Enrollment Professional 2
Core
Process Medicare member applications, maintain enrollment records, and ensure compliant data transmission to federal systems.
Role type
Senior IC Medicare Enrollment Specialist
Builds
Accurate member enrollment records and compliant data reports for federal systems
Domain
Healthcare / Medicare Administration
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Medicare enrollment operations, data analysis, discrepancy investigation, client support, regulatory compliance, report monitoring, process improvement, independent judgment, Microsoft Excel/Word
Preferred skills
Group Medicare enrollment, CRM/TSO systems, project management, consultative skills, Microsoft Access/PowerPoint
Technologies
CMS systems, CI, Microsoft Office Suite, AE, CRM, TSO
Responsibilities
Process member applications and complete enrollments on internal platforms; Review enrollment reports and make adjustments based on established rules; Manage daily mailbox and respond to enrollment requests; Collaborate with clients to implement new Medicare groups; Investigate discrepancies and coordinate corrective actions; Monitor reports to identify trends and system issues; Research operational problems and resolve issues with stakeholders; Apply guidelines while exercising independent judgment; Contribute to process improvements; Protect sensitive member information per privacy/security requirements
Seniority
Mid-Senior, hands-on IC