Medicare Membership & Eligibility Analyst – Temporary

Central California Alliance for Health

Medicare Membership & Eligibility Analyst supporting Medicare operations through data analysis and compliance. Conducting research and acting as a liaison to stakeholders in the healthcare sector.

Posted 6/29/2026contractRemote • California • 🇺🇸 United StatesMid-LevelSenior💰 $34,000 - $48,000 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Medicare operations, sales, and enrollment, with a strong focus on compliance with CMS guidelines and the ability to analyze complex data sets to drive actionable insights. Proficient in developing operational workflows and managing multiple projects effectively.

Highest-signal resume keywords

Medicare OperationsCMS GuidelinesData AnalysisProject ManagementFinancial Reconciliation

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data AnalysisResearch MethodsReporting MethodsFinancial ReconciliationMedicare Advantage Enrollment ProcessesOperational WorkflowsMembership Reports InterpretationCompliance Analysis

Soft Skills

Analytical ThinkingProblem SolvingOrganizational SkillsCommunication Skills

Tools & Technologies

CRM SystemsEnrollment SystemsDatabases

Industry Keywords

MedicareMedi-CalEnrollment EligibilityHealth Care AdministrationPublic Health

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

Knowledge of CMS guidelines related to Medicare sales and enrollment
Knowledge of Medicare Advantage enrollment processes and financial reconciliation
Knowledge of contents and interpretation of monthly membership reports
Knowledge of research, analysis, and reporting methods
Knowledge of data analysis tools, CRM/enrollment systems, and the use of databases
Ability to analyze complex data sets and present actionable insights
Ability to identify issues, gather and analyze information and data, reach logical and sound conclusions, and make recommendations for action
Ability to interpret, explain and apply applicable policies, laws, codes, regulations, and contracts
Ability to organize work, manage multiple projects, establish priorities, adjust to changing priorities, and meet deadlines
Ability to assist with the development and implementation of projects, systems, programs, policies, and procedures
Ability to develop and implement operational workflows
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

Benefits

Comp & perks

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
And many more