California Licensed Medicare Analyst

Job Summary

Supporting Medicare operations remotely, the temporary California Licensed Medicare Analyst will conduct research and analysis, ensure compliance with regulations, and serve as a liaison to stakeholders until December 31, 2026.

Key responsibilities

• Support Medicare operations, sales, and enrollment functions through data analysis and interpretation
• Conduct complex research and analysis to assist Medicare Operations activities
• Act as a subject matter expert and liaison to internal and external stakeholders

Required qualifications

• Bachelor's degree in Business Administration, Health Care Administration, Public Health, or a related field
• Minimum of five years of progressively responsible experience related to Medicare membership operations and/or enrollment eligibility
• Knowledge of CMS guidelines related to Medicare sales and enrollment
• Experience with Medicare Advantage enrollment processes and financial reconciliation
• Proficiency in data analysis tools, CRM/enrollment systems, and database usage