Medicare Membership & Eligibility Specialist - Remote

Central California Alliance for Health (Remote); California (MO); Hybrid; USD 46,838 - 66,124; Full time

Job summary

The Central California Alliance for Health is seeking a temporary Medicare Membership & Eligibility Analyst to support operations and ensure compliance. This remote position requires analyzing Medicare data, with a focus on enrollment processes and operational workflows.

The ideal candidate has a Bachelor's degree and at least 5 years of experience in Medicare operations. The role is hybrid, may involve in-office presence, and offers a pay range of $34.00 - $48.00 based on experience and location.

Qualifications

• 5+ years of responsible experience in Medicare membership operations.
• Ability to analyze complex data sets and present insights.
• Experience in developing operational workflows.

Responsibilities

• Support Medicare operations through data analysis.
• Conduct complex research for Medicare activities.
• Act as a subject matter expert for stakeholders.

Skills

CMS guidelines related to Medicare sales and enrollment

Medicare Advantage enrollment processes

Data analysis tools

Education

Bachelor's degree in Business Administration or related field

Master's degree may substitute for experience

Tools

CRM/enrollment systems

Job description

The Central California Alliance for Health is seeking a temporary Medicare Membership & Eligibility Analyst to support operations and ensure compliance. This remote position requires analyzing Medicare data, with a focus on enrollment processes and operational workflows.

The ideal candidate has a Bachelor's degree and at least 5 years of experience in Medicare operations. The role is hybrid, may involve in-office presence, and offers a pay range of $34.00 - $48.00 based on experience and location.