Medicare Advantage Enrollment Analyst (Hybrid)
Location: Detroit, MI (Hybrid)
Job Type: Contract, 12 months
Schedule: Onsite Monday & Tuesday at the Jefferson Office in Detroit
Department: MA Enrollment Operations
Pay Range: $30-35 per hour
About the Role
We are seeking an experienced Medicare Advantage Enrollment Analyst to support enrollment operations, system releases, testing activities, and process improvement initiatives. This position plays a key role in ensuring enrollment functionality aligns with CMS regulations, resolving system defects, supporting internal and external customers, and helping enhance operational workflows and services.
Key Responsibilities
- Manage and support Medicare Advantage enrollment and disenrollment activities.
- Perform system and User Acceptance Testing (UAT) within the IKA system.
- Coordinate and support system releases and functionality updates.
- Ensure processes and system functionality comply with CMS guidelines.
- Identify, document, and assist in resolving system defects and discrepancies.
- Analyze data and provide operational insights to support business decisions.
- Develop and improve workflows to increase efficiency and service quality.
- Provide support to internal and external stakeholders regarding enrollment-related issues.
Required Qualifications
- Minimum 4 years of experience in the Medicare Advantage field.
- Experience with Medicare Advantage Enrollment and Disenrollment processes.
- Strong understanding of CMS guidelines.
- Experience with MARx.
- Experience with IKA.
- Strong data analysis skills.
- Ability to support internal and external customers effectively.
- High School Diploma or equivalent.
Preferred Qualifications
- Bachelor’s degree.
- Knowledge of CMS Chapter 2 guidelines.
- Understanding of CMS thresholds and compliance timelines for discrepancy resolution.
- Experience with system testing and UAT testing.
- Process improvement experience, including Six Sigma or related methodologies.
What We’re Looking For
- Strong analytical and problem-solving skills.
- Attention to detail and commitment to compliance.
- Ability to manage multiple priorities in a fast-paced environment.
- Effective communication and collaboration skills.
- Experience driving operational and process improvements.
Work Arrangement: Hybrid schedule with required onsite attendance in Detroit two days per week (Monday and Tuesday).
If you have a strong Medicare Advantage background, experience with CMS regulations, MARx, and enrollment operations, we’d love to hear from you.
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