Medicare Operations Analyst

We believe every candidate deserves thoughtful consideration. That’s why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully. 

While we encourage all interested applicants to apply, we do give priority to those who live in, or near, our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment. 

We have an opportunity to join the Alliance as a Medicare Operations Analyst with our Medicare Operations Department. 

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 

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

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. 

Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet.

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.