Provider Enrollment Specialist

Child Action; Rancho Cordova (CA); On-site; USD 33,000 - 40,000; Full time

Benefits offered by this job

Cafeteria benefits

401(k) plan

Life insurance

Paid holidays

Paid vacation

Job summary

Sacramento Native American Health Center, Inc is seeking a Provider Enrollment Specialist to conduct eligibility determinations, screenings, and enrollments for child care subsidy programs under supervision. You will ensure initial eligibility aligns with CDSS, CCDBG, and agency policies and onboard providers into subsidy programs.

Responsibilities include entering data in CATS and Salesforce, communicating requirements to providers, collaborating with Case Management and Payments, maintaining

Qualifications

• High School diploma or equivalent.
• One (1) year of customer service, administrative, or eligibility related experience.
• Two (2) years of enrollment, eligibility, or child care subsidy experience.
• Demonstrated ability to manage enrollment workflows independently.
• Associate’s or Bachelor’s degree in Social Work, Human Services, Child Development, or a related field may substitute for required experience.
• Three (3) or more years of enrollment, eligibility, or child care subsidy experience.

Responsibilities

• Conduct eligibility screenings, enrollments, and initial assessments for child care subsidy programs.
• Interview providers and verify documentation related to license status, health and safety, TrustLine, and other eligibility factors.
• Apply CDSS, CCDBG, and Child Action policies to determine program eligibility.
• Enter and maintain enrollment data in CATS, Salesforce, and related systems.
• Communicate program requirements, provider responsibilities, and next steps clearly to providers.
• Coordinate with Case Management, Payments, and external partners to ensure smooth case transitions.
• Maintain confidentiality and apply culturally responsive, family-centered service practices.
• Participate in Worker-of-the-Day coverage, meetings, trainings, and assigned projects.

Skills

Subsidy regulations

Microsoft Office

Case management systems

Analytical skills

Organizational skills

Time management

Communication skills

Confidentiality

Diversity experience

Education

High School diploma or equivalent

Associate/Bachelor’s in Social Work or related field may substitute

1 year customer service or eligibility experience

3+ years enrollment/eligibility experience

Tools

CATS

Job description

• Location 10540 White Rock Rd Ste 180,Rancho Cordova, CA, 95670,United States
• Base Pay $24.18 - $29.01 / Hour
• Job Category CARE
• Employee Type FT Non-Exempt
• Required Degree 2 Year Degree
• Manage Others No

Contact information

Description

Child Action is a private, non-profit corporation created in 1976 to promote the education and social welfare of children and families and to advocate on their behalf. Our programs include resource and referral services for families seeking child care, child care subsidies for qualifying families, recruitment and professional development of the child care workforce, and family education and support.

We are seeking individuals who are highly organized, have the ability to multi-task, provide excellent customer service, have good problem-solving skills, and have the ability to understand the challenges facing families from a variety of ethnic and economic communities.

Please note that completing the job application is a mandatory requirement for this position.

Under the general supervision of the Program Supervisor – Enrollment, the Provider Enrollment Specialist is responsible for conducting eligibility determinations, screenings, and enrollments for providers seeking to provide child care services through our programs. This role ensures that initial eligibility is accurately established in compliance with federal, state, and agency regulations, and that providers are successfully onboarded into subsidy programs with a clear understanding of requirements and expectations.

Typical Duties:

Conduct eligibility screenings, enrollments, and initial assessments for child care subsidy programs.

Interview providers and verify documentation related to license status, health and safety, TrustLine, and other eligibility factors.

Apply CDSS, CCDBG, and Child Action policies to determine program eligibility.

Enter and maintain accurate enrollment data and documentation in CATS, Salesforce, and related systems.

Communicate program requirements, provider responsibilities, and next steps clearly to providers.

Coordinate with Case Management, Payments, and external partners to ensure smooth case transitions.

Maintain confidentiality and apply culturally responsive, family-centered service practices.

• Participate in Worker-of-the-Day coverage, meetings, trainings, and assigned projects.
• Ensure enrollment activities comply with CDSS, CCDBG, and Child Action policies.
• Identify and elevate compliance risks or recurring enrollment errors.
• Support fraud prevention efforts through accurate verification and documentation.

Maintain accurate and timely enrollment records in CATS, Salesforce, and related systems.

Monitor enrollment activity and deadlines using reports and tracking tools.

Assist with system testing or implementation of new enrollment processes, as assigned.

Duties when assigned to Tier I include:

Perform routine non-licensed provider eligibility screenings and enrollments under supervision.

Review submitted documentation for completeness and accuracy.

Enter enrollment data and create case files in accordance with agency standards.

Identify missing or unclear information and initiate appropriate follow-up.

Escalate complex eligibility or compliance questions to higher-level staff.

Duties when assigned to Tier II include:

Independently conduct routine and moderately complex enrollments.

Perform routine licensed provider eligibility screenings and enrollments under supervision, including rate sheet interpretation and development.

Resolve documentation discrepancies and eligibility questions within assigned authority.

Support Tier I staff by answering process-related questions and reinforcing best practices.

Monitor enrollment timelines and workload distribution to meet required deadlines.

Collaborate with Case Management to ensure continuity of care following enrollment.

Duties when assigned to Tier III include:

Conduct complex or high-risk eligibility determinations requiring advanced analysis.

Perform quality assurance reviews of enrollment work to identify error trends or training needs.

Provide mentoring, shadowing, and technical guidance to Enrollment Specialists.

Assist Enrollment leadership with workflow coordination, training support, and policy implementation.

Support audit preparation, corrective actions, and process improvement initiatives.

Education & Experience:

• High School diploma or equivalent
• One (1) year of customer service, administrative, or eligibility related experience.
• Two (2) years of enrollment, eligibility, or child care subsidy experience.
• Demonstrated ability to manage enrollment workflows independently.
• Associate’s or Bachelor’s degree in Social Work, Human Services, Child Development, or a related field may substitute for required experience
• Three (3) or more years of enrollment, eligibility, or child care subsidy experience.
• Demonstrated proficiency with complex eligibility determination and quality.
• Associate’s or Bachelor’s degree in Social Work, Human Services, Child Development, or a related field may substitute for required experience

Qualifications, Knowledge, Abilities:

• Knowledge of child care subsidy regulations and eligibility requirements.
• Proficiency with Microsoft Office and case management systems (e.g., CATS).
• Strong analytical, organizational, and time management skills.
• Ability to work shifts as assigned.
• Ability to exercise sound judgment and maintain confidentiality.
• Ability to work independently and collaboratively in a high-volume environment.
• Strong data entry and record-keeping skills with a high level of accuracy.
• Ability to analyze and interpret program guidelines, regulations, and eligibility criteria.
• Excellent verbal and written communication skills.
• Ability to explain complex policies clearly, empathetically, and professionally.
• Strong problem-solving and conflict-resolution abilities.
• Experience working with families from diverse cultural, ethnic, and economic backgrounds.

Physical Factors:

• Works in an office setting. Work is primarily sedentary and requires light physical effort; may require greater physical effort on an incidental basis
• Possess visual capability and digital dexterity to operate a computer and other standard office equipment
• Make fine visual distinctions upon proofreading written documents and viewing information on a computer screen
• Should be able to bend to access files and be able to lift up to 10 lbs. of files +
• Eligible to work overtime.

FLSA Status: Non-Exempt

Closing Date: November 10, 2026

Hours: Must be able to work full-time, 40.0 hours per week (8.0 hours a day), Monday through Friday. All employees must be able to work additional overtime and weekend hours as required.

Benefits: Cafeteria package for group medical, dental, dependent care reimbursement, and/or out-of-pocket health expenses; 12 holidays; 15 vacation days; 12 health leave days; life insurance; long-term disability insurance; employee assistance program; and 401(k) retirement plan

*Child Action is an Equal Opportunity employer and considers qualified applicants without regard to race, color, creed, religion, ancestry, national origin, sex, sexual orientation, gender identity, age, disability, veteran status or any other protected factor under federal, state or local law.