Job Details
Remote Type
Fully RemotePosition Type
Full TimeEducation Level
High School
Description
The 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 I 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
- Actively participating in process improvement activities
- 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
- High School diploma
- 3 – 6 months administrative skills
- Knowledge of Medicare/Medicaid provider enrollment preferred
- Knowledge of Provider Enrollment, Chain, and Ownership System (PECOS) preferred
