General Summary:
- The Licensing Specialist isprimarilyresponsible formaintainingthe integrity of the licensing process and ensuring compliance with state regulations.
- This role willprocess applications for licenses certifications credentialing and permits etc. with state and/or local government agencies.
Responsibilities:
- Licensing and Regulatory
- Coordinate and submit all initial and renewal state licensing applications for programs and locations.
- Initiate maintain and manage licensing and renewal files ensuring completeness and accuracy.
- Verify application information and prepare required documentation for internal review and approval prior to submission.
- Monitor licensing deadlines and ensure applications are submitted and processed within established timeframes.
- Track application submissions and provide routine status updates to internal stakeholders.
- Maintain an up-to-date inventory of licensed programs and locations.
- Communicate pertinent changes updates and inquiries to and from state licensing and regulatory authorities.
- Serve as a point of contact for department leaders and local behavioral health agencies regarding licensing requirements and application status.
- Ensure compliance with state laws regulatory standards local behavioral health agency requirements and internal policies throughout the licensing process.
- Quality Assurance
- Collaborate with compliance auditors and internal partners to support conformance with regulatory and accreditation requirements.
- Monitor licensing-related documentation and compliance standards to identify potential risks or areas of vulnerability.
- Assist in gathering organizing and validating data for audits reviews and compliance activities related to licensing operations.
- Documentation and Reporting
- Prepare and maintain accurate licensing records reports and supporting documentation.
- Assist in the preparation of informational statistical and status reports related to licensing activities.
- Enter audit and review results into databases or tracking tools as directed.
- Present or contribute to reports of findings for internal programs committees or subcommittees including the Corporate Compliance Committee as needed.
Requirements:
- Bachelors degree in business administration public health human services or related field is required.
- An equivalent combination of education and relevant experience may be considered in lieu of a degree.
- One to two years of experience working in healthcare insurance operations or related field is required.
- Prior experience in behavioral health and licensing is preferred. A demonstrated knowledge of:
- Ability to interpret analyze and understand healthcare related regulations including Medicare and Medicaid program rules and regulations for hospital and outpatient services.
- Knowledge of state and local regulations for Behavioral Health Authorities.
- Ability to interpret analyze and apply knowledge of Code of Maryland Regulations.
- Ability to interpret analyze and understand accreditation requirements.
Benefits:
At Sheppard Pratt you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:
- A commitment to professional development including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
- Comprehensive medical dental and vision benefits for benefit eligible positions
- 403b retirement match
- Generous paid-time-off for benefit eligible positions
- Complimentary Employee Assistance Program (EAP)
- Generous mileage reimbursement program
Pay for this position is determined on a number of factors including but not limited to years and level of related experience.
#LI-EEDWARDS
Required Experience:
IC
General Summary:The Licensing Specialist isprimarilyresponsible formaintainingthe integrity of the licensing process and ensuring compliance with state regulations.This role willprocess applications for licenses certifications credentialing and permits etc. with state and/or local government agencie...
General Summary:
- The Licensing Specialist isprimarilyresponsible formaintainingthe integrity of the licensing process and ensuring compliance with state regulations.
- This role willprocess applications for licenses certifications credentialing and permits etc. with state and/or local government agencies.
Responsibilities:
- Licensing and Regulatory
- Coordinate and submit all initial and renewal state licensing applications for programs and locations.
- Initiate maintain and manage licensing and renewal files ensuring completeness and accuracy.
- Verify application information and prepare required documentation for internal review and approval prior to submission.
- Monitor licensing deadlines and ensure applications are submitted and processed within established timeframes.
- Track application submissions and provide routine status updates to internal stakeholders.
- Maintain an up-to-date inventory of licensed programs and locations.
- Communicate pertinent changes updates and inquiries to and from state licensing and regulatory authorities.
- Serve as a point of contact for department leaders and local behavioral health agencies regarding licensing requirements and application status.
- Ensure compliance with state laws regulatory standards local behavioral health agency requirements and internal policies throughout the licensing process.
- Quality Assurance
- Collaborate with compliance auditors and internal partners to support conformance with regulatory and accreditation requirements.
- Monitor licensing-related documentation and compliance standards to identify potential risks or areas of vulnerability.
- Assist in gathering organizing and validating data for audits reviews and compliance activities related to licensing operations.
- Documentation and Reporting
- Prepare and maintain accurate licensing records reports and supporting documentation.
- Assist in the preparation of informational statistical and status reports related to licensing activities.
- Enter audit and review results into databases or tracking tools as directed.
- Present or contribute to reports of findings for internal programs committees or subcommittees including the Corporate Compliance Committee as needed.
Requirements:
- Bachelors degree in business administration public health human services or related field is required.
- An equivalent combination of education and relevant experience may be considered in lieu of a degree.
- One to two years of experience working in healthcare insurance operations or related field is required.
- Prior experience in behavioral health and licensing is preferred. A demonstrated knowledge of:
- Ability to interpret analyze and understand healthcare related regulations including Medicare and Medicaid program rules and regulations for hospital and outpatient services.
- Knowledge of state and local regulations for Behavioral Health Authorities.
- Ability to interpret analyze and apply knowledge of Code of Maryland Regulations.
- Ability to interpret analyze and understand accreditation requirements.
Benefits:
At Sheppard Pratt you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:
- A commitment to professional development including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
- Comprehensive medical dental and vision benefits for benefit eligible positions
- 403b retirement match
- Generous paid-time-off for benefit eligible positions
- Complimentary Employee Assistance Program (EAP)
- Generous mileage reimbursement program
Pay for this position is determined on a number of factors including but not limited to years and level of related experience.
#LI-EEDWARDS
Required Experience:
IC
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