Senior Enrollment Specialist
Tasks
- Analyze enrollment reconciliation data
- Build case files for CMS contractor approval
- Conduct quality reviews
- Document processes and conduct training support
- Maintain member enrollment data
- Mentor junior team members
- Prepare enrollment and disenrollment requests
- Reconcile membership reports
- Report SLAs KPIs and operational metrics
- Resolve enrollment system rejections
- Review and process CMS transactions
- Review and resolve enrollment and billing discrepancies
- Verify Medicaid eligibility
- Verify eligibility requirements
Perks/Benefits
Skills/Tech-stack
CMS transactions | Case management | Data Analysis | Eligibility verification | Enrollment Reconciliation | KPI Reporting | Medicaid | Medicare | Medicare Advantage | SLA Reporting
Education
Related jobs
-
Order Fulfillment Specialist (Remote) USD 56K-75KATP | Cause analysis | Data Analysis | Demand and Supply Planning) | Distribution401k match | Healthcare coverage | Performance-Based Incentives | Remote work | Wellbeing benefitsEntry-level Full TimeBridgewater, NJ, US, 08807 R1d ago
-
Senior IT Specialist - Power BI USD 80K-100KDAX | Data Analysis | Data Quality | Data interchange | Data quality assurance401k match | Paid time off | Remote work | Tuition reimbursementSenior-level Full TimeUSA - NJ - Raritan - … R1d ago
-
AWS | Amazon EC2 | Amazon RDS | Amazon Redshift | Amazon S3401k | Dental insurance | Hybrid work | Medical insurance | Paid HolidaysMid-level Full TimeUSA - New Jersey - Rahway, … R2d ago
-
4Ps | Assortment | Business mathematics | Business planning | Category Management401k match | Healthcare coverage | Performance incentives | Remote workSenior-level Full TimeArlington, VA, US, 22209 R3d ago
-
Provider Enrollment Specialist - Remote WV USD 39K-55KACA | Compliance | Credentialing | English language | Enrollment401k match | Career development | Company-provided computer | Dental insurance | Educational assistanceEntry-level Full TimeAny city, WV, US, 99999 R3d ago
-
Member Enrollment Specialist USD 42K-42KActive Listening | Customer Service | Data Reconciliation | Eligibility rules | Eligibility verificationFull-time schedule | Paid training | Professional development | Remote work | Supportive work environmentEntry-level Full TimeWI, United States R5d ago
-
Sr. Learning Innovation Specialist USD 100K-163KAPI Integration | Artificial Intelligence | Automation | Data Analysis | JSONSenior-level Full TimeGEORGIA - VIRTUAL - GA01, United … R5d ago
-
Business Development, AI Solutions (Retail & CPG) USD 180K-190KArtificial Intelligence | Data Analysis | Language Processing | Machine Learning | Market Research401k | Dental insurance | Medical insurance | Paid time off | Vision insuranceSenior-level Full TimeRemote, United States R8d ago
-
Case management | Customer Relationship Management | Customer relationship | Data entry | Database ManagementEntry-level Full TimeColumbus, OH, US R10d ago
-
Credentialing | Medicaid | Medicare | Provider enrollment | Re verificationMid-level Full TimeBILH Performance Network, United States R10d ago
-
Pharmacy Enrollment Analyst - San Juan, PR USD 49K-88KDatabase Management | Licensing | Medicaid | Medicare | Provider enrollmentEntry-level Full TimeSan Juan, Puerto Rico, UNITED STATES; … R10d ago
-
Digital Content Specialist (Enrollment) USD 47K-54KAdobe Creative | Adobe Creative Cloud | CSS | Content Management | Content Management SystemDental insurance | Health insurance | Holidays | Paid time off | Retirement plan matchEntry-level Full TimeDuBourg Hall, United States R11d ago
-
Credentialing | Data Management | Medicaid | Medicare | Provider enrollmentInfluenza vaccination required | Remote workMid-level Full TimeBILHPN - Wakefield, United States R12d ago
-
Performance Analytics Specialist - Remote(US/Canada) USD 80K-100KBusiness Intelligence | Calabrio | Cause analysis | Contact center | Dashboard Development401k match | Career development opportunities | Dental insurance | Employee assistance program | Employee discountsMid-level Full TimeRemote, United States R14d ago
-
Senior Enrollment Specialist - Credentialing USD 68K-82KAdobe Acrobat | Data Integrity | Database Management | Document Generation | Medicaid401k match | Employee assistance program | Flexible spending account | Health savings account | LTD & STD insuranceSenior-level Full TimeRemote - Texas, United States R16d ago
-
Senior Analytics Consultant - Higher Education USD 85K-115KCRM Analytics | Dashboard Design | Data Analysis | Data Documentation | Data Governance401k matching | Career growth opportunities | Discount programs | Employee assistance programs | Fertility and family planning benefitsSenior-level Full TimeUnited States - Remote R18d ago
-
Provider Enrollment Specialist - Nevada / Remote USD 35K-50KApplication processing | Customer Service | Data verification | Documentation review | Medicaid401k employer match | Educational assistance | Flexible vacation policy | Health benefits | Learning opportunitiesEntry-level Full TimeAny city, NV, US, 99999 R23d ago
-
Enrollment and Eligibility Specialist USD 74K-120KCase management | Cobra | Critical Thinking | Data Analysis | Eligibility verificationAlternate schedule flexibility | Remote work | Team collaborationSenior-level Full TimeChapel Hill, NC R1mo ago
-
Amazon Bedrock | Amazon Polly | Amazon Textract | Amazon Transcribe | Analytics401k matching | Flexible spending accounts | Health insurance | Mentorship | Paid time offSenior-level Full TimeNew York, New York, USA R1mo ago
-
Case management | Confidentiality | Customer Service | Data Management | Data entryFull benefits package | Hybrid work schedule | Incentive Bonus Opportunities | Mileage reimbursementSenior-level Full TimeAustin, TX, United States R1mo ago
-
Temporary Course Support Specialist - Department of Computer Science, Ithaca, NY (Hybrid) USD 52K-52KAcademic Integrity | Academic Integrity Case Management | Administrative support | Blackboard | CanvasHybrid work scheduleMid-level Full Time TemporaryIthaca (Main Campus), United States R1mo ago