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The compliance-focused DMEPOS platform for physicians.
Credentialing & Compliance Lead
Location
United States
Posted
69 days ago
Salary
0
Seniority
Senior
Job Description
Credentialing & Compliance Lead
Rx Redefined
• 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
Job Requirements
- Associate’s degree required; Bachelor’s preferred
- 2+ years in healthcare credentialing, Medicare enrollment, or regulated compliance environments
- Experience working cross-functionally to drive outcomes
Benefits
- Medical, dental, and vision coverage - 100% of the employee premium is covered by Rx Redefined.
- Professional growth - be part of a high-growth team where you’ll learn quickly and see the impact of your work.
- Bonus program eligible.
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