Health Insurance Specialist

Company: IntePros
Location: Philadelphia
Posted on: February 28, 2026

Job Description:

Job Description Medicare Sales Analyst 6–8 Week Contract | 37.5 Hours per Week | EST Hours Location: Local candidates preferred; open to remote candidates We are actively seeking a detail-oriented and compliance-driven Medicare Sales Analyst to support a critical short-term project within our Medicare Regulatory Performance team. This 6–8 week contract opportunity plays an essential role in protecting the integrity of our Medicare Advantage sales practices and ensuring compliance with CMS requirements. Position Overview The Medicare Sales Analyst is responsible for reviewing, researching, investigating, and documenting complaints involving Medicare Advantage sales agents. This role ensures timely and thorough resolution of sales allegations in accordance with CMS regulations and internal compliance standards. Investigations follow established protocols and strict regulatory timelines (30-day resolution requirement), requiring strong organization, attention to detail, and clear communication. Key Responsibilities Monitor and manage the Sales Allegations mailbox for incoming investigation requests Track all cases using the established sales allegation tracker Conduct end-to-end investigations from intake through resolution Contact members (via phone and/or written communication) to gather additional complaint details Communicate with sales agents to obtain relevant information and clarification Collaborate cross-functionally with Sales, Appeals & Grievances, Enrollment, Claims, Pharmacy, Product Management, and other internal teams Analyze findings and identify root causes when applicable Prepare comprehensive Word reports summarizing investigative findings for management review Maintain accurate documentation and save all investigation materials in designated shared drives Ensure all cases are resolved within CMS-required timelines Qualifications Bachelor’s degree preferred (or equivalent work experience) Minimum of 3 years of related experience in managed care, health care, or insurance Experience with complaints investigations, appeals & grievances, or compliance strongly preferred Knowledge of CMS requirements related to Medicare sales and agents is a plus Familiarity with Medicare compliance and regulatory environments preferred Strong Microsoft Office skills (especially Outlook and Word) Excellent organizational skills with ability to manage high-volume casework Strong written and verbal communication skills Investigative mindset with strong analytical and problem-solving abilities

Keywords: IntePros, Perth Amboy , Health Insurance Specialist, IT / Software / Systems , Philadelphia, New Jersey