Remote Medicare Enrollment Analyst I

TEKsystems; United States; Remote; USD 89,315,000 - 109,430,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) retirement plan with pre-tax &R

Life Insurance (Voluntary)

Job summary

TEKsystems is seeking an Medicare Enrollment Analyst I to support daily enrollment operations for CenCal Health's D-SNP product line. The role ensures accurate, timely enrollment processing and a high-quality member experience, collaborating with cross-functional teams to uphold CMS regulations.

The position requires at least 1 year in health plan operations with enrollment focus, strong data entry, and MS Office skills.

Qualifications

• High school diploma or equivalent.
• 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.
• 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.

Responsibilities

• Manage returned mail and update member records to maintain accurate demographic information.
• Process member demographic changes and enrollment updates accurately and timely.
• Review, investigate, and resolve enrollment fallout queues to ensure CMS compliance.
• Maintain accurate enrollment records and ensure data integrity across systems.
• Partner with Sales to obtain missing application information and resolve enrollment-related issues.
• Collaborate with Customer Service to address member eligibility and enrollment inquiries.
• Monitor enrollment processes for data or quality concerns and elevate issues as needed.
• Support enrollment transactions to meet service level agreements.
• Contribute to continuous improvement initiatives to enhance enrollment operations and member experience.

Skills

Health plan operations

Enrollment processing

CMS enrollment regulations

Data entry accuracy

MS Office (Excel, Word, Outlook)

Education

High school diploma

Tools

Microsoft Office

Excel

Word

Outlook

Job description

TEKsystems is seeking an Medicare Enrollment Analyst I to support daily enrollment operations for CenCal Health's D-SNP product line. The role ensures accurate, timely enrollment processing and a high-quality member experience, collaborating with cross-functional teams to uphold CMS regulations.

The position requires at least 1 year in health plan operations with enrollment focus, strong data entry, and MS Office skills.