ANALYST, ENROLLMENT

Molina Healthcare; Chicago (IL); On-site; USD 25,000 - 54,000; Full time

Job summary

Molina Healthcare is seeking an Enrollment Analyst to support member enrollment activities, maintain records, and provide customer service to members, providers, and employer groups. The role involves handling enrollment exceptions, preparing reports, and coordinating with state agencies across multiple states.

Responsibilities include tracking exceptions, researching discrepancies in state payments, forecasting enrollment trends, and assisting with SOX audit data submissions while ensuring

Qualifications

• At least 2 years of experience in health care, and/or customer/provider services experience, or equivalent combination of relevant education and experience.
• Proficiency in data analysis tools and techniques.
• Customer service experience.
• Data processing and proofing experience.
• Attention to detail, organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Ability to maintain confidentiality and comply with HIPAA.
• Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software programs proficiency.

Responsibilities

• Facilitates the daily process of member exceptions from state eligibility files and takes appropriate action to ensure members are properly enrolled.
• Tracks and follows-up on any exceptions with revenue amounts expected from state(s) and maximizes recovery.
• Researches discrepancies from state payments in order to ensure accurate payment to health plan(s).
• Compiles and reviews all reports and historical trends, and forecasts future enrollment activities.
• Prepares daily performance reports, summarizing KPIs related to enrollment statistics.
• Facilitates and coordinates meeting materials with health plan compliance departments and operations leadership for multiple states.
• Demonstrates subject matter expertise in enrollment processes for multiple states.
• Assists with projects as assigned by leadership related to trend analysis, inventory, or other enrollment-related areas.
• Facilitates quality reviews and submission of deliverables to the government contracts team and state Medicaid agencies.
• Tracks all contractual-related enrollment tasks to completion.
• Monitors inventory analysis provided by third party vendors for accuracy and explanation.
• Records and publishes enrollment events on SharePoint that are available for department and third-party vendor use.
• Assists leadership with preparation of submission of Sarbanes-Oxley (SOX) audit data to internal and external auditors.
• Assists with complex enrollment issues concerning member eligibility.

Skills

Data analysis

Customer service

Data processing

Attention to detail

Verbal and written communication

HIPAA compliance knowledge

Tools

Microsoft Office

Job description

Job Summary

Provides analyst support for member enrollment activities including preparation, processing and maintenance of new members and reenrollment. Processes and maintains health plan member and enrollment records, employer monthly reports and sends membership cards and materials accordingly. Provides customer service to plan members, providers, and employer groups by answering benefit questions, verifying enrollment status, researching and resolving enrollment system rejections and issues and providing support to caller.

Essential Job Duties

• Facilitates the daily process of member exceptions from state eligibility files and takes appropriate action to ensure members are properly enrolled.
• Tracks and follows-up on any exceptions with revenue amounts expected from state(s) and maximizes recovery.
• Researches discrepancies from state payments in order to ensure accurate payment to health plan(s).
• Compiles and reviews all reports and historical trends, and forecasts future enrollment activities.
• Prepares daily performance reports, summarizing key performance indicators (KPIs) related to enrollment statistics.
• Facilitates and coordinates meeting materials with health plan compliance departments and operations leadership for multiple states.
• Demonstrates subject matter expertise in enrollment processes for multiple states.
• Assists with projects as assigned by leadership related to trend analysis, inventory, or other enrollment-related areas.
• Facilitates quality reviews and submission of deliverables to the government contracts team and state Medicaid agencies.
• Tracks all contractual-related enrollment tasks to completion.
• Monitors inventory analysis provided by third party vendors for accuracy and explanation.
• Records and publishes enrollment events on SharePoint that are available for department and third-party vendor use.
• Assists leadership with preparation of submission of Sarbanes-Oxley (SOX) audit data to internal and external auditors.
• Assists with complex enrollment issues concerning member eligibility.

Required Qualifications

• At least 2 years of experience in health care, and/or customer/provider services experience, or equivalent combination of relevant education and experience.
• Proficiency in data analysis tools and techniques.
• Customer service experience.
• Data processing and proofing experience.
• Attention to detail, organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
• Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

• Health care industry experience, with emphasis on enrollment and member billing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $17.85 - $38.69 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Remote positions are U.S.-based only. Candidates must reside and be authorized to work in the United States. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type

Full Time

Posting Date

09/14/2026