Partnership and New Business Manager – Gym, Health and Wellness
Brightmeds
Licensure and Compliance Specialist
LEARN Behavioral
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Manage licensure applications for ABA providers from submission through issuance
- Track filing fees, monitor associated costs, and report on turnaround times (TATs)
- Serve as the subject matter expert (SME) for licensure processes across all states
- Conduct proactive internal audits of clinician session notes and required documentation to ensure compliance with payer/funder standards
- Assist with payer/funder audits, including audit requests, patient record requests, and compliance audit request tracking
- Maintain organized documentation of licensure, audit activities, and compliance requirements
- Collaborate with internal teams to ensure timely communication and workflow efficiency
- Perform other duties as assigned
Requirements
- High school diploma or equivalent
- Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred
- 2+ years of experience in healthcare credentialing, compliance, or payer enrollment (ABA/behavioral health experience preferred)
- Knowledge of state licensure processes and payer/funder audit requirements
- Familiarity with compliance programs such as Fraud, Waste, and Abuse (FWA) and HIPAA
- Strong attention to detail with excellent organizational skills
- Ability to manage multiple priorities and meet deadlines in a fast-paced environment
- Strong written and verbal communication skills
- Proficiency with Microsoft Office Suite (Excel, Word, Outlook) and ability to learn internal systems quickly
- Analytical mindset with ability to identify process gaps and recommend improvements
- Collaborative and team-oriented with a customer service mindset
