Remote MassHealth Enrollment Specialist (MA-based)

Pear VC; Boston (MA); On-site; USD 41,000 - 55,000; Part time

Benefits offered by this job

Spanish language bonus

Experience with safety-net health orgs

Remote Massachusetts-based role

Job summary

BridgeHealthAI is a startup building AI-powered enrollment tools to help MassHealth members maintain coverage. We’re seeking a MassHealth Enrollment Specialist to guide patients through applications and renewals, resolve eligibility issues, and partner with our product and operations teams to improve enrollment workflows.

You will own cases from start to finish, support mass health renewal campaigns, and help translate notices into understandable steps for patients, while exploring how AI can

Qualifications

• 3+ years of hands-on MassHealth enrollment, eligibility, or benefits experience.
• Knowledge of MassHealth rules, renewals, and Health Connector processes.
• Strong communication skills and ability to explain complex enrollment steps to patients.

Responsibilities

• Work one-on-one with MassHealth members by phone and video to complete applications and renewals, gather documents, respond to requests for information, and resolve eligibility issues.
• Own patient cases from start to finish rather than simply handing them off after one interaction.
• Support renewal campaigns across several of our community health center partners.
• Help patients understand confusing MassHealth and Health Connector notices and work with customer service on their behalf when needed.
• Keep health center teams in the loop and elevate the genuinely complicated cases.
• Spot patterns in where patients are getting stuck and bring those insights directly to our product team.
• Review patient outreach, scripts, and workflows and tell us when something doesn’t reflect how enrollment works in the real world.
• Help us build the playbook for how BridgeHealthAI delivers enrollment support as we grow.

Skills

MassHealth enrollment

Patient communication

Case management

Education

Massachusetts CAC certification

Tools

Epic

eClinicalWorks

athenahealth

Job description

BridgeHealthAI is a startup building AI-powered enrollment tools to help MassHealth members maintain coverage. We’re seeking a MassHealth Enrollment Specialist to guide patients through applications and renewals, resolve eligibility issues, and partner with our product and operations teams to improve enrollment workflows.

You will own cases from start to finish, support mass health renewal campaigns, and help translate notices into understandable steps for patients, while exploring how AI can