Remote Medicare Enrollment Analyst I

TEKsystems; Santa Barbara (CA); À distance; USD 43 000 - 53 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Dental & vision

401(k) retirement plan

Paid time off

Short/long-term disability

HSA

Résumé du poste

TEKsystems, a leading staffing and solutions provider, is seeking an Enrollment Analyst I in California. This contract role supports health plan enrollment operations for a D-SNP product, ensuring accurate, timely processing and a high-quality member experience.

You will work cross-functionally to maintain enrollment integrity, address inquiries, and drive process improvements while meeting CMS requirements and service levels.

Qualifications

• High school diploma or equivalent required.
• Minimum of one (1) year of experience in health plan operations, with a focus on enrollment processing.
• Knowledge of health plan enrollment processes and membership administration.
• Strong data entry skills with a high level of accuracy and attention to detail.
• Experience working with Microsoft Office applications, including Excel, Word, and Outlook.
• Ability to manage multiple priorities in a fast-paced environment while meeting deadlines.
• Strong organizational, problem-solving, and communication skills.
• Familiarity with CMS enrollment regulations and Medicare enrollment processes preferred.

Responsabilités

• Manage returned mail and update member records as needed to maintain accurate demographic information.
• Process member demographic changes and enrollment updates in a timely and accurate manner.
• Review, investigate, and resolve enrollment fallout queues to ensure compliance with CMS guidelines and internal policies.
• Maintain accurate enrollment records and ensure data integrity across systems.
• Partner with the Sales team to obtain missing application information and assist in resolving enrollment-related issues.
• Collaborate with Customer Service to address member eligibility and enrollment inquiries.
• Monitor enrollment processes for potential system, data, or quality concerns and escal
• Support departmental goals by ensuring enrollment transactions are completed accurately and within established service level agreements.
• Contribute to continuous improvement initiatives that enhance enrollment operations and member experience.

Connaissances

Data entry accuracy

Time management

Communication

Attention to detail

CMS enrollment regulations

Formation

High school diploma

Outils

Excel

Word

Outlook

Description du poste

TEKsystems, a leading staffing and solutions provider, is seeking an Enrollment Analyst I in California. This contract role supports health plan enrollment operations for a D-SNP product, ensuring accurate, timely processing and a high-quality member experience.

You will work cross-functionally to maintain enrollment integrity, address inquiries, and drive process improvements while meeting CMS requirements and service levels.