Provider Enrollment Site Visit Analyst

About the Role

READY TO PROTECT MEDICARE FROM FRAUD ON THE FRONT LINES? Join the Center for Program Integrity as a Provider Enrollment Site Visit Analyst, conducting on-site compliance reviews of Medicare providers and suppliers.

Responsibilities

• Review financial payments and provider enrollment to identify fraud, waste, and abuse;
• Analyze allegations and conduct studies to address program vulnerabilities;
• Develop and interpret policies and regulations for program integrity, recommend solutions, and inform management decisions;
• Collaborate with CMS, state agencies, contractors, providers, and external agencies (HHS OIG, FBI, DOJ) on fraud, waste, and abuse matters;
• Communicate findings through briefings and reports, represent the agency at meetings, and provide technical advice on program vulnerabilities.

Qualifications

• Experience reviewing Medicare, Medicaid, and/or Marketplace laws, regulations, and policies to assess program compliance and recommend corrective measures;
• Background responding to written, telephonic, or electronic inquiries regarding program integrity;
• Experience collaborating with internal teams, external agencies, contractors, or oversight bodies on investigations, audits, or compliance efforts;

Required Skills

• Grade Levels: GS-0107-9/11 (8 vacancies) — career ladder to GS-12

Preferred Skills

• This role requires travel (50% or less) for on-site provider visits.

Pay and Benefits

Pay range and compensation package: Salary: $52,727 - $82,938/year (varies by location)

Equal Opportunity Statement

Resume and transcripts required (2 page resume limit). Apply through USAJOBS by September 2, 2026.