Licensure and Compliance Specialist
The Center for Autism and Related Disorders, Inc.
Texas City, TXFull-time
48K–72K a year
Behavioral Health Market Context
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Job Description
lued and rewarded. The Center for Autism and Related Disorders (CARD) is among the world's largest and most experienced organizations effectively treating individuals of all ages who are diagnosed with autism spectrum disorder. CARD treats autistic individuals using the principles of applied behavior analysis (ABA), which is empirically proven to be the most effective method addressing the behaviors and deficits commonly associated with autism. With locations throughout the US, CARD's mission is to provide top-quality services that help every patient fulfill their potential and live joyful lives. Through its network of trained behavior technicians, Board Certified Behavior Analysts, and researchers, CARD develops and implements quality, comprehensive, and individualized treatment programs that lead to success.
Remote Location - TX Austin, Texas 78701
Hourly Rate Range: $23.00 - $38.00 per hour
POSITION OVERVIEW:
The Licensure and Compliance Specialist will provide critical support in managing provider licensure applications and payer/funder compliance activities. This role ensures timely licensure processing, accurate cost tracking, and proactive compliance monitoring. The Specialist will serve as a subject matter expert (SME) for state licensure processes while assisting with external audit coordination, internal compliance audits, and documentation management.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Manage licensure applications for ABA providers from submission through issuance
• Track filing fees, monitor associated costs, and report on turnaround times (TATs)
• Serve as the subject matter expert (SME) for licensure processes across all states
• Conduct proactive internal audits of clinician session notes and required documentation to ensure compliance with payer/funder standards
• Assist with payer/funder audits, including audit requests, patient record requests, and compliance audit request tracking
• Maintain organized documentation of licensure, audit activities, and compliance requirements
• Collaborate with internal teams to ensure timely communication and workflow efficiency
• Perform other duties as assigned
REQUIREMENTS:
• High school diploma or equivalent
• Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred
• 2+ years of experience in healthcare credentialing, compliance, or payer enrollment (ABA/behavioral health experience preferred)
KNOWLEDGE, SKILLS, AND ABILITIES:
• Knowledge of state licensure processes and payer/funder audit requirements
• Familiarity with compliance programs such as Fraud, Waste, and Abuse (FWA) and HIPAA
• Strong attention to detail with excellent organizational skills
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment
• Strong written and verbal communication skills
• Proficiency with Microsoft Office Suite (Excel, Word, Outlook) and ability to learn internal systems quickly
• Analytical mindset with ability to identify process gaps and recommend improvements
• Collaborative and team-oriented with a customer service mindset
WORK ENVIRONMENT:
• Includes a typical remote office environment, with minimal exposure to excessive noise or adverse environmental issues
PHYSICAL REQUIREMENTS:
• Ability to sit for prolonged periods of time
• Ability to work on a computer throughout the majority of the day, as tasks require
• Ability to use and speak on the phone or via teleconference, as needed throughout the day
Click to access EEOC Workplace Poster
Click to access IER Right to Work Poster and E-Verify
Salary: USD 48000 - 72000 per year
Experience: 3 years required
Remote Location - TX Austin, Texas 78701
Hourly Rate Range: $23.00 - $38.00 per hour
POSITION OVERVIEW:
The Licensure and Compliance Specialist will provide critical support in managing provider licensure applications and payer/funder compliance activities. This role ensures timely licensure processing, accurate cost tracking, and proactive compliance monitoring. The Specialist will serve as a subject matter expert (SME) for state licensure processes while assisting with external audit coordination, internal compliance audits, and documentation management.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Manage licensure applications for ABA providers from submission through issuance
• Track filing fees, monitor associated costs, and report on turnaround times (TATs)
• Serve as the subject matter expert (SME) for licensure processes across all states
• Conduct proactive internal audits of clinician session notes and required documentation to ensure compliance with payer/funder standards
• Assist with payer/funder audits, including audit requests, patient record requests, and compliance audit request tracking
• Maintain organized documentation of licensure, audit activities, and compliance requirements
• Collaborate with internal teams to ensure timely communication and workflow efficiency
• Perform other duties as assigned
REQUIREMENTS:
• High school diploma or equivalent
• Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred
• 2+ years of experience in healthcare credentialing, compliance, or payer enrollment (ABA/behavioral health experience preferred)
KNOWLEDGE, SKILLS, AND ABILITIES:
• Knowledge of state licensure processes and payer/funder audit requirements
• Familiarity with compliance programs such as Fraud, Waste, and Abuse (FWA) and HIPAA
• Strong attention to detail with excellent organizational skills
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment
• Strong written and verbal communication skills
• Proficiency with Microsoft Office Suite (Excel, Word, Outlook) and ability to learn internal systems quickly
• Analytical mindset with ability to identify process gaps and recommend improvements
• Collaborative and team-oriented with a customer service mindset
WORK ENVIRONMENT:
• Includes a typical remote office environment, with minimal exposure to excessive noise or adverse environmental issues
PHYSICAL REQUIREMENTS:
• Ability to sit for prolonged periods of time
• Ability to work on a computer throughout the majority of the day, as tasks require
• Ability to use and speak on the phone or via teleconference, as needed throughout the day
Click to access EEOC Workplace Poster
Click to access IER Right to Work Poster and E-Verify
Salary: USD 48000 - 72000 per year
Experience: 3 years required
Qualifications
- •High school diploma or equivalent
- •Knowledge of state licensure processes and payer/funder audit requirements
- •Familiarity with compliance programs such as Fraud, Waste, and Abuse (FWA) and HIPAA
- •Strong attention to detail with excellent organizational skills
- •Ability to manage multiple priorities and meet deadlines in a fast-paced environment
- •Strong written and verbal communication skills
- •Proficiency with Microsoft Office Suite (Excel, Word, Outlook) and ability to learn internal systems quickly
- •Analytical mindset with ability to identify process gaps and recommend improvements
- •Collaborative and team-oriented with a customer service mindset
- •Ability to sit for prolonged periods of time
- •Ability to work on a computer throughout the majority of the day, as tasks require
- •Ability to use and speak on the phone or via teleconference, as needed throughout the day
- •Experience: 3 years required
Benefits
- •Hourly Rate Range: $23.00 - $38.00 per hour
Responsibilities
- •The Licensure and Compliance Specialist will provide critical support in managing provider licensure applications and payer/funder compliance activities
- •This role ensures timely licensure processing, accurate cost tracking, and proactive compliance monitoring
- •The Specialist will serve as a subject matter expert (SME) for state licensure processes while assisting with external audit coordination, internal compliance audits, and documentation management
- •Manage licensure applications for ABA providers from submission through issuance
- •Track filing fees, monitor associated costs, and report on turnaround times (TATs)
- •Serve as the subject matter expert (SME) for licensure processes across all states
- •Conduct proactive internal audits of clinician session notes and required documentation to ensure compliance with payer/funder standards
- •Assist with payer/funder audits, including audit requests, patient record requests, and compliance audit request tracking
- •Maintain organized documentation of licensure, audit activities, and compliance requirements
- •Collaborate with internal teams to ensure timely communication and workflow efficiency
- •Perform other duties as assigned
- •Includes a typical remote office environment, with minimal exposure to excessive noise or adverse environmental issues
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