Enrollment Professional 2

Accountabilities

- Process member applications, complete enrollments on internal platforms, and transmit enrollment information in accordance with applicable CMS requirements.

- Review enrollment reports and make appropriate adjustments, additions, and deletions based on established enrollment rules and procedures.

- Manage a daily mailbox and respond to enrollment-related requests in a timely and accurate manner.

- Work directly with internal and external customers to implement new Medicare clients and provide ongoing enrollment and reporting support.

- Maintain alignment between client and internal enrollment data, investigate discrepancies, and coordinate corrective actions.

- Monitor multiple reports to identify enrollment trends, process gaps, data discrepancies, and potential system issues.

- Research operational problems, determine appropriate solutions, and work with relevant stakeholders to resolve issues efficiently.

- Provide enrollment data and reporting support to clients while ensuring information remains accurate and synchronized.

- Apply established guidelines while exercising independent judgment when handling varied or occasionally ambiguous situations.

- Contribute to process improvements and support departmental and organizational objectives.

- Protect sensitive member information and follow applicable privacy, security, and compliance requirements.

Requirements

- 3+ years of experience in Medicare enrollment and/or customer service, with experience handling enrollment-related processes, member information, or client support.

- Demonstrated ability to analyze information, investigate problems, research discrepancies, and determine practical solutions.

- Working knowledge of CI and familiarity with enrollment processes and operational workflows.

- Strong verbal and written communication skills, with the ability to interact effectively with internal teams, clients, and other stakeholders.

- Excellent organizational and multitasking abilities, including the capacity to manage competing priorities and meet time-sensitive deadlines.

- Creative and innovative problem-solving skills, combined with a positive, collaborative approach to teamwork.

- Ability to adapt to changing priorities and perform effectively under pressure while maintaining accuracy.

- Comprehensive knowledge of Microsoft Word and Excel.

- Group Medicare enrollment or customer service experience is preferred.

- Knowledge of Medicare compliance guidelines is preferred.

- A bachelor's degree is preferred, though relevant professional experience may also be considered.

- Experience with AE, CRM, or TSO systems is preferred.

- Familiarity with Microsoft Access and PowerPoint is a plus.

- Experience managing small- to mid-scale projects is beneficial.

- Consultative skills, including the ability to understand customer needs, assess situations, and make appropriate recommendations, are advantageous.

- For remote work, candidates must have reliable internet service with a minimum recommended speed of 25 Mbps download and 10 Mbps upload, as well as a dedicated workspace suitable for protecting confidential member and HIPAA-related information.

- Ability to participate in occasional travel to company offices for training or meetings, as required.

Benefits

- Competitive base salary of $58,700–$70,400 per year , depending on qualifications, experience, education, certifications, skills, and geographic location.

- Eligibility for a bonus incentive plan based on individual and/or organizational performance.

- Fully remote work opportunity across the United States.

- Medical, dental, and vision insurance options.

- 401(k) retirement savings plan.

- Paid time off, company holidays, and personal holidays.

- Paid parental and caregiver leave.

- Short-term and long-term disability coverage.

- Life insurance.

- Additional programs and resources supporting physical, financial, and overall well-being.

- 40-hour standard workweek with opportunities to contribute to meaningful healthcare and Medicare services.

How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
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Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
 
 
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