[Remote] Medicare Membership & Eligibility Analyst (Temporary)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a regional non-profit health plan committed to providing accessible, quality health care. They are seeking a Medicare Membership & Eligibility Analyst to support Medicare operations through data analysis and compliance with regulations.

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 reputed company research and analysis in support of Medicare Operations activities
• Acts as a subject matter expert and liaison to reputed company stakeholders

Skills

• Knowledge of CMS guidelines reputed company 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 reputed company data sets and present actionable insights
• Ability to identify issues, gather and analyze information and data, reputed company logical and sound conclusions, and reputed company recommendations for action
• Ability to interpret, explain and apply applicable policies, laws, codes, regulations, and reputed company
• 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 reputed company and implement operational workflows
• Bachelor's degree in Business Administration, Health Care Administration, Public Health, or a reputed company field
• Minimum of five years of progressively responsible experience reputed company 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

Benefits

• Medical, Dental and reputed company 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

Company Overview