Medicare & Medicaid Enrollment Analyst

Curana Health

Medicare & Medicaid Enrollment Analyst overseeing enrollment revalidations for healthcare providers. Ensuring compliance with federal and state regulations in a remote capacity.

Posted 7/20/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing Medicare and Medicaid revalidations, ensuring compliance with CMS regulations and state-specific requirements. Proficient in tracking enrollment processes and implementing improvements for efficiency and accuracy.

Highest-signal resume keywords

Medicare Revalidation ManagementMedicaid Enrollment ProcessesCMS Regulations KnowledgeEnrollment Tracking SystemsOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medicare RevalidationMedicaid ApplicationsPECOSEnrollment MaintenanceTracking SystemsRegulatory ComplianceAudit PreparationProcess ImprovementProblem-SolvingAnalytical Skills

Soft Skills

Organizational SkillsAnalytical SkillsProblem-Solving Skills

Tools & Technologies

Enrollment Tracking SystemsProvider Management Platforms

Industry Keywords

CMSMedicareMedicaidPTANMACComplianceAccreditationBillingRevenue CycleCredentialing

About the role

Key responsibilities & impact

Prepare, submit, and monitor individual and group Medicare revalidations through PECOS.
Manage Medicare revalidations and enrollment maintenance requests.
Track PTAN assignments, effective dates, and approval statuses.
Coordinate electronic signatures and supporting documentation required for Medicare revalidations.
Maintain compliance with CMS regulations and Medicare Administrative Contractor (MAC) requirements.
Submit revalidation Medicaid applications for both individual providers and provider organizations.
Coordinate state-specific Medicaid enrollment requirements and supporting documentation.
Monitor application status and resolve deficiencies with state Medicaid agencies.
Develop and maintain tracking systems for all Medicare and Medicaid revalidation activities.
Monitor revalidation due dates, enrollment expirations, and regulatory deadlines.
Conduct routine follow-up with Medicare contractors and state Medicaid agencies.
Ensure all enrollment milestones are documented and reported accurately.
Escalate delayed or high-risk applications to leadership as appropriate.
Ensure all activities comply with CMS, Medicare, Medicaid, and organizational requirements.
Maintain complete and audit-ready enrollment files and supporting documentation.
Assist with internal audits, accreditation reviews, and regulatory requests.
Monitor changes in Medicare and Medicaid enrollment policies and communicate impacts to stakeholders.
Implement process improvements to enhance enrollment efficiency and accuracy.
Serve as the primary resource for Medicare and Medicaid revalidation guidance.
Collaborate with Billing, Revenue Cycle, Credentialing, Compliance, and Operations teams.
Research and resolve enrollment-related billing delays, claim denials, and reimbursement issues.
Provide status updates and reporting to leadership and operational stakeholders.

Requirements

What you’ll need

High School Diploma or equivalent required
Minimum of three years of Medicare and Medicaid experience
Experience managing both provider and organizational/group enrollments
Strong knowledge of CMS enrollment regulations, PECOS, Medicare revalidation requirements, and state Medicaid enrollment processes
Experience working with enrollment tracking systems and provider management platforms
Strong organizational, analytical, and problem-solving skills

Benefits

Comp & perks

Health insurance
Professional development opportunities