Medicare Membership & Eligibility Analyst (Temporary)
About the role
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.
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
Requirements
- 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, 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
Other Information
- We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams.
- While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
- In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
Compensation Information
- Zone 1 Pay Range: $36.00 - $48.00
- Zone 2 Pay Range: $34.00 - $45.00
Benefits
- Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.
- Medical, Dental and Vision Plans
- Amples Paid Time Off
- 12 Paid Holidays per year
- 401(a) Retirement Plan
- 457 Deferred Compensation Plan
- Rostrous Health and Wellness Program
- Onsite EV Charging Stations
About Us
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Equal Employment Opportunity
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer