Rx Redefined

Compliance

• Own the full DMEPOS credentialing lifecycle, including new enrollments, revalidations, reactivations, updates, and ongoing maintenance
• Track and manage application status to ensure timely and accurate submissions
• Maintain complete and audit-ready documentation aligned with regulatory standards
• Monitor and interpret federal and state regulatory requirements, ensuring continuous compliance
• Proactively implement updates to internal processes, policies, and documentation as requirements evolve
• Act as a safeguard for compliance risk across all credentialing activities
• Serve as the primary liaison with Medicare Administrative Contractors (MACs) and other regulatory bodies
• Partner cross-functionally with internal teams to drive credentialing timelines and remove blockers
• Lead customer-facing interactions to guide providers through licensing requirements and expectations
• Develop, maintain, and continuously improve Credentialing SOPs and documentation standards
• Identify inefficiencies and implement scalable solutions to improve turnaround times and accuracy
• Lead data collection efforts to support reporting, tracking, and performance optimization
• Serve as the internal credentialing expert, advising teams on requirements, risks, and best practices
• Support onboarding and training initiatives related to credentialing processes
• Facilitate onsite customer ID verification processes as needed
• Ability to travel up to 20%, nationwide

Credentialing & Compliance Lead