Medicare Operations Analyst

We have an opportunity to join the Alliance as a Medicare Operations Analyst with our Medicare Operations Department. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Medicare Operations Director, this position: • 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 complex research and analysis in support of Medicare Operations activities • Acts as a subject matter expert and liaison to internal and external stakeholders WHAT YOU'LL NEED TO BE SUCCESSFUL 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 • Education and Experience: • 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 COMPENSATION INFORMATION • Zone 1 Pay Range: $82k -$95k Typical 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 - $90k Typical areas in Zone 2: Mariposa and Merced Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, and the Central Valley (except Sacramento) The applicable salary ranges are based on work location and are aligned to a zone according to the cost of labor in your area. All ranges are subject to change in the future. We are happy to provide the full compensation range for the role, answer any questions that you have, or share the applicable pay zone for your location if it's not one of the typical areas listed. You can reach out to [redacted], and a member from our Talent Acquisition team will be in touch. The hiring ranges represent a good-faith estimate of what we expect to pay for this role upon hire and are not the full compensation ranges. Employees typically have opportunities for growth within the full compensation range over time based on performance and merit. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education, or training), as well as other factors (internal equity, market factors, and geographic location). OUR BENEFITS 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