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Senior Advisor, Supplier Enrollment & Credentialing, Medicare
Cardinal Health. Own and independently execute end-to-end Medicare enrollment for five DMEPOS entities, including initial enrollments, revalidations, changes of information, location openings and closures, and changes of ownership through CMS-855S, PECOS, and NPPES .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in Medicare DMEPOS enrollment processes, including CMS-855S, PECOS, and NPPES, while ensuring compliance with supplier standards and regulatory requirements. Proven ability to develop enrollment strategies and manage complex regulatory environments effectively.
Highest-signal resume keywords
Medicare DMEPOS EnrollmentCMS-855SPECOSNPPESRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medicare Provider EnrollmentDMEPOS Supplier StandardsAccreditation RequirementsRevalidation ManagementCredentialing PoliciesRisk AssessmentApplication AppealsDeficiency ResponsesBilling Privileges ManagementEnrollment Strategy Development
Soft Skills
Strategic ThinkingAttention to DetailCommunication SkillsOrganizational SkillsJudgment
Certifications & Qualifications
CPCSCPMSM
Industry Keywords
DMEPOSCMSPalmetto GBANovitasDME MACSurety BondsState LicensureFederal AgenciesComplianceEnrollment Processes
About the role
Key responsibilities & impact- Own and independently execute end-to-end Medicare enrollment for five DMEPOS entities, including initial enrollments, revalidations, changes of information, location openings and closures, and changes of ownership through CMS-855S, PECOS, and NPPES
- Serve as primary point of contact for Palmetto GBA, Novitas, and the DME MACs on enrollment matters, site visits, and deficiency responses
- Ensure entities and locations remain compliant with DMEPOS supplier standards, accreditation requirements, certificates of insurance liabilities, surety bond obligations, and state licensure requirements
- Manage revalidation cycles, deadlines, PTANs, and NPI records to prevent disruptions to billing privileges
- Lead responses to revocations, deactivations, requests for information, and corrective action plans, including application appeals and reconsiderations
- Develop enrollment strategies, timelines, and risk assessments for acquisitions, new site launches, and other business changes
- Monitor CMS regulatory updates and industry developments, assess impacts, and recommend business responses
- Develop and maintain credentialing policies, procedures, tracking tools, and documentation to keep the organization audit ready
- Identify enrollment risks and provide leadership with practical recommendations
- Present status updates, risks, and strategic recommendations to senior leaders
- Partner with Compliance, Legal, Regulatory, Revenue Cycle, and Operations
- Drive continuous improvement and standardization of enrollment processes across all entities
Requirements
What you’ll need- 8+ years of experience in Medicare provider or supplier enrollment
- Direct, hands-on experience successfully completing DMEPOS enrollment for a multi-entity or multi-location organization preferred
- Bachelor’s degree, or equivalent experience preferred
- CPCS, CPMSM, or similar certification is a plus
- Substantial experience with governmental credentialing and enrollment processes for suppliers or institutions, including direct interaction with federal or state agencies and their contractors
- Deep, hands-on expertise in Medicare DMEPOS enrollment, including CMS-855S, PECOS, NPPES, supplier standards, accreditation, surety bonds, revalidations, and changes of ownership
- Direct experience managing Medicare DMEPOS supplier enrollments within a DME supplier organization or with CMS, Palmetto GBA, Novitas, or a DME MAC strongly preferred
- Proven ability to navigate complex regulatory environments and remain current on evolving CMS requirements
- Ability to work independently, exercise sound judgment, and think strategically about enrollment risk and business impact
- Strong compliance mindset, with meticulous attention to detail and accuracy
- Executive presence and ability to communicate complex regulatory topics clearly to senior leaders
- Exceptional organizational skills and ability to manage high-volume, deadline-driven work across competing priorities
- Experience supporting acquisitions or developing multi-entity enrollment strategies is a plus
Benefits
Comp & perks- Bonus eligible
- Medical, dental and vision coverage
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay day with myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability coverage
- Work-Life resources
- Paid parental leave
- Healthy lifestyle programs