Medicare Membership & Eligibility Analyst (Temporary)
Central California Alliance for Health•Remote, California, CA
•$34 - $48•Hybrid
About The Position
This is a temporary position with an estimated assignment length until December 31, 2026. The duration is subject to business needs and dates may change. While the assignment is with the Alliance, the selected candidate will be an employee of a temporary employment agency provided by the Alliance.
Requirements
- Knowledge of CMS guidelines related to Medicare sales and enrollment.
- Knowledge of Medicare Advantage enrollment processes and financial reconciliation.
- Knowledge of contents and interpretation of monthly membership reports.
- Knowledge of research, analysis, and reporting methods.
- Knowledge of data analysis tools, CRM/enrollment systems, and the use of databases.
- Ability to analyze complex data sets and present actionable insights.
- Ability to identify issues, gather and analyze information and data, reach logical and sound conclusions, and make recommendations for action.
- Ability to interpret, explain and apply applicable policies, laws, codes, regulations, and contracts.
- Ability to organize work, manage multiple projects, establish priorities, adjust to changing priorities, and meet deadlines.
- Ability to assist with the development and implementation of projects, systems, programs, policies, and procedures.
- Ability to develop and implement operational workflows.
- Bachelor's degree in Business Administration, Health Care Administration, Public Health, or a related field.
- Minimum of five years of progressively responsible experience related to Medicare membership operations and/or enrollment eligibility.
- Master’s degree may substitute for two years of the required experience; or an equivalent combination of education and experience may be qualifying.
Responsibilities
- Supports Medicare operations, sales, and enrollment functions through analysis and interpretation of Medicare and Medi-Cal data and ensures compliance with applicable state and federal regulations.
- Conducts complex research and analysis in support of Medicare Operations activities.
- Acts as a subject matter expert and liaison to internal and external stakeholders.
Benefits
- Medical, Dental and Vision Plans
- Ample Paid Time Off
- 12 Paid Holidays per year
- 401(a) Retirement Plan
- 457 Deferred Compensation Plan
- Robust Health and Wellness Program
- Onsite EV Charging Stations
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
