Home Health Facility Licensure & Regulatory Compliance Analyst

Join our team as a Home Health Facility Licensure & Regulatory Compliance Analyst, reporting directly to the Manager of Home Health Licensure & Regulatory Compliance. You will play a key role in overseeing facility licensing, ensuring regulatory compliance, and supporting our agency’s mission to deliver high-quality, compliant home health services.

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.
• Develop and maintain working relationships with representatives of 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.

Requirements

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

• 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

• Self-provided internet service must meet the following criteria: minimum download speed of 25 Mbps and upload speed of 10 Mbps; wireless, wired cable, or DSL connection is suggested.
• 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.

Pay

The starting base pay range for this full-time (40 hours per week) position is $65,000 - $88,600 per year. Pay may vary based on geographic location and individual qualifications, including skills, knowledge, experience, education, and certifications. This role is also eligible for a bonus incentive plan based on company and/or individual performance.

Benefits

Humana offers competitive benefits designed to support whole-person well-being, including:

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, including company and personal holidays, paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance and other opportunities.

About Us

About OneHome: OneHome coordinates a full range of post-acute care, including home health, infusion therapy, and durable medical equipment services at patients’ homes. OneHome’s patient-focused model integrates care coordination with physicians, hospitals, and health plans, serving over one million health plan members nationwide. Acquired by Humana in 2021, OneHome advances value-based care with an inclusive, diverse, and caring culture.

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through Humana insurance services and CenterWell healthcare services, we make it easier for millions to achieve their best health by delivering care and services when needed. Learn more at Humana.com and CenterWell.com.