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Regulatory & Program Compliance:
- Monitor federal and state regulatory changes from CMS and Medicaid agencies to ensure timely policy updates.
- Maintain all required licensure, certifications, and provider enrollments for Medicaid and MCO contracts.
Billing & Medicaid Integrity:
- Oversee Medicaid billing compliance, including adherence to Electronic Visit Verification (EVV) systems.
- Partner with billing leadership to ensure claims accuracy, documentation standards, and audit readiness.
Policies, Training & Culture:
- Develop and maintain the compliance policy and procedure library for the organization.
- Design and deliver compliance training programs for caregivers, branch staff, and leadership teams.
AbriCare
AbriCare provides personal home care and nursing services, ensuring adherence to healthcare regulations and delivering compassionate care. The organization fosters a culture of integrity and accountability, partnering with clinical and operational leadership to maintain high standards.