Medicare Enrollment Analyst

Candidates must live in the following counties:
Ventura County, Santa Barbara County, San Luis Obispo County, Monterey County or Santa Cruz County

The Medicare Enrollment Analyst I supports the daily enrollment operations of the health plan's (D-SNP) product line. This role is responsible for ensuring accurate, timely, and compliant member enrollment processing while delivering a high-quality member experience. The analyst collaborates cross-functionally with internal teams to maintain enrollment integrity and support operational excellence in accordance with CMS regulations and organizational standards.

Responsibilities include, but are not limited to:

• Manage returned mail and update member records as needed to maintain accurate demographic information.

• Process member demographic changes and enrollment updates in a timely and accurate manner.

• Review, investigate, and resolve enrollment fallout queues to ensure compliance with CMS guidelines and internal policies.

• Maintain accurate enrollment records and ensure data integrity across systems.

• Partner with the Sales team to obtain missing application information and assist in resolving enrollment-related issues.

• Collaborate with Customer Service to address member eligibility and enrollment inquiries.

• Monitor enrollment processes for potential system, data, or quality concerns and elevate issues to management or Enrollment Analysts as appropriate.

• Support departmental goals by ensuring enrollment transactions are completed accurately and within established service level agreements.

• Contribute to continuous improvement initiatives that enhance enrollment operations and member experience.

• High school diploma or equivalent required.

• Minimum of one (1) year of experience in health plan operations, with a focus on enrollment processing.

• Knowledge of health plan enrollment processes and membership administration.

• Strong data entry skills with a high level of accuracy and attention to detail.

• Experience working with Microsoft Office applications, including Excel, Word, and Outlook.

• Ability to manage multiple priorities in a fast-paced environment while meeting deadlines.

• Strong organizational, problem-solving, and communication skills.

• Familiarity with CMS enrollment regulations and Medicare enrollment processes preferred.

• Experience working with Medicare Advantage, D-SNP, or other government-sponsored health plan products.

• Knowledge of CMS enrollment guidelines and compliance requirements.

• Prior experience resolving enrollment discrepancies and eligibility issues within a health plan environment.

This is a Contract position based out of Monterey, CA.

The pay range for this position is $31.17 - $38.19/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully remote position.

This position is anticipated to close on Oct 20, 2026.

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The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national…