Back to Jobs search

Provider Enrollment Analyst

General Dynamics Information Technology • Fairfax, VA • 1w ago

Req ID: RQ198200

Type of Requisition: SCA

Clearance Level Must Be Able to Obtain: None

Public Trust/Other Required: None

Job Family: SCA

Skills:

Customer Service,Medicaid,Medicare,Provider Enrollment

Experience:

1 + years of related experience

Job Description:

GDIT is searching for an individual to support the Center for Medicare & Medicaid Services' (CMS) mission to detect and combat fraud, waste, and abuse of the Medicare and Medicaid programs. GDIT works with CPI to ensure CMS is paying the right provider the right amount for services covered. Our work focuses on protecting patients while also minimizing unnecessary burden on providers. Through research, investigation and data analysis, the desired outcomes of our efforts are to prevent, detect, and resolve noncompliance with Medicare rules, requirements, and law and recommend administrative action to CMS.

Responsibilities:

Conduct research, data analysis, and investigative activities to assess compliance with Medicare and Medicaid regulatory requirements.

Work collaboratively within a team of Medicare and Medicaid policy expert SMEs and data analysts.

Strictly follow CMS-approved SOPs as to how to conduct non-compliance lead reviews.

Within a case management system, document in detail all lead and investigation activity and recommendations to CMS.

Actively support preparation of comprehensive reports on the status of leads and investigations required by CMS.

Safeguard PII and PHI

Must be able to function in a remote work environment, with secure and reliable internet access

Ability to work both independently as well as in a team environment

Qualifications:

High school and 1+ years of experience in healthcare, insurance, or government environment

Highly organized, ability to multi-task and meet deadlines

Experience using computers including Microsoft Office-Word & Excel

Strong inter-personal and communications skills, both written and oral

Value-Add Experience:

Knowledge of Medicare/Medicaid provider enrollment

Knowledge of Provider Enrollment, Chain, and Ownership System (PECOS)

Location:

Remote

Security:

Must be able to pass a CMS background check.

What GDIT Can Offer You:

401K with company match

Comprehensive health and wellness packages

Internal mobility team dedicated to helping you own your career

Professional growth opportunities including paid education and certifications

Cutting-edge technology you can learn from

Rest and recharge with paid vacation and holiday

GDITHealth

FedHealth

The likely hourly rate for this position is between $17.22 - $17.25. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee's date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 30 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

We connect people with the most impactful client missions, creating an unparalleled work experience that allows them to see their impact every day. We create opportunities for our people to lead and learn simultaneously. From securing our nation's most sensitive systems, to enabling digital transformation and cloud adoption, our people are the ones who make change real.

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

Similar Jobs

Senior Accountant, Accounting

Amazon • Arlington, VA • 9min ago

Finance & Accounting

Description Amazon is a pioneering, dynamic, and energetic company that thrives on unique and peculiar ways. We take pride in our single-minded obsession over customer satisfaction and our ability to maintain a curiou...

9min ago

Go to Apply

Director, Software Engineering -ServiceNow

Capital One • Mclean, VA • 9min ago

Management & Administrative

Director, Software Engineering -ServiceNow Do you love building and pioneering in the technology space? Do you enjoy solving complex business problems in a fast-paced, collaborative, inclusive, and iterative delivery...

9min ago

Go to Apply

Nurse Manager/Rehab Manager

BAYADA Home Health Care • Falls Church, VA • 10min ago

Hospital & Medical

BAYADA Home Health Care is seeking a Registered Nurse (RN) to fill the position of RN Nurse Manager/Rehab Manager for our Falls Church, VA Medicare Certified home health office. This office provides best-in-class ca...

10min ago

Go to Apply

Senior Software Engineer (Embedded)

CACI International • Herndon, VA • 11min ago

IT & Engineering

Senior Software Engineer (Embedded) Job Category: Engineering Time Type: Full time Minimum Clearance Required to Start: Secret Employee Type: Regular Percentage of Travel Required: Up to 10% Type of Travel:...

11min ago

Go to Apply

Product Manager Authoring (Remote)

Cengage Group • Washington, DC • 1h ago

Management & Administrative

We believe in the power and joy of learning At Cengage Group, our employees have a direct impact in helping students around the world discover the power and joy of learning. We are bonded by our shared purpose - drivi...

1h ago

Go to Apply

DoD Account Manager, Department of Defense

Amazon • Arlington, VA • 1h ago

Management & Administrative

Description We are seeking a self -starter to be part of the US Department of Defense team supporting the US Navy. The role requires a team player with focus on increasing awareness and adoption of Amazon Web Services...

1h ago

Go to Apply

Senior Application Integration Engineer

ManTech • Alexandria, VA • 1h ago

IT & Engineering

ManTech seeks a motivated, career and customer-oriented Senior Application Integration Engineer to join our team in Alexandria, VA. This is a hybrid position with three days onsite and two days telework weekly....

1h ago

Go to Apply

Sr. Risk Strategy Manager , Worldwide Risk Team

Amazon • Arlington, VA • 1h ago

Management & Administrative

Description The Senior WW Risk Manager will be responsible for leading the development and implementation of comprehensive operational risk assessments across Amazon's global operations. This includes designing, devel...

1h ago

Go to Apply

DoD Account Manager, Department of Defense

Amazon • Herndon, VA • 1h ago

Management & Administrative

1h ago

Go to Apply

Senior Service Designer

Steampunk • Mclean, VA • 1h ago

Management & Administrative

Overview Design. Disrupt. Repeat. Be an agent of change on a team committed to achieving client-focused, mission-driven excellence. Steampunk is the explosive collision of human-centered design and traditional gover...

1h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.