Remote Medicare Enrollment QA Reviewer

AuraOne; United States; Remote; USD 97,000 - 138,000; Full time

Job summary

AuraOne is seeking a Medicare Enrollment Specialist reviewer for a remote, contractor role. The position focuses on evaluating AI outputs within Medicare Enrollment operations, ensuring alignment with workflows, playbooks, and policy guidelines.

You will help identify risks and document the next steps for model training. Ideal candidates bring direct Medicare enrollment experience, strong rubric application skills, and precise, policy-based reasoning.

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.

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 specialist

Job description

AuraOne is seeking a Medicare Enrollment Specialist reviewer for a remote, contractor role. The position focuses on evaluating AI outputs within Medicare Enrollment operations, ensuring alignment with workflows, playbooks, and policy guidelines.

You will help identify risks and document the next steps for model training. Ideal candidates bring direct Medicare enrollment experience, strong rubric application skills, and precise, policy-based reasoning.