Regulatory Analyst

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.