organizational and project management skills with the ability to interpret complex regulations and implement operational solutions
• Excellent communication and relationship-building skills with experience collaborating across legal, compliance, operations, revenue cycle and executive leadership

Schedule

You will be expected to work during normal business hours, which are Monday through Friday, 8:00 a.m. to 5:00 p.m.