Enrollment Analyst
About The Position
The Medicare Enrollment Analyst I supports daily enrollment operations for a Medicare D-SNP (Dual Eligible Special Needs Plan) program. The role processes Medicare and D-SNP enrollments, maintains accurate and compliant enrollment records, and resolves enrollment and eligibility issues. It is fully remote, but applicants must currently reside in Ventura, Santa Barbara, San Luis Obispo, Monterey, or Santa Cruz County in California. The contract position is based out of Salinas, California. The hourly pay range is $31.17–$38.19, with individual compensation depending on factors such as qualifications, skills, relevant experience, geographic location, and internal equity. The position is anticipated to close on November 2, 2026.
Requirements
- High school diploma or equivalent.
- At least 1 year of health plan enrollment experience.
- Experience processing enrollments within a health plan environment.
- Strong data-entry skills and attention to detail.
- Proficiency with Microsoft Office, including Excel.
- Ability to manage multiple priorities and deadlines.
- Must currently reside in Ventura, Santa Barbara, San Luis Obispo, Monterey, or Santa Cruz County, California.
Nice To Haves
- Medicare enrollment experience.
- D-SNP experience.
- Knowledge of CMS enrollment guidelines and regulations.
- Experience resolving enrollment discrepancies or fallout queues.
- Background in health plan operations.
Responsibilities
- Process Medicare and D-SNP enrollment activities accurately and promptly.
- Manage returned mail and member demographic updates.
- Research and resolve enrollment fallout queues.
- Ensure enrollment records comply with CMS guidelines.
- Partner with Sales to obtain missing application information.
- Collaborate with Customer Service to resolve enrollment and eligibility questions.
- Identify and escalate system or quality issues to leadership.
- Support a positive member experience through efficient enrollment processing.
Benefits
- Medical, dental, and vision coverage, if eligible.
- Critical Illness, Accident, and Hospital coverage, if eligible.
- 401(k) retirement plan with pre-tax and Roth post-tax contributions available, if eligible.
- Voluntary life and AD&D insurance for the employee and dependents, if eligible.
- Short- and long-term disability coverage, if eligible.
- Health Spending Account (HSA), if eligible.
- Transportation benefits, if eligible.
- Employee Assistance Program, if eligible.
- Time off/leave, including PTO, vacation, or sick leave, if eligible.
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What This Job Offers
Career Level
Entry Level
Education Level
High school or GED
