California Medicare Analyst

Supporting Medicare operations remotely, the temporary California Medicare Analyst will conduct complex research and analysis, ensuring compliance with regulations while acting as a subject matter expert for internal and external stakeholders. Key responsibilities Support Medicare operations, sales, and enrollment functions through analysis and interpretation of Medicare and Medi-Cal data Conduct complex research and analysis in support of Medicare Operations activities Act as a subject matter expert and liaison to internal and external stakeholders Required qualifications 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 Knowledge of CMS guidelines related to Medicare sales and enrollment Experience with Medicare Advantage enrollment processes and financial reconciliation Proficiency in data analysis tools, CRM/enrollment systems, and the use of databases