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Provider Enrollment Lead - Remote

at General Dynamics Information Technology in Fort Smith, Arkansas, United States

Job Description

Type of Requisition: Regular

Clearance Level Must Be Able to Obtain: None

Job Family: Project/Task Management

GDIT is searching for individuals 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.

Responsibiliti es

+ Provide guidance and oversight to team of provider enrollment analysts

+ 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.

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

+ Track compliance and prepare status reports of provider enrollment activities required by CMS.

+ Safeguard PII and PHI

+ Infrequent travel may be required

Required Qualifications

+ Bachelor’s degree or equivalency in healthcare, regulatory, or investigative field and 5+ years of related experience

+ Experience managing and/or leading a team

+ Proficient in computer skills, e.g. Microsoft Office-Word, Excel

+ Ability to conceptualize, solve problems and draw conclusions

Value-Add Experience

+ Experience with Medicare and/or Medicaid provider enrollment

+ Experience with FWA claims and investigations

Attributes for Success

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

+ Highly organized, ability to multi-task and meet deadlines

\#GDITpriority

We are GDIT. The people supporting some of the most complex government, defense, and intelligence projects across the country. We deliver. Bringing the expertise needed to understand and advance critical missions. We transform. Shifting the ways clients invest in, integrate, and innovate technology solutions. We ensure today is safe and tomorrow is smarter. We are there. On the ground, beside our clients, in the lab, and everywhere in between. Offering the technology transformations, strategy, and mission services needed to get the job done.

GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.

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Job Posting: JC192821626

Posted On: Sep 19, 2021

Updated On: Sep 23, 2021