Special Projects Analyst — Healthcare Enrollment & Escalations

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

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+