State Adherence Specialist I (PA / Hybrid)

Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care for them. We’re the largest consumer-directed home care agency in NY State and are continually expanding our areas of focus including operations in other states and tech-based innovations.  

We pride ourselves on our values which drive the level of care that we deliver to our patients:

• Here For You (An attitude of service, empathy, and availability)
• Own It (Drive and ownership)
• Do the Right Thing (High integrity)
• Be Positive (Great attitude and a can-do positive approach to challenges)

Join our team and make a positive impact on the lives of others! We are looking for a State Adherence Specialist I for our team in Pennsylvania.

This is a hybrid role with a partial commute of 2-3 days per week into the following office: Pittsburgh, PA

Department & Position Overview:

The State Adherence Specialist I is responsible for maintaining continuous regulatory compliance across FreedomCare's active patient and caregiver population. This role owns the ongoing compliance of assigned cases throughout the Pre-Care and On-Care lifecycle by ensuring enrollment documentation, onboarding activities, and ongoing regulatory requirements remain complete, accurate, and compliant with Department of Health (DOH), Department of Labor (DOL), federal, state, payer, program, and company requirements.

Rather than functioning as a one-time quality checkpoint, the State Adherence Specialist I helps maintain FreedomCare's continuous state of audit readiness by proactively identifying compliance risks, partnering with Operations to resolve documentation deficiencies, and ensuring every assigned case remains compliant throughout the duration of care.

Using established procedures, regulatory guidance, and standardized workflows, this individual maintains accurate, audit-ready documentation while exercising sound judgment, attention to detail, and a commitment to operational excellence.

Every Day You Will:

• Own the ongoing compliance of assigned patient and caregiver cases throughout the Pre-Care and On-Care lifecycle.
• Review, validate, and maintain enrollment documentation to ensure compliance with DOH, DOL, federal, state, payer, and company requirements.
• Verify caregiver eligibility requirements, including criminal background checks, FBI fingerprinting (where applicable), I-9 Employment Eligibility Verification, E-Verify, medical clearances, and state-specific documentation.
• Monitor expiring documents, annual renewals, and ongoing regulatory requirements to maintain continuous compliance.
• Identify documentation deficiencies and collaborate with Operations to implement timely corrective actions.
• Maintain complete, accurate, and audit-ready documentation within company systems.
• Provide compliance guidance to internal teams regarding documentation requirements and regulatory processes.
• Support internal and external audits by preparing documentation, validating records, and responding to audit requests.
• Research routine compliance questions and escalate complex regulatory issues to senior team members.
• Maintain compliance with HIPAA, organizational privacy standards, and company policies while safeguarding confidential information.
• Contribute to continuous process improvement by identifying opportunities to improve compliance workflows and documentation quality.
• Maintain current knowledge of regulatory updates, departmental procedures, and operational changes affecting assigned programs.

Ideal Candidate Will Possess:

• 1–2 years of experience in healthcare operations, onboarding, compliance, quality assurance, medical records, or administrative support preferred.
• Experience reviewing confidential documentation with a high degree of accuracy.
• Interest in learning and applying Department of Health (DOH), Department of Labor (DOL), Medicaid, payer, and state-specific regulatory requirements.
• Strong attention to detail with the ability to identify documentation discrepancies and compliance risks.
• Excellent organizational, analytical, and time management skills.
• Strong written and verbal communication skills.
• Ability to interpret and consistently apply established policies, procedures, and regulatory guidance.
• Ability to work in a fast-paced, technology-driven environment while managing multiple priorities.
• Demonstrates accountability, professionalism, adaptability, and continuous learning.
• Maintains strict adherence to HIPAA, organizational confidentiality standards, and regulatory requirements.
• Positive, service-oriented attitude with strong customer focus.
• Exceptional attention to detail and organizational skills.
• Ability to prioritize multiple assignments while meeting deadlines.
• Strong analytical and critical thinking abilities.
• Excellent verbal and written communication skills.
• Ability to build collaborative relationships across Operations and cross-functional teams.
• Comfortable learning new regulations, technology platforms, and operational processes.

Nice-to-Haves:   

• Associate's degree preferred; equivalent work experience considered.
• 3 + years of experience in healthcare operations, compliance, onboarding, quality assurance, medical records, or related administrative functions.  
• Bilingual in Spanish or other languages desired   
• Experience with CRMs or Workforce Technology 

Why work at FreedomCare?

Benefits include:

• Medical, dental, and vision insurance
• Life insurance
• Short-term and long-term disability insurance
• 401(k) with company match
• Continuing education and professional development opportunities
• Opportunities for career growth
• Wellness programs
• Gym reimbursement
• Internet reimbursement
• Competitive compensation
• Technology and tools designed to support communication, documentation, and care coordination

This is a place where your voice matters, where we build great relationships, and your work has meaning and a tangible positive impact on others!

At FreedomCare, we celebrate diversity and are committed to creating an inclusive environment for all employees. We are an Equal Opportunity Employer and do not discriminate based upon race, religion, color, national origin, ancestry, age, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.