Provider Enrollment Analyst - Remote

Overview

The Provider Enrollment Analyst will support the Center for Medicare & Medicaid Services (CMS) in detecting and combating fraud, waste, and abuse within the Medicare and Medicaid programs.

In Short

• Conduct research and data analysis to ensure compliance with Medicare and Medicaid regulations.
• Collaborate with a team of policy experts and data analysts.
• Document investigation activities and recommendations in a case management system.
• Prepare comprehensive reports on leads and investigations for CMS.
• Safeguard sensitive information (PII and PHI).
• Work independently in a remote environment.
• 1+ years of experience in healthcare, insurance, or government required.
• Strong organizational and communication skills needed.
• Experience with Microsoft Office applications is essential.
• Knowledge of Medicare/Medicaid provider enrollment is a plus.

Requirements

• High school diploma and 1+ years of relevant experience.
• Ability to multi-task and meet deadlines.
• Experience with data analysis and compliance reviews.
• Strong written and oral communication skills.
• Knowledge of Provider Enrollment, Chain, and Ownership System (PECOS) preferred.

Benefits

• 401K with company match.
• Comprehensive health and wellness packages.
• Professional growth opportunities including paid education and certifications.
• Flexible work weeks and various paid time off plans.
• Paid Family Leave program available.