Central California Alliance for Health - Medicare Operations Analyst
Requirements
• To read the full position description and list of requirements, click here. • Knowledge of: • CMS guidelines related to Medicare sales and enrollment • Medicare Advantage enrollment processes and financial reconciliation • Contents and interpretation of monthly membership reports • Research, analysis, and reporting methods • Data analysis tools, CRM/enrollment systems, and the use of databases • Ability to: • Analyze complex data sets and present actionable insights • Identify issues, gather and analyze information and data, reach logical and sound conclusions, and make recommendations for action • Interpret, explain and apply applicable policies, laws, codes, regulations, and contracts • Organize work, manage multiple projects, establish priorities, adjust to changing priorities, and meet deadlines • Assist with the development and implementation of projects, systems, programs, policies, and procedures • Develop and implement operational workflows • 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 • Master’s degree may substitute for two years of the required experience; or an equivalent combination of education and experience may be qualifying
Benefits
• Zone 1 Pay Range: $82k -$95kTypical areas in Zone 1: Santa Cruz, San Benito, and Monterey Counties, Bay Area, Sacramento, Los Angeles and San Diego areas • Zone 2 Pay Range: $77k - $90kTypical areas in Zone 2: Mariposa and Merced Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, and the Central Valley (except Sacramento) • Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance. • Medical, Dental and Vision Plans • Ample Paid Time Off • 12 Paid Holidays per year • 401(a) Retirement Plan • 457 Deferred Compensation Plan • Robust Health and Wellness Program • Onsite EV Charging Stations • We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us. • Fact Sheet
Apply in one click
Upload My Resume
Drop here or click to browse · Tap to choose · PDF, DOCX, DOC, RTF, TXT