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You will get Medicaid Eligibility & Renewal Workflow Audit for Healthcare Providers
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Project details
Medicaid dis-enrollments and renewal delays are creating major financial and compliance risks for healthcare providers. This project delivers a complete, state-specific audit of your eligibility and renewal workflows to help you prevent coverage lapses, reduce denials, and protect revenue.
Your audit includes:
Workflow analysis: eligibility checks, renewal tracking, documentation, and communication
Gap identification with risk scoring
Redesigned future-state workflow
SOP package (2, 5, or 10 depending on tier)
Renewal tracking tools and checklists
Medicaid documentation and compliance requirements
A 30–90 day improvement roadmap
I bring multi-state healthcare administrator experience, deep Medicaid knowledge, and hands-on operational leadership—giving you not just documents, but a functional, high-impact process your team can use immediately.
Your audit includes:
Workflow analysis: eligibility checks, renewal tracking, documentation, and communication
Gap identification with risk scoring
Redesigned future-state workflow
SOP package (2, 5, or 10 depending on tier)
Renewal tracking tools and checklists
Medicaid documentation and compliance requirements
A 30–90 day improvement roadmap
I bring multi-state healthcare administrator experience, deep Medicaid knowledge, and hands-on operational leadership—giving you not just documents, but a functional, high-impact process your team can use immediately.
Target Country
United StatesWhat's included
| Service Tiers |
Starter
$125
|
Standard
$275
|
Advanced
$550
|
|---|---|---|---|
| Delivery Time | 3 days | 7 days | 14 days |
General Project Consulting | - | - | - |
Define Project Goals | - | - | - |
Define Deliverables & KPIs | - | - | - |
Establish Schedule & Milestones | - | - | - |
Risk Management | - | - | - |
Resource Management | - | - | - |
Budget Management | - | - | - |
Project Reports | - | - | - |
Project Diagrams Provided | - | - | - |
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Amit N.
Jan 29, 2026
Paid 60-min session: freelancer perspective on contract risk
Shondrell was insightful while reviewing our contract analysis tool. Her suggestions regarding its relevance for the healthcare procurement niche and her knowledge of the business process therein were really helpful.
TR
Travis R.
Dec 30, 2025
Home Health Care Consulting
Shondrell was knowledgeable, helpful, and responsive. Thank you.
LL
Laura L.
Dec 9, 2025
Research interview for project manager in professional services
Shondrell was great to chat with. She's highly experienced with somany aspects of hospital operations, and I learned a lot.
GH
GayaK H.
Oct 6, 2025
Project Plan 3835 and 3837 Clovis St Midlothian TX
Shondrell initially comes off as friendly and eager to assist. When milestones cannot be met, she demands payment and promises to handle later in the contract and blames her inability to deliver on everyone else, instead of trying to come up with an amicable solution. When questions are asked about her work, she becomes rude and unprofessional and accuses others of behaving poorly.
About Shondrell
Licensed Healthcare Consultant and Strategist
100%
Job Success
Houston, United States - 12:29 am local time
My work spans healthcare compliance, QA/QI programs, telehealth and behavioral health operations, and multi-state regulatory readiness.
Clients engage me when they need experienced leadership to stabilize risk, correct gaps, and build systems that actually function in real-world operations.
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Why Clients Hire Me
• Licensed Healthcare Consultant & Strategist with state + federal regulatory expertise
• $50M+ in operational oversight across diverse care settings
• Zero-deficiency survey track record across multiple startups
• • State, Medicare, Medicaid, and accreditation expertise (CMS, DOH/DPH, CLIA, Joint Commission readiness)
• Polished, editable, branded deliverables — no templates, no fluff
• Fast, accurate, executive-level project management
• All 50 states for licensing and startup projects
• Expertise in workflows, staffing models, credentialing systems, and reimbursement strategy
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CORE EXPERTISE
Licensing & Accreditation — All 50 States
Assisted Living (Type A/B/Memory Care) • Home Health • Home Care • PCS • PAS • PASRR • Behavioral Health (IOP, PHP, Outpatient) • Telehealth • Hospice • CLIA Labs • Primary Care & NP/PA Groups • Multi-site Medical Practices
Policies, Procedures & Compliance
State-Compliant P&Ps • CMS/Medicare/Medicaid SOPs • HIPAA Compliance • QA/QI Programs • Infection Control • Emergency Preparedness • Corrective Action Plans • Audit Preparation • Survey Readiness Frameworks
Medicaid/Medicare Enrollment & Credentialing
PECOS • CAQH • TMHP • eMOMED • AVAILITY • Medicaid Waivers • EVV Setup • MCO Panels • BCBS/Aetna/UHC/Cigna Contracting • Multi-state Provider Credentialing
Operations, Expansion & Startup Development
End-to-End Healthcare Startups • Licensing Checklists • Compliance/Operations Toolkits • Workflow Mapping • KPI Dashboards • Business Plans • Financial Forecasts • Staffing Models • Onboarding Packages • Market Entry Analysis
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HIGH-IMPACT PROJECTS
• Full Assisted Living startup (5–300 beds): Licensing → P&Ps → Staffing → Operations → Survey Prep
• Home Health agency setup: CMS-aligned policies, OASIS workflows, quality + compliance programs
• Behavioral Health program development: Licensing, Medicaid enrollment, QA/QI, audit readiness
• CLIA Lab launch: CLIA applications, SOPs, competency checklists, compliance manuals
• Telehealth startup buildout: Clinical workflows, credentialing, telehealth P&Ps, compliance framework
• Multi-state expansion: Licensing, credentialing, contracting, EVV, portal setup
• White-label policy development for consulting firms and healthcare agencies
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RESULTS & METRICS
• Supported $50M+ in healthcare operations across ALF, HH, BH, Telehealth, Clinics & Labs
• 30–45% faster licensing timelines for multi-state organizations
• Multiple deficiency-free surveys across ALF and HH agencies
• Developed 250+ state-compliant policy manuals and operational P&P sets
• Completed 350+ enrollments & credentialing submissions (Medicaid/Medicare/CAQH)
• Led 15+ full healthcare startups from application to operational launch
• Saved clients $20K–$65K by preventing compliance delays, denials, and re-applications
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Why You Want a Licensed Expert
Every state has its own rules.
Every federal program has strict requirements.
Every surveyor looks for something different.
Errors create:
âś” Licensing delays
âś” Audit failures
âś” Payer denials
âś” Revenue loss
âś” Operational shutdowns
As a Licensed Healthcare Consultant & Strategist, your project is compliant, audit-proof, and ready for launch without costly rework.
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WHEN TO HIRE ME
You need a licensed professional when you are:
• Opening or expanding healthcare operations
• Starting Assisted Living, Home Health, Telehealth, Behavioral Health, or CLIA Labs
• Preparing for survey, audit, or accreditation
• Building P&Ps or compliance infrastructure
• Credentialing with Medicaid/Medicare or commercial payers
• Entering new states under tight deadlines
• Adding new lines of service or scaling operations
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LET’S WORK TOGETHER
I bring licensed authority, regulatory expertise, and executive-level operational strategy to help healthcare businesses grow
Steps for completing your project
After purchasing the project, send requirements so Shondrell can start the project.
Delivery time starts when Shondrell receives requirements from you.
Shondrell works on your project following the steps below.
Revisions may occur after the delivery date.
Collect key information
Collect key information I review your current workflow, staff roles, payer mix, and any existing eligibility or renewal processes.
Analyze your renewal & eligibility workflow
Analyze your renewal & eligibility workflow I examine how eligibility checks, renewal tracking, documentation, and communication are currently handled.