Remote Medicare Operations Analyst - Insight & Compliance

Jobgether; California City (CA); Remote; USD 110,000 - 150,000; Full time

Benefits offered by this job

Health coverage

Paid time off

12 holidays per year

401(a) retirement plan

457 plan

Job summary

Jobgether is seeking a Medicare Operations Analyst to support Medicare operations, enrollment, and reporting. This remote role, based in the United States and serving California communities, emphasizes data analysis, regulatory interpretation, and cross-team collaboration.

You will translate complex data into actionable insights, help refine enrollment processes, and ensure regulatory compliance across Medicare activities. A strong background in data analysis and CMS guidelines is essential.

Qualifications

• Bachelor’s degree in a relevant field and 5+ years in Medicare operations or enrollment.
• Familiarity with CMS guidelines governing Medicare sales and enrollment.
• Experience interpreting Medicare data and regulatory requirements.

Responsibilities

• Analyze Medicare and Medi-Cal data to support operations, sales, and enrollment.
• Perform complex research to inform operational decisions and initiatives.
• Review membership reports; identify trends and reconciliation insights.
• Apply CMS guidelines and state/federal regulations to sales and enrollment.
• Serve as SME and liaison for internal teams and external stakeholders.
• Support projects, systems, policies, and procedures development.
• Manage multiple projects, meet deadlines, and adapt to changes.
• Communicate findings clearly to support informed decisions.

Skills

CMS guidelines

Medicare enrollment

Data analysis

Stakeholder management

Project management

CRM systems

MarketProminence

Education

Bachelor's degree in Business Administration

Bachelor's degree in Healthcare Administration

Tools

MarketProminence

CRM software

Job description

Jobgether is seeking a Medicare Operations Analyst to support Medicare operations, enrollment, and reporting. This remote role, based in the United States and serving California communities, emphasizes data analysis, regulatory interpretation, and cross-team collaboration.

You will translate complex data into actionable insights, help refine enrollment processes, and ensure regulatory compliance across Medicare activities. A strong background in data analysis and CMS guidelines is essential.