Medicare and Medicaid Enrollment Analyst

Job Summary

To support a growing healthcare organization, the full-time Medicare & Medicaid Enrollment Analyst will manage enrollment revalidations for providers and groups, ensuring compliance with federal and state regulations while collaborating with various internal teams in a remote setting.

Key responsibilities

• Oversee and manage Medicare and Medicaid enrollment revalidations and maintenance requests for individual providers and groups
• Develop tracking systems for enrollment activities and monitor compliance with CMS and state regulations
• Collaborate with cross-functional teams to resolve billing delays and ensure accurate reporting of enrollment milestones

Required qualifications

• High School Diploma or equivalent required
• Minimum of three years of experience with Medicare and Medicaid enrollment processes
• Strong knowledge of CMS regulations and PECOS requirements
• Experience managing provider and organizational enrollments
• Proficiency with enrollment tracking systems and provider management platforms