Medicare Supplemental Benefits Analytics Specialist

Verda Healthcare; Huntington Beach (CA); On-site; USD 71,000 - 80,000; Full time

Benefits offered by this job

401(k)

Paid time off

Health insurance

Dental Insurance

Vision insurance

Life insurance

Job summary

Verda Healthcare, Inc. in Huntington Beach, CA, seeks a Medicare Supplemental Benefits Analyst to evaluate Medicare policies and supplemental benefits, including Dental, Vision, OTC items, and hearing aids. You will ensure regulatory compliance, analyze costs, and validate vendor invoices.

The role reports to the Business Systems Manager, is full-time onsite, and offers a compensation range of $71,000–$80,000 with benefits. Collaboration with Finance, Compliance, and Legal will be essential.

Qualifications

• Bachelor's degree in business, computer science, information technology, or equivalent business experience.
• Strong familiarity with Medicare Advantage, Part D, CMS compliance, and risk adjustment models.
• Proficiency in advanced Excel, SQL, or healthcare database management systems.

Responsibilities

• Review documents to determine coverage expectations and billing implications.
• Validate invoices for eligibility and monthly/quarterly/annual limits.
• Collaborate with Finance to troubleshoot and resolve billing issues.
• Serve as subject matter expert for coverage analysis and utilization insights.

Skills

Analytical skills

Communication skills

Independent work

Collaborative approach

Education

Bachelor's degree in business/CS/IT or equivalent

Tools

Excel

SQL

Healthcare DBMS

Job description

Verda Healthcare, Inc. in Huntington Beach, CA, seeks a Medicare Supplemental Benefits Analyst to evaluate Medicare policies and supplemental benefits, including Dental, Vision, OTC items, and hearing aids. You will ensure regulatory compliance, analyze costs, and validate vendor invoices.

The role reports to the Business Systems Manager, is full-time onsite, and offers a compensation range of $71,000–$80,000 with benefits. Collaboration with Finance, Compliance, and Legal will be essential.