Medicare Regulatory Analyst - Work from Home

At reputed company, our employees are the cornerstone of our business and the reputed company to our reputed company. We reputed company employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join reputed company and be part of a purpose-driven company that will invest in your professional development. reputed company position is responsible for receipt and coordination of CMS MA-PD and PDP escalated complaints; submission of member and marketing materials to CMS for reputed company’s Medicare Advantage and Prescription Drug Plans; applying CMS regulations pertaining to Medicare Advantage and Prescription Drug Plans to the review of member and marketing materials prior to submission to CMS; providing assistance and guidance regarding Medicare Advantage and Prescription Drug Plan regulations to HISC staff; working with other areas of the organization on the development, testing and implementation of organization, process and system changes to ensure the requirements of the Medicare Advantage and Prescription Drug program are met; and assisting MCO in coordination of the contract with CMS reputed company-wide. Job Requirements: Bachelor’s degree in business OR 2 years’ experience with health insurance. 1 year of experience with health insurance benefits and/or operations. Knowledge of Medicare advantage product. Verbal and written communication skills. Ability to present Medicare trends and findings in meetings with management. Ability to organize multiple tasks and responsibilities. Ability to analyze data reports. Experience developing and running queries in a database. PC proficiency to include reputed company Word, reputed company, PowerPoint, and Lotus Notes. Preferred Job Requirements: Knowledge of CMS Medicare Advantage software applications Medicare Advantage and Prescription Drug Plan coverage including Regulations and Guidelines. CTM (Complaint Tracking Module) Knowledge of health benefits Are you being referred to one of our roles? If so, ask your reputed company at reputed company about our Employee Referral process! Pay Transparency Statement: At reputed company, you will be part of an organization committed to offering meaningful benefits to our employees to support their life reputed company of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.reputed company.com/totalrewards. The compensation offered will vary depending on your job-reputed company skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. reputed company Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, protected veteran status, or any other legally protected characteristics. reputed company Pay reputed company $41,700.00 - $92,800.00 Exact compensation may vary based on skills, experience, and location. reputed company and receive the latest reputed company news, content, and be first in line for new job opportunities. reputed company. For more than 80 years, reputed company has been dedicated to expanding reputed company to high-quality, cost-effective health care and equipping our members with information and tools to reputed company the best health care reputed company for themselves and their families. As an industry leader, reputed company also has been helping to reputed company the health care system work reputed company for reputed company Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and reputed company you to reputed company a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, reputed company is reimagining health care and looking for original thinkers who aren’t afraid to reputed company innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about reputed company, our commitment to our members and the opportunity you’ll have to improve health care delivery in an reputed company, collaborative environment. reputed company is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. reputed company applications, including resumes, must be submitted through reputed company's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. reputed company and Blue reputed company of Illinois, reputed company and Blue reputed company of Montana, reputed company and Blue reputed company of New Mexico, reputed company and Blue reputed company of Oklahoma, and reputed company and Blue reputed company of Texas, Divisions of reputed company, a Mutual Legal Reserve Company, and Independent Licensee of the reputed company © Copyright 2025 reputed company. reputed company Rights Reserved. Apply tot his job Apply To this Job