Compliance Analyst Representative

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Suitability:

Public Trust/Other Required:

None

Job Family:

SCA

Job Qualifications:

Skills:

Customer Care, Customer Needs, Customer Service

Certifications:

Experience:

3 + years of related experience

US Citizenship Required:

No

Job Description:

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.

At GDIT, people are our differentiator. As a Customer Service Representative III you will help ensure today is safe and tomorrow is smarter. Our work depends on Customer Service Representative III joining our team to:

• Conducting compliance calls with Medicare providers for whom an ownership discrepancy has been identified in accordance with established protocols

• Recording/documenting outcomes of calls/communication with the entity in ServiceNow

• Tracking outcomes in ServiceNow, utilizing dashboarding and reports/filters

• Coordinating with management to support and assist with ongoing improvement activities

• Other tasks as assigned

Required Skills:

• High School Diploma/GED and at least 3 years of related experience

• Experience using computers including Microsoft Office-Word, Excel & SharePoint

• Competence in using various communication platforms (such as email, team chats) to manage and respond to inquiries effectively

• Must have the ability to function in a remote work environment with secure/reliable internet access

Desired Skills:

• Knowledge of Medicare/Medicaid provider enrollment

• Knowledge of Provider Enrollment, Chain, and Ownership System (PECOS)

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

• Problem solving skills

• Ability to work independently as well as in a team environment

• Ability to manage workload and meet deadlines

The likely hourly rate for this position is between $16.56 - $27.66. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

Less than 10%

Telecommuting Options:

Remote

Work Location:

Any Location / Remote

Additional Work Locations:

Total Rewards at GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 30 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

We connect people with the most impactful client missions, creating an unparalleled work experience that allows them to see their impact every day. We create opportunities for our people to lead and learn simultaneously. From securing our nation’s most sensitive systems, to enabling digital transformation and cloud adoption, our people are the ones who make change real.

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.