Enrollment Specialist I

UPMC•Pittsburgh, PA

5h•$21•Hybrid

About The Position

Are you someone who thrives in a fast‑paced environment, enjoys solving problems, and takes pride in getting the details right? As an Enrollment Specialist I, you’ll play a meaningful role in helping our members access the care and coverage they need — all while growing your career in a supportive, team‑oriented environment. This is more than just processing data. You’ll navigate multiple systems, make confident decisions based on regulatory guidelines, and ensure every enrollment and disenrollment is completed accurately and compliantly. If you’re motivated by precision, enjoy structured work, and want to be part of a team that values growth from within, this is a great fit. This position is remote, and you’ll be equipped with UPMC‑provided technology (laptop/PC, dual monitors, phone) to ensure you can work successfully from home.

Requirements

High school graduate or equivalent required.
Minimum of six months of customer service and/or call center experience.
Ability to interpret and apply complex eligibility regulations as mandated by CMS, DPW, and PID. Demonstrates good organizational, interpersonal, leadership and communication skills.
Attention to detail is critical to the success of this position, with skills in customer orientation.
Will need to manage multiple tasks and projects. MS Office/PC skills required.

Responsibilities

Accurately processing enrollment and disenrollment transactions across multiple products (HMO, PPO, EPO, SNP, PDP, etc.) while meeting production and quality goals.
Reviewing and applying CMS, DPW, and PID regulations to determine eligibility and identify appropriate election periods.
Generating required letters and written communications to ensure compliant completion of enrollment activities.
Responding to internal and external inquiries with professionalism, clarity, and a customer‑first mindset.
Making scripted outreach calls when additional information is needed to complete a member’s request.
Maintaining strict confidentiality and adhering to all regulatory and departmental policies.
Identifying trends or issues that could impact compliance or member satisfaction and escalating them as needed.
Completing daily clerical duties related to correspondence and electronic records.
Supporting team projects and contributing to process improvements.