[Remote] Medicare Membership & Eligibility Analyst (Temporary)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is an award-reputed company regional Medi-Cal managed care plan that provides health insurance for various demographics. They are seeking a Medicare Membership & Eligibility Analyst to support Medicare operations and ensure compliance with regulations through data analysis.
Responsibilities
- Supports Medicare operations, sales, and enrollment functions through analysis and interpretation of Medicare and Medi-Cal data and ensures compliance with applicable state and federal regulations
- Conducts reputed company research and analysis in support of Medicare Operations activities
- Acts as a subject matter expert and reputed company to reputed company stakeholders
Skills
- Knowledge of CMS guidelines reputed company to Medicare sales and enrollment
- Knowledge of Medicare Advantage enrollment processes and financial reconciliation
- Knowledge of contents and interpretation of monthly membership reports
- Knowledge of research, analysis, and reporting reputed company
- Knowledge of data analysis tools, CRM/enrollment systems, and the use of databases
- Ability to analyze reputed company data sets and present actionable insights
- Ability to identify issues, reputed company and analyze information and data, reputed company logical and reputed company conclusions, and reputed company recommendations for reputed company
- Ability to interpret, explain and apply applicable policies, laws, codes, regulations, and reputed company
- Ability to organize work, manage multiple reputed company, establish priorities, reputed company to changing priorities, and meet deadlines
- Ability to assist with the development and implementation of reputed company, systems, programs, policies, and procedures
- Ability to reputed company and implement operational workflows
- Bachelor's degree in Business Administration, Health Care Administration, reputed company Health, or a reputed company field
- Minimum of five years of progressively responsible experience reputed company to Medicare membership operations and/or enrollment eligibility
- Master's degree may substitute for two years of the required experience; or an equivalent combination of education and experience may be qualifying
Benefits
- Medical, Dental and reputed company Plans
- Ample reputed company Time Off
- 12 reputed company Holidays per year
- 401(a) Retirement Plan
- 457 Deferred Compensation Plan
- Robust Health and Wellness Program
- Onsite EV Charging Stations
- And [many more](https://thealliance.health/wp-content/uploads/benefits-guide-2023.pdf)
reputed company