Medicare Operations Analyst — Data Insights & Compliance

Central California Alliance for Health; Scotts Valley (CA); On-site; USD 82,000 - 95,000; Full time

Benefits offered by this job

Medical, Dental and Vision Plans

Ample Paid Time Off

12 Paid Holidays per year

401(a) Retirement Plan

457 Deferred Compensation Plan

Wellness Program

Onsite EV Charging Stations

Job summary

Central California Alliance for Health in Scotts Valley, CA is seeking a Medicare Operations Analyst to support Medicare operations, sales and enrollment activities through analysis of Medicare and Medi-Cal data, ensuring compliance with state and federal regulations.

Reporting to the Medicare Operations Director, you will act as a subject matter expert, conduct complex research, and collaborate with internal and external stakeholders to drive accurate reporting and efficient workflow.

Qualifications

• Bachelor's degree in a related field is required.
• Minimum of five years of progressively responsible experience in Medicare membership operations and/or enrollment.
• Master's degree may substitute for two years of required experience; or an equivalent combination of education and experience.

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.

Skills

CMS guidelines knowledge

Medicare enrollment processes

Membership reports interpretation

Data analysis

CRM/enrollment systems

Education

Bachelor's degree in Business Administration, Health Care Administration, Public Health, or related field

Job description

Central California Alliance for Health in Scotts Valley, CA is seeking a Medicare Operations Analyst to support Medicare operations, sales and enrollment activities through analysis of Medicare and Medi-Cal data, ensuring compliance with state and federal regulations.

Reporting to the Medicare Operations Director, you will act as a subject matter expert, conduct complex research, and collaborate with internal and external stakeholders to drive accurate reporting and efficient workflow.