Medicare Membership & Eligibility Analyst (Temporary)

Medicare Membership & Eligibility Analyst (Temporary) Remote, California About the Position This is a temporary position at the Alliance, effective until December 31, 2026, reporting to the Medicare Operations Director. The role involves analyzing Medicare and Medi‑Cal data, ensuring compliance with state and federal regulations, conducting research and analysis, and serving as a liaison between internal and external stakeholders. Responsibilities Support Medicare operations, sales, and enrollment functions through analysis and interpretation of Medicare and Medi‑Cal data and ensuring compliance with applicable state and federal regulations. Conduct complex research and analysis in support of Medicare Operations activities. Act as a subject matter expert and liaison to internal and external stakeholders. Qualifications 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, reach logical 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 Hybrid work environment; remote interview process via Microsoft Teams. Full telecommuting schedules common but may require attendance at quarterly company‑wide events or department meetings. This is a temporary position and does not provide the benefits listed later. Compensation Zone 1 Pay Range: $36.00 - $48.00 Typical areas: Santa Cruz, San Benito, Monterey Counties, Bay Area, Sacramento, Los Angeles, San Diego. Zone 2 Pay Range: $34.00 - $45.00 Typical areas: Mariposa, Merced, Fresno, Bakersfield, Eastern California, San Luis Obispo, Central Valley (except Sacramento). All ranges are subject to change. Final compensation determined by qualifications. Overall salary range: $34 - $48 USD. Benefits Benefits are available only to regular Alliance employees; temporary employees do not receive benefits. Regular employee benefits: Medical, Dental, Vision Plans; Paid Time Off; Paid Holidays; Retirement Plans; Health and Wellness Programs; Onsite EV Charging. Equal Opportunity Statement The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or perception, national origin, age, marital status, protected veteran status, or disability status. The Alliance participates in E‑Verify. Work Authorization Applicants must be currently authorized to work in the United States on a full‑time, ongoing basis without current or future need for employer‑supported sponsorship. #J-18808-Ljbffr Central California Alliance for Health