Business Analyst (Operations & Medicare)

Business Analyst (Operations & Medicare)

We are seeking a highly motivated and detail-oriented Healthcare Business Analyst to provide operational and project support across key areas, with a focus on Medicare programs and healthcare operations. This is a non-technical role ideal for someone who thrives on execution, takes initiative, and can manage multiple priorities with minimal oversight.

The ideal candidate brings hands-on experience in healthcare operations and Medicare Advantage, and is comfortable using project and analytical tools to drive performance, improve processes, and support cross-functional teams.

Location: Remote working Pacific time

This job expects to pay about $42 - $45 per hour plus benefits

Type: Contract to hire

What You Will Do:

• Leverage project management tools (e.g., Monday.com) to support planning, tracking, and execution of operational initiatives.
• Assist in developing and maintaining workforce capacity plans and resource allocation models for operational teams.
• Conduct performance and trend analyses, surfacing insights to improve Medicare operations and regulatory compliance.
• Coordinate project tasks and deliverables, including issue tracking, incident escalation, and resolution follow-up.
• Create and maintain KPI dashboards and operational reporting tools; deliver actionable updates to leadership.
• Support process mapping efforts, document workflows, and assist in identifying process risks and control gaps.
• Work cross-functionally with clinical, compliance, and operations teams to implement process improvements.
• Communicate clearly and proactively with stakeholders to ensure alignment, visibility, and timely status updates.
• Participate in internal efforts to prepare for Medicare audits, policy changes, or CMS reporting updates.
• Embrace innovation, including exploring opportunities for AI and automation in Medicare and operational processes.
• Contribute to broader company goals and objectives; take ownership of assigned initiatives from start to finish.

What You Bring to The Table:

• 3–5 years of experience as a Business Analyst or Operations Analyst in a health plan or healthcare delivery environment.
• Strong understanding of Medicare operations, CMS requirements, and healthcare compliance workflows.
• Must have experience with Medicare Advantage health plans.
• Demonstrated experience with project management tools (Monday.com strongly preferred).
• Proven track record in workforce planning, staffing models, or resource allocation in an operations setting.
• Ability to create and analyze KPI dashboards, perform data-driven reviews, and recommend business improvements.
• Excellent organizational and documentation skills; experience in documenting processes and identifying controls.
• Strong written and verbal communication skills; ability to engage with diverse stakeholders across business units.
• Proactive, adaptable, and capable of managing multiple tasks simultaneously in a fast-paced environment.
• PMP certification or equivalent project coordination experience is highly preferred.

Preferred Experience:

• Previous experience supporting Duals or SNP plans.
• Familiarity with audit preparation, CMS reporting, or regulatory change implementation.
• Exposure to AI tools or automation in business operations is a plus.

Irvine Technology Corporation (ITC) is a leading provider of technology and staffing solutions for IT, Security, Engineering, and Interactive Design disciplines servicing startups to enterprise clients, nationally. We pride ourselves in the ability to introduce you to our intimate network of business and technology leaders – bringing you opportunity coupled with personal growth, and professional development! Join us. Let us catapult your career!

Irvine Technology Corporation provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Irvine Technology Corporation complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities.