Licensure and Provider Enrollment Specialist

Our Company

BrightSpring Health Services

Overview

The Licensure and Provider Enrollment Specialist will be a member of the Corporate Legal Department and will work with all Medicare and Medicaid enrollment applications and related renewals across the BrightSpring organization. They will also work with various state licensing agencies on any new licensure applications, as well as licensure renewals, across all lines of business.

Responsibilities

· Acts as a primary resource for all Company licensure enrollment and related matters. Ensures all licenses are renewed timely.

· Prepares and submits enrollment and re-enrollment applications related to state Medicaid and Medicare.

· Communicates clearly with stakeholders regarding application status, required next steps, and potential impacts on claims processing.

· Coordinates and maintains a tracking database for provider enrollments and licensure related tasks.

· Maintains Company documents and records related to the legal entity and licensure structure of the Company.

· Collaborates with the revenue cycle and claims teams to troubleshoot payment issues related to enrollment.

· Supports company Business Development Team in connection with corporate transactions (tied to licensing and enrollment) including mergers and acquisitions.

· Performs other duties as assigned to support the legal and compliance departments.

Qualifications

• Bachelor’s Degree preferred or an equivalent level of experience and education.
• Paralegal experience helpful, or a background in the legal field or in the performance complex administrative support functions
• Strong research and analytical skills
• Exceptional organizational skills and attention to detail
• Strong background in using database and computer applications.
• Ability to work independently.
• Excellent oral and written communication skills
• Ability to work with a sense of urgency and under tight deadlines.
• Travel 0-25%

About our Line of Business

BrightSpring Health Services provides complementary home- and community-based health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs. For more information, please visit www.brightspringhealth.com. Follow us on Facebook, LinkedIn, and X.