Regulatory Operations Specialist

Description
Regulatory Operations Specialist (PECOS, Vendors & Credentialing)
Position Summary
The Regulatory Operations Specialist supports day-to-day PECOS filings, vendor regulatory documentation, and provider credentialing activities. This role is execution-focused and detail-driven, ensuring regulatory records are accurate, current, and audit-ready.

Key Responsibilities

PECOS & Enrollment Support
Prepare and submit PECOS enrollments, revalidations, and updates under supervision. Collect, organize, and maintain required ownership, managing employee, and practice location documentation. Track CMS and MAC correspondence and assist with responses.

Vendor Regulatory Support
Collect and maintain required regulatory documentation for vendors and contractors. Track expirables and ensure timely updates of required certifications and attestations. Assist with regulatory onboarding and offboarding documentation.

Credentialing Support
Support credentialing activities, including license verification, certification tracking, and documentation management. Maintain credentialing files and ensure alignment with enrollment and payer requirements. Monitor expirables and notify leadership of upcoming renewals.

Documentation & Tracking
Maintain regulatory trackers, calendars, and filing logs. Ensure records are organized, complete, and audit-ready. Assist with internal audits and data validation reviews.

Collaboration
Coordinate with HR, Compliance, Operations, and Revenue Cycle to gather required information. Escalate discrepancies or risks promptly to leadership.

Requirements
Required
Associate or Bachelor’s degree in healthcare administration or related field.
2–4 years of experience in healthcare regulatory operations, credentialing, or enrollment support.
Strong attention to detail and ability to manage multiple deadlines.
Preferred
Hands-on PECOS experience.
Experience supporting Medicare enrollment or credentialing in post-acute care.
Familiarity with document management systems.
Core Competencies
Regulatory accuracy and documentation
Process discipline and follow-through
Time and deadline management
Cross-functional communication