Medicare Operations Analyst (Temporary)

ABOUT THIS TEMP POSITION

This is a temporary position and the length of assignment is estimated to go until December 31, 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.

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, please visit our careers site. 

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
OTHER INFORMATION
We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams.
While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
This is a temporary position and does not provide the benefits that are listed below (this is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options. 

COMPENSATION INFORMATION

Zone 1 Pay Range: $36.00 – $48.00
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: $34.00 – $45.00
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 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 careers@thealliance.health, and a member from our Talent Acquisition team will be in touch.

The posted hiring ranges represent a good‑faith estimate of what a temporary employee would be paid on this assignment. 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).

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