✨ AI Insights & Summary
This temporary role at Central California Alliance for Health offers a unique opportunity to dive deep into Medicare operations, sales, and enrollment. You'll be instrumental in ensuring compliance and driving strategic analysis within a mission-focused organization dedicated to accessible, quality healthcare. If you're passionate about leveraging data to improve health outcomes and thrive in a dynamic environment, this is your chance to make a tangible impact.
About This Temporary Position
This is a temporary assignment, estimated to last until December 31, 2026. Please note that the duration is subject to business needs and may change. While you will be working with the Alliance, you will be an employee of a temporary employment agency connected by the Alliance.
What You'll Be Responsible For
Reporting to the Medicare Operations Director, you will:
- Support Medicare operations, sales, and enrollment functions through the analysis and interpretation of Medicare and Medi-Cal data, ensuring compliance with applicable state and federal regulations.
- Conduct complex research and analysis to support Medicare Operations activities.
- Act as a subject matter expert and liaison to internal and external stakeholders.
What You'll Need to Be Successful
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.
- A 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
- This position operates in a hybrid work environment. The interview process is anticipated to be conducted 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, dependent on business need. Details will be provided during the interview process.
- This is a temporary position and does not include the benefits listed below. Temporary employees will be connected to a staffing agency with separate benefit options.
Compensation Information
- 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 Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, Central Valley (except Sacramento))
The applicable salary ranges are based on work location and aligned to a zone according to the cost of labor. All ranges are subject to change. For questions regarding pay zones, please contact careers@thealliance.health.
The posted hiring ranges represent a good-faith estimate for this assignment. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate’s qualifications, and other factors (internal equity, market factors, geographic location).
- Compensation Range: $34—$48 USD
Our Benefits (for regular, non-temporary positions)
- 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
About Us
We are a team of over 500 dedicated employees committed to our mission of providing accessible, quality health care guided by local innovation. We believe our work is bigger than ourselves, and we leave each day knowing we've made a difference in our community.
The Alliance is an equal employment opportunity employer. We are an E-Verify participating employer.
Join us at Central California Alliance for Health (the Alliance), an award-winning regional Medi-Cal managed care plan serving over 418,000 members in Mariposa, Merced, San Benito, and Santa Cruz counties.
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.