Job DescriptionJOB PURPOSE:The Director of Licensing & Enrollment provides functional leadership and direct operational oversight for licensing, payer enrollment, credentialing, accreditation support, and related regulatory activities that support the organization's ability to operate and serve customers enterprise-wide. This role translates organizational strategy into functional priorities, governance, controls, and an effective operating model for federal, state, and local licensing; Medicare and Medicaid provider enrollment; commercial payer credentialing; accreditation support; and associated filings. The Director is responsible for overseeing the execution of complex, high-risk, or time-sensitive licensing, enrollment, and credentialing activities. The Director advises senior leaders on regulatory and operational risk and partners across the business to ensure requirements are completed accurately and timely. The role is accountable for strengthening organizational capability, improving visibility through meaningful metrics, and advancing scalable processes and technology while protecting business continuity and revenue.
The pay range for this position is $123,200-$169,400 base salary. It is not typical for an individual to be hired at or near the top of the pay range and compensation decisions are dependent on the facts and circumstances of each case. The specific compensation offered to a candidate may be influenced by a variety of factors including skills, qualifications, experience and location.
KEY RESPONSIBILITIES: - Provide functional leadership and operational oversight for licensing, provider enrollment, credentialing, and related regulatory activities by translating organizational priorities into effective processes, governance, and controls that support compliance, business continuity, and organizational growth.
- Direct the end-to-end lifecycle of licensing and enrollment activities, including applications, renewals, updates, closures, and organizational changes, ensuring federal, state, and local licenses, registrations, and provider enrollments are obtained, maintained, and renewed in accordance with regulatory and business requirements.
- Establish and maintain a governance framework that defines ownership, service standards, documentation requirements, escalation protocols, and internal controls for licensing, enrollment, and credentialing activities.
- Lead a risk-based quality assurance program that incorporates audits, source verification, management reviews, and corrective action processes to ensure regulatory compliance, operational accuracy, and continuous improvement.
- Maintain reliable systems of record and supporting documentation for licenses, registrations, enrollments, payer credentials, expiration dates, deficiencies, corrective actions, and audit readiness.
- Oversee Medicare and Medicaid provider enrollments, state program participation, commercial payer credentialing, and System for Award Management (SAM) registrations and filings.
- Monitor changes in federal and state requirements, payer policies, credentialing standards, and licensing regulations; translate changes into clear business actions and control updates.
- Monitor key performance and risk indicators and maintain visibility into operational status and business impact.
- Assess and communicate regulatory and operational risks, providing recommendations and updates to senior leadership.
- Partners with operational leaders and teams supporting organizational transactions and market changes to plan and execute licensing and enrollment activities for openings, closures, relocations, acquisitions, integrations, and other business changes.
- Direct working relationships with regulatory agencies, licensing bodies, CMS, state Medicaid programs, commercial payers, registered agents, and other external partners; escalate and resolve complex matters.
- Lead continuous improvement initiatives that standardize processes, strengthen controls, shorten cycle times, improve data quality, and advance automation and technology.
- Lead workforce planning, organizational design, succession planning, and capability development for the licensing & enrollment function.
- Lead, coach, and develop direct reports; set clear expectations, align priorities, evaluate outcomes, and build a culture of accountability, collaboration, service, and continuous improvement.
- Collaborate with Finance, Compliance, Legal, Operations, Payer Relations, IT, Human Resources, business leaders, and other stakeholders to align licensing and enrollment priorities with organizational goals.
- Provide clear, concise updates to senior leadership regarding risks, decisions, resource needs, regulatory developments, and progress against strategic priorities.
- Utilize Numotion Leadership Principles to perform the job with integrity, compliance, and values consistent with Numotion's mission.
- Adhere to employee or customer confidentiality and comply with Numotion's policies and federal regulations.
- Always provide excellent customer service for all internal and external customers of the operations. Provide solutions for customer concerns and continually focus on customer service as our top priority.
- The above duties and responsibilities are not an all-inclusive list but rather a general representation of the duties and responsibilities associated with this position. The duties and responsibilities will be subject to change based on organizational needs and/or as deemed necessary by management.
REQUIRED QUALIFICATIONS, SKILLS, AND EXPERIENCE: - Bachelor's degree in Business, Healthcare Administration, Compliance, Public Administration, or a related field; equivalent combinations of education and experience may be considered.
- 7+ (seven plus) years of progressive experience in healthcare licensing, provider enrollment, credentialing, regulatory operations, or a related healthcare compliance function.
- 5+ (five plus) years of leadership experience, including responsibility for leading teams, managers, or a complex operational function.
- Advanced knowledge of federal and state healthcare regulations, Medicare and Medicaid provider enrollment, commercial payer credentialing, and licensing requirements.
- Demonstrated experience translating organizational strategy into governance frameworks, performance metrics, policies, and operational controls within a regulated environment.
- Proven ability to assess risk, influence decision-making, and partner effectively with senior leaders and cross-functional stakeholders.
- Experience managing relationships with regulatory agencies, licensing bodies, government payers, commercial payers, and other external partners.
- Strong business and operational acumen, including the ability to lead organizational change, manage competing priorities, and align regulatory activities with business objectives.
- Excellent communication, analytical, reporting, and technology skills, including the ability to translate complex requirements into actionable plans and measurable outcomes.
PREFERRED COMPETENCIES AND QUALIFICATIONS:- Experience in durable medical equipment (DME), complex rehabilitation technology (CRT), or a multi-site healthcare services environment.
- Experience supporting accreditation programs, including ACHC.
- Experience with acquisitions, integrations, market expansions, or other enterprise transformation initiatives.
- Advanced degree or professional certification related to enrollment, credentialing, compliance, healthcare administration, or regulatory operations.
At Numotion, we offer competitive compensation packages, including medical, dental and vision insurance, short-term and long-term disability, a 401k, and life insurance.
