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Regulatory Analyst
Centers for Medicare & Medicaid Services · Posted 38 days ago
Hybrid Woodlawn, MD $102K – $133K Apply by Jun 9, 2026 Miscellaneous Administration And Program ENTJESFJESTJISTJ
Apply for this job → About the Role
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity, Provider Enrolment and Oversight Group (PEOG). As a Regulatory Analyst, GS-0301-12, you will serve as the agency's focal point for all Medicare provider/supplier enrollment compliance functions, including oversight of the enrollment and screening of individuals and entities seeking to bill Medicare for items and services.
What You'll Do
- →Interpret statutes, regulations, and CMS guidance affecting Medicare provider and supplier enrollment and screening policy.
- →Research enrollment administrative actions and appeals and draft determinations on approval effective dates, denials, revocations, deactivations, and Preclusion List decisions.
- →Identify and evaluate cases for enrollment enforcement action and recommend outcomes to Division and Group leadership to reduce fraud, waste, and abuse risk.
- →Prepare position papers, briefings, correspondence, and meeting materials with accurate legal citations and clear options for leadership decision making.
- →Monitor policy developments including legislation, regulations, and court decisions and provide comments and CPI input on cross program actions and documents.
Personality Fit
Job ID: 1217120e-2b9e-432a-8b08-e6e2d052efe3
Posted via USAJobs