Remote Medicare Enrollment QA & Policy Auditor

AuraOne, Inc.; United States; On-site; USD 55,000 - 83,000; Full time

Job summary

AuraOne, Inc. is seeking a Medicare Enrollment Specialist to remotely review AI outputs within Medicare enrollment operations workflows. You will assess alignment with policies, grade tone and escalation decisions, and document next steps to guide model training.

Ideal candidates bring hands-on Medicare enrollment experience, strong rubric application, and meticulous attention to detail, with at least 10 hours per week of async availability. Remote-.US eligible contractor role.

Qualifications

• Direct working experience in medicare enrollment specialist operations on real teams for Medicare Enrollment Specialist work.
• Comfort applying multi-page rubrics consistently across long batches.
• Clear written reasoning that names the policy or workflow being applied.
• Strong attention to detail and the ability to flag when a prompt itself is the problem.
• Reliable async availability for at least 10 hours per week.

Responsibilities

• Review AI outputs against current medicare enrollment specialist operations workflows, playbooks, and firm policy for Medicare Enrollment Specialist assignments.
• Grade tone, escalation logic, and stakeholder fit on a structured rubric.
• Flag operational risk, missed escalations, and policy-adherence gaps with severity tags.
• Capture the right next step so the modeling team can train on it.
• Adjudicate disputed treatments against published playbooks or firm guidance.
• Maintain reviewer-quality scores in inter-rater calibration cycles.

Skills

Operational review

Policy adherence

Workflow judgment

Stakeholder communication

Medicare Enrollment operations

Job description

AuraOne, Inc. is seeking a Medicare Enrollment Specialist to remotely review AI outputs within Medicare enrollment operations workflows. You will assess alignment with policies, grade tone and escalation decisions, and document next steps to guide model training.

Ideal candidates bring hands-on Medicare enrollment experience, strong rubric application, and meticulous attention to detail, with at least 10 hours per week of async availability. Remote-.US eligible contractor role.