Job Specifications
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
The Data Analyst & Learning Specialist is a dual-function role that delivers strategic business insights through advanced data analysis while designing and implementing training programs that ensure regulatory compliance and operational excellence. This position supports executive decision-making by translating business needs into technical solutions and uncovering actionable insights. Simultaneously, it enhances employee capabilities by developing CMS-aligned training for Membership department representatives, maintaining policy accuracy, and driving continuous improvement through data-informed learning strategies.
General Duties/Responsibilities
Analyze and summarize data trends to support and inform strategic roadmap and initiatives
Develop ongoing reports and present key data insights by partnering with stakeholders across all departments to support cross-functional decision-making and strategic initiatives
Collaborate with key business leaders to understand business problems and generate solutions
Build end-to-end data analytics solutions and models; utilize excel, the Microsoft suite, and other visualization software platforms to manage project and task-based work
Develop presentations and dashboards based on findings from analysis
Aptitude for critical thinking in complex situations, ability to synthesize ambiguous data into concrete results
Maintains ownership over day-to-day reporting and models including pulling data from various sources, synthesizing actionable business insights, and presenting findings
Spearhead special projects, structure the work, manage the process, drive the right set of analyses, and present the answer to senior executives through a compelling storyline.
Collaborate closely with Enrollment Operations, Compliance, and QA teams to align training content with policy updates, CMS guidelines, and system enhancements
Develop, maintain, and update training materials, including enrollment guides, job aids, onboarding curricula, assessments, skill checklists, and refresher modules.
Assess training progress through call reviews, case evaluations, assessments, and structured feedback loops
Other duties as assigned.
Experience
Job Requirements:
Required: 3-5 years of experience in Medicare Advantage enrollment, training, or operations. In-depth knowledge of CMS Medicare Advantage Enrollment/Disenrollment rules and guidelines (including Chapter 2 and MARx processing)
Preferred: Experience with cleaning, aggregating, and pre-processing data from varied sources. Experience with data visualization and presentation, turning complex analysis into insights
Education
Required: High School Diploma or GED. Bachelor's degree in Computer Science, Data Science, Management Information Systems, Business Administration or four years additional experience in lieu of education.
Preferred: MBA
Training
Required:
Preferred:
Specialized Skills
Required:
Proficiency in Microsoft Excel and PowerPoint
Foundational level of knowledge SQL, and/or other programming skills highly desirable
Strong writing and presentation skills, and the ability to articulate complex concepts to cross functional audiences and develop strong written material for communication to external stakeholders
Excellent communication, analytical and collaborative problem-solving skills
Proven ability to document business requirements relating to data needs and business rules
Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly
Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
Report Analysis Skills: Comprehend and analyze statistical reports.
Licensure
Required: None
Preferred:
Work Environment
The work envir