What are the responsibilities and job description for the Licensing & Enrollment Manager position at IVX Health?
Join Our Team at IVX Health!
IVX Health is seeking a Healthcare Licensing & Enrollment Manager to oversee Medicare and Medicaid enrollment, CLIA certification, and facility licensing across a growing national footprint. This role is responsible for ensuring continuous compliance with federal and state regulations while supporting legal and compliance initiatives in a complex, multi-site healthcare environment.
What You'll Do
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We’re transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well—we empower our team to thrive while living our core values: Be Kind, Do What’s Right, Never Settle, Make It Happen, and Enjoy the Ride.
Our Mission: To improve the lives of those we care for by redefining the care experience
Our Vision: To be the nation’s preferred destination for pharmaceutical care of complex chronic conditions
Our Commitment: To deliver an unmatched care experience with a foundation in world class service and clinical excellence
Benefits We Offer
EEO STATEMENT
IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment.
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IVX Health is seeking a Healthcare Licensing & Enrollment Manager to oversee Medicare and Medicaid enrollment, CLIA certification, and facility licensing across a growing national footprint. This role is responsible for ensuring continuous compliance with federal and state regulations while supporting legal and compliance initiatives in a complex, multi-site healthcare environment.
What You'll Do
- Manage Licensing & Enrollment Operations: Oversee Medicare (PECOS) and Medicaid enrollments, revalidations, updates, and changes of ownership across all locations. Maintain active facility licensing and prevent lapses in billing eligibility
- Lead Regulatory Compliance Efforts: Ensure adherence to CMS regulations, state licensing requirements, and CLIA standards. Monitor regulatory changes and maintain audit-ready documentation across all entities
- Support Legal & Compliance Functions: Assist the General Counsel and Chief Compliance Officer with regulatory matters, compliance initiatives, and preparation for audits, inspections, and Board-level reporting
- Oversee CLIA Certification & Requirements: Manage CLIA applications, renewals, and compliance for laboratory services. Maintain documentation and readiness for inspections
- Coordinate with Regulatory Bodies: Serve as a primary point of contact for CMS, state agencies, and licensing boards. Track deadlines and manage communication to ensure timely submissions and approvals
- Build & Maintain Tracking Systems: Develop and manage centralized systems to track licensing, enrollment, and compliance activities across a multi-site organization
- Mitigate Risk & Support Audits: Identify compliance risks, support state inspections, and contribute to audit preparation and resolution of findings
- Collaborate Across Teams: Partner with internal departments and external vendors to ensure alignment on credentialing, licensing, and compliance processes.
- Strong understanding of CMS regulations, healthcare compliance frameworks, and state licensing requirements
- Hands-on experience with PECOS, Medicaid enrollment systems, and credentialing platforms such as CAQH
- Ability to manage multiple deadlines and regulatory submissions in a fast-paced environment
- Strong attention to detail and ability to maintain audit-ready documentation
- Experience interfacing with regulatory agencies, licensing boards, and compliance vendors
- Ability to build processes and structure within a growing, multi-site organization
- Strong organizational, analytical, and problem-solving skills
- Effective communication and cross-functional collaboration skills.
- Bachelor’s degree in Healthcare Administration, Business Administration, or a related field, or equivalent experience; paralegal experience preferred
- 5 years of experience in Medicare enrollment (PECOS required), Medicaid enrollment, provider credentialing, licensing, or healthcare compliance
- Experience managing facility licensing through state Departments of Health strongly preferred
- Working knowledge of CLIA certification and compliance requirements
- Experience in multi-site healthcare environments such as infusion centers, specialty clinics, or outpatient settings preferred.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We’re transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well—we empower our team to thrive while living our core values: Be Kind, Do What’s Right, Never Settle, Make It Happen, and Enjoy the Ride.
Our Mission: To improve the lives of those we care for by redefining the care experience
Our Vision: To be the nation’s preferred destination for pharmaceutical care of complex chronic conditions
Our Commitment: To deliver an unmatched care experience with a foundation in world class service and clinical excellence
Benefits We Offer
- Comprehensive Healthcare – Medical, dental, and vision coverage, including prescription drug plans and telemedicine services.
- Flexible Savings Options – Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs.
- Supplemental Protection – Accident, critical illness, and hospital indemnity plans to provide additional financial security.
- Dependent Care FSA – Pre-tax savings for eligible childcare and dependent care expenses.
- 401(k) Retirement Plan – Secure your future with a competitive company match.
- Disability Coverage – Voluntary short-term and long-term disability plans to protect your income.
- Fertility and Family Support – Resources and benefits designed to support fertility care and family planning.
- Life and AD&D Insurance – Financial protection for you and your loved ones.
- Counseling and Wellness Support – Free resources to support emotional, physical, and financial well-being.
- Education Assistance – Tuition reimbursement and certification support to help you grow in your career.
- Continuing Education – Access to a CEU library for ongoing professional development.
- Charitable Giving and Volunteer Program – Matched donations and paid volunteer time off to support causes you care about.
- Employee Referral Bonus – Earn rewards for helping us find top talent.
EEO STATEMENT
IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment.
Privacy Policy