Special Projects Analyst

Covered California; California; On-site; USD 43,000 - 84,000; Full time

Job summary

Covered California’s Special Projects Unit is seeking a dedicated analyst to reduce duplicate enrollment-related escalations across service channels and address subsidy-related financial inaccuracies. The role focuses on cross-functional support with Appeals and Escalations Resolution (ER) and uses CRM tools to resolve complex eligibility issues for vulnerable consumers.

The Analyst I/II positions require strong communication, regulatory interpretation, and project management skills, with 2+

Qualifications

• 2+ years experience in escalations, appeals, or grievances in a call center environment.
• Experience managing multiple projects with competing priorities and deadlines.
• Experience interpreting regulations, government codes, policies, and procedures.
• Excellent verbal and written communication skills, including documentation and presentation of findings.
• Experience researching, analyzing and evaluating data and developing recommendations.
• Experience within the health care or health insurance industry.

Responsibilities

• Be part of a team that is responsible for helping some of Covered California’s most financially vulnerable consumers.
• Focus on utilizing multiple healthcare enrollment and customer relationship management (CRM) systems to resolve complex and in-depth eligibility and enrollment-related issues.
• Leverage your call-center experience and research skills to complete independent assignments and ensure swift and accurate resolution of time-sensitive assignments.

Skills

Call center experience

Project management

Regulations interpretation

Communication skills

Data analysis

Healthcare/health insurance

Tools

CRM systems

Job description

Become a part of Covered California’s Special Projects Unit!

Who Are We?

The Consumer Relations and Resolution (CR&R) Branch is seeking a passionate analyst to join the Special Projects Unit (SPU). This position will focus on reducing duplicate enrollment-related escalations across service channels originating from consumers, carriers, counties, and advocacy groups. The role also addresses financial inaccuracies, including cases of overconsumption of subsidies, while performing cross-functional duties to support Appeals and Escalations Resolution (ER) within the CR&R Branch. Additionally, SPU supports various projects and collaborates with other Covered California divisions, such as Policy, Program Integrity, Plan Management, and Information Technology.

How Will I Make an Impact?

As a Special Projects Analyst, you will:

• Be part of a team that is responsible for helping some of Covered California’s most financially vulnerable consumers.
• Focus on utilizing multiple healthcare enrollment and customer relationship management (CRM) systems to resolve complex and in-depth eligibility and enrollment-related issues.
• Leverage your call-center experience and research skills to complete independent assignments and ensure swift and accurate resolution of time-sensitive assignments.

Analyst I

Range A: $3,861.00 - $4,839.00

Range B:$4,181.00 - $5,233.00

Range C:$5,014.00 - $6,276.00

Analyst II

$6,031.00 - $7,547.00

Application Deadline: 10/15/2026 @ 11:59 pm PST

Required Documents: Application, Resume and Statement of Qualifications (SOQ)

Qualifications We’re Looking For:

2+ years of experience in the following areas:

• Experience working on Escalations, Appeals, or Grievances in a call center environment.
• Experience managing multiple projects with competing priorities and deadlines.
• Experience interpreting regulations, government codes, policies, and procedures.
• Excellent verbal and written communication skills, including documentation and presentation of findings.
• Experience researching, analyzing and evaluating data and developing recommendations.
• Experience within the health care or health insurance industry.

Minimum Qualifications for Analyst I and Analyst II

• Analyst I – https://eservices.calhr.ca.gov/enterprisehrblazorpublic/Public/ClassSpec/ClassSpecDetail/5157
• Analyst II - https://calcareers.ca.gov/CalHrPublic/Exams/ExamBulletin.aspx?ExamControlId=4815

Employee Benefits:

Covered California provides incredible benefits for our employees, including healthcare, retirement and savings, work-life services, leave benefits, and work-life balance. To learn more, visit https://hbex.coveredca.com/careers/benefits/.

Note:

• New to state civil service employees are typically hired at the minimum of the salary range