Medicare Membership & Eligibility Analyst (Temporary)

ABOUT THIS TEMP POSITION

This is a temporary position and the length of assignment is estimated to go until December 31, 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Medicare Operations Director, this position:

• 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

WHAT YOU'LL NEED TO BE SUCCESSFUL

• Knowledge of:
  • CMS guidelines related to Medicare sales and enrollment
  • Medicare Advantage enrollment processes and financial reconciliation
  • Contents and interpretation of monthly membership reports
  • Research, analysis, and reporting methods
  • Data analysis tools, CRM/enrollment systems, and the use of databases
• Ability to:
  • Analyze complex data sets and present actionable insights
  • Identify issues, gather and analyze information and data, reach logical and sound conclusions, and make recommendations for action
  • Interpret, explain and apply applicable policies, laws, codes, regulations, and contracts
  • Organize work, manage multiple projects, establish priorities, adjust to changing priorities, and meet deadlines
  • Assist with the development and implementation of projects, systems, programs, policies, and procedures
  • Develop and implement operational workflows
• Education and Experience:
  • Bachelor's degree in Business Administration, Health Care Administration, or related field