State Adherence Specialist I (PA / Remote)

About the Role

FreedomCare is a healthcare company innovating and revolutionizing home care delivery. We bring dignity and support to patients and caregivers, operating as the largest consumer-directed home care agency in New York State with expanding operations and tech-based innovations. We are seeking a State Adherence Specialist I for our team in Pennsylvania. This is a remote position.

The State Adherence Specialist I maintains continuous regulatory compliance across FreedomCare's active patient and caregiver population. This role ensures enrollment documentation, onboarding activities, and ongoing regulatory requirements remain complete, accurate, and compliant with Department of Health (DOH), Department of Labor (DOL), federal, state, payer, program, and company requirements. The position proactively identifies compliance risks, partners with Operations to resolve deficiencies, and ensures audit readiness throughout the care lifecycle.

Responsibilities

• Own the ongoing compliance of assigned patient and caregiver cases throughout the Pre-Care and On-Care lifecycle.
• Review, validate, and maintain enrollment documentation to ensure compliance with DOH, DOL, federal, state, payer, and company requirements.
• Verify caregiver eligibility requirements, including criminal background checks, FBI fingerprinting (where applicable), I-9 Employment Eligibility Verification, E-Verify, medical clearances, and state-specific documentation.
• Monitor expiring documents, annual renewals, and ongoing regulatory requirements to maintain continuous compliance.
• Identify documentation deficiencies and collaborate with Operations to implement timely corrective actions.
• Maintain complete, accurate, and audit-ready documentation within company systems.
• Provide compliance guidance to internal teams regarding documentation requirements and regulatory processes.
• Support internal and external audits by preparing documentation, validating records, and responding to audit requests.
• Research routine compliance questions and escalate complex regulatory issues to senior team members.
• Maintain compliance with HIPAA, organizational privacy standards, and company policies while safeguarding confidential information.
• Contribute to continuous process improvement by identifying opportunities to improve compliance workflows and documentation quality.
• Maintain current knowledge of regulatory updates, departmental procedures, and operational changes affecting assigned programs.

Requirements

• 1–2 years of experience in healthcare operations, onboarding, compliance, quality assurance, medical records, or administrative support preferred.
• Experience reviewing confidential documentation with a high degree of accuracy.
• Interest in learning and applying Department of Health (DOH), Department of Labor (DOL), Medicaid, payer, and state-specific regulatory requirements.
• Strong attention to detail with the ability to identify documentation discrepancies and compliance risks.
• Excellent organizational, analytical, and time management skills.
• Strong written and verbal communication skills.
• Ability to interpret and consistently apply established policies, procedures, and regulatory guidance.
• Ability to work in a fast-paced, technology-driven environment while managing multiple priorities.
• Demonstrates accountability, professionalism, adaptability, and continuous learning.
• Maintains strict adherence to HIPAA, organizational confidentiality standards, and regulatory requirements.
• Positive, service-oriented attitude with strong customer focus.

Nice-to-Haves

• Associate's degree preferred; equivalent work experience considered.
• 3+ years of experience in healthcare operations, compliance, onboarding, quality assurance, medical records, or related administrative functions.
• Bilingual in Spanish or other languages.
• Experience with CRMs or Workforce Technology.

Benefits

• Medical, dental, and vision insurance
• Life insurance
• Short-term and long-term disability insurance
• 401(k) with company match
• Continuing education and professional development opportunities
• Opportunities for career growth
• Wellness programs
• Gym reimbursement
• Internet reimbursement
• Competitive compensation
• Technology and tools designed to support communication, documentation, and care coordination

Pay

The base pay range for this role is between $23.00 and $25.00 an hour at the commencement of your first year of employment. Compensation decisions depend on skill set, years of relevant experience, education, location, and licensure/certifications.