Medicare Sales Analyst

Company: Pyramid Consulting, Inc
Location: Philadelphia
Posted on: February 28, 2026

Job Description:

Job Description Immediate need for a talented Medicare Sales Analyst . This is a 03 Months Contract opportunity with long-term potential and is located in Philadelphia, PA(Hybrid) . Please review the job description below and contact me ASAP if you are interested. Job ID:26-05215 Pay Range: $35 - $40/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Monitor the Sales Allegation mailbox for investigation requests related to Medicare Advantage sales agents. Requests are primarily submitted by the Medicare Appeals & Grievances team and the CTM team but may come from any internal department. Track all incoming investigation requests using the established sales allegation tracker. Contact members by phone or by mail to obtain more details regarding their complaint. Contact sales agents via email to gather information about the complaint. Collaborate with internal partners such as Sales, Appeals & Grievances, Enrollment, Claims, Pharmacy, and Product Management as needed throughout the investigation. Document all investigative findings in a Word report for management review before closing the case. Save all investigation-related documentation in the designated shared drive. Key Requirements and Technology Experience: Knowledge of appeals and grievances is preferred but not required. Understanding of CMS requirements related to Medicare sales and agents is preferred but not required. Familiarity with Medicare Compliance is beneficial but not required. The ideal candidate is detail-oriented, comfortable communicating with both members and internal stakeholders, and skilled at organizing and documenting information. A background in Medicare operations, grievances, appeals, or compliance is highly valuable. Microsoft Office tools knowledge Excellent organizational, verbal, and written communication skills required. CMS requirement experience is a plus BS or equivalent work experience Minimum of 3 years related work experience in managed care or health care. Our client is a leading Health Insurance Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

Keywords: Pyramid Consulting, Inc, East Orange , Medicare Sales Analyst, IT / Software / Systems , Philadelphia, New Jersey