Business Development

Sr. Business Analyst


Strategic Staffing Solutions

Sr. Business Analyst 

Location: Southfield, MI 48075

Setting: Hybrid (3 times a week while training then once a week after training is complete)

Contract: 9 months+ 

Pay rate: $40-$45/hr

Job description: 

  • Compliance Monitoring: Ensure agents comply with CMS regulations and guidelines for selling and enrolling Medicare Advantage plans.
  • Quality Assurance: Monitor and evaluate agent performance to ensure quality service and accurate information to potential beneficiaries.
  • Policy Interpretation: Interpret and communicate Medicare policies and guidelines.
  • Metric Tracking: Establish and track performance metrics to assess agent effectiveness and identify areas for improvement.
  • Regulatory Updates: Stay informed about changes in Medicare policies and regulations to ensure agents remain compliant.
  • Collaboration and Communication: Collaborate with cross-functional teams and communicate with stakeholders to ensure alignment and effectiveness in oversight.
  • Documentation and Reporting: Maintain accurate records of agent activities, compliance efforts, and performance for reporting purposes.
  • Process Improvement: Continuously identify and implement process improvements to enhance efficiency and effectiveness in oversight.
  • Legal and Ethical Adherence: Ensure that agencies and agents adhere to legal and ethical standards in their interactions with beneficiaries.
  • Risk Management: Identify and mitigate risks associated with agent activities to maintain compliance and protect the organization’s reputation.

Top 3 Required Skills/Experience –

  • Understanding of CMS regulations, policies and guidelines related to Medicare Advantage.
  • Ability to provide constructive feedback and facilitate effective communication between agencies and various stakeholders.
  • Excellent communication skills, both written and verbal, to effectively convey Medicare Advantage policies and guidelines to agencies, agents, and internal stakeholders.

Required Skills/Experience:

  • Exhibits keen attention to detail.
  • Skilled in utilizing current industry standard PC applications and systems (e.g., Access, Excel, Word, Teams, and Outlook).
  • Proficiency in managing time and tasks effectively.

Preferred Skills/Experience:

  • Experience in monitoring and evaluating performance.
  • Proficiency in working independently, collaboratively within a team, and adeptly managing multiple priorities.
  • Proficiency in analyzing, consolidating, and effectively reporting information to both internal and external stakeholders.

Job ID: JOB-233897
Publish Date: 09 Feb 2024

Tagged as: Sr Business Analyst