Remote Medicare Operations Analyst

Jobgether; Oregon; Híbrido; USD 82.000 - 95.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health coverage

Paid time off

12 holidays per year

401(a) retirement plan

457 deferred compensation

Wellness program

EV charging stations

Descripción de la vacante

Jobgether is seeking a Medicare Operations Analyst to support critical Medicare operations, enrollment activities, and data-driven decision making. You will translate complex data into actionable insights, ensure regulatory compliance, and help optimize enrollment processes in a mission-driven healthcare environment.

This remote role favors candidates near California's Central Coast and surrounding counties.

Formación

• Bachelor's degree in Business Administration, Healthcare Administration, Public Health, or related field.
• Master's degree may substitute for two years of experience; equivalent combinations may qualify.
• In-depth knowledge of CMS guidelines governing Medicare sales and enrollment.

Responsabilidades

• Analyze Medicare and Medi-Cal data to support operations, sales, and enrollment.
• Conduct complex research to inform operational decisions.
• Review monthly membership reports for trends and discrepancies.
• Apply CMS guidelines and state/federal regulations to enrollment activities.
• Serve as subject matter expert for internal and external stakeholders.
• Identify issues, investigate causes, and recommend corrective actions.
• Develop and refine operational workflows, systems, and procedures.
• Manage multiple projects and meet deadlines while adapting to changes.
• Communicate findings and recommendations clearly for informed decisions.

Conocimientos

Medicare operations

Data analysis

Regulatory interpretation

CMS guidelines

Stakeholder management

Cross-functional collaboration

Process improvement

Educación

Bachelor's degree (Business Administration)

Bachelor's degree (Healthcare Administration)

Herramientas

MarketProminence

CRM systems

Descripción del empleo

Jobgether is seeking a Medicare Operations Analyst to support critical Medicare operations, enrollment activities, and data-driven decision making. You will translate complex data into actionable insights, ensure regulatory compliance, and help optimize enrollment processes in a mission-driven healthcare environment.

This remote role favors candidates near California's Central Coast and surrounding counties.