Provider Enrollment Analyst

Description

The Provider Ownership Verification (POV) project focuses on researching ownership information reported by entities to the Centers for Medicare & Medicaid Services (CMS) through the Medicare enrollment process and comparing it with ownership information reported at the respective state Secretary of State (SOS) website. If discrepancies are identified (e.g., owners are reported to the state SOS but not to CMS/Medicare), RELI collects documentation for further investigation and action. This work supports the oversight and compliance efforts of the CMS Center for Program Integrity (CPI) Provider Enrollment Operations Group (PEOG).

The POV project Provider Enrollment Analyst is responsible for:

• Researching providers on the SOS site and obtaining filings as per the respective state standard operating procedure (SOP)
• Analyzing provider ownership information found on the SOS site and on the Provider Enrollment, Chain, and Ownership System (PECOS)
• Evaluating each entity for ownership discrepancies in accordance with the SOP and team resources
• Documenting research results in ServiceNow in accordance with the established protocol
• Adhering to research guidelines and obtaining appropriate documentation
• Meeting productivity and quality standards
• Other activities as identified based on project need

Qualifications

• Ability to follow established procedures/processes
• Excellent organization skills
• Attention to detail
• Critical thinking skills
• Excellent communication skills: verbal and written 
• Maintain professional etiquette in a variety of situations 
• Ability to assess workloads, meet deadlines, and adjust as needed 
• Ability to work both independently as well as in a team environment 
• Consistent and regular attendance 
• Computer skills
• Must be able to function in a remote work environment
• Must have secure and reliable internet access
• Knowledge of Medicare/Medicaid provider enrollment preferred
• Knowledge of Provider Enrollment, Chain, and Ownership System (PECOS) preferred
• Position is subject to CMS eligibility

EEO Employer:

RELI Group is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

HUBZone:

We encourage all candidates who live in a HUBZone to apply.  You can check to see if your address is located in a HUBZone by accessing the SBA HUBZone Map.

The hourly rate for this position is from $17.75 to $19.98. Actual compensation will depend on a range of factors, including but not limited to the individual’s skills, experience, qualifications, certifications, location, other business and organizational needs, and applicable employment laws. The estimate displayed represents the typical salary range for this position and is just one component of the total compensation package for employees. RELI Group provides a variety of additional benefits to its employees. For additional details on the benefits that RELI Group offers click here.

Salary : $18 - $20