REMOTE Medicare Enrollment Specialist

TEKsystems; Santa Barbara (CA); Remote; USD 43,000 - 53,000; Full time

Benefits offered by this job

Medical insurance

Dental & vision

401(k) retirement plan

Paid time off

Short/long-term disability

HSA

Job summary

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.

Responsibilities

• 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.

Skills

Data entry accuracy

Time management

Communication

Attention to detail

CMS enrollment regulations

Education

High school diploma

Tools

Excel

Word

Outlook

Job description

Candidates must live in the following counties: Ventura County, Santa Barbara County, San Luis Obispo County, Monterey County or Santa Cruz County

Job Summary

The Medicare Enrollment Analyst I supports the daily enrollment operations of the health plan's (D-SNP) product line. This role is responsible for ensuring accurate, timely, and compliant member enrollment processing while delivering a high-quality member experience. The analyst collaborates cross-functionally with internal teams to maintain enrollment integrity and support operational excellence in accordance with CMS regulations and organizational standards.

Essential Duties & Responsibilities

Responsibilities include, but are not limited to:

• 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.

Required Skills & 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.

Preferred Experience

• Experience working with Medicare Advantage, D-SNP, or other government-sponsored health plan products.
• Knowledge of CMS enrollment guidelines and compliance requirements.
• Prior experience resolving enrollment discrepancies and eligibility issues within a health plan environment.

Job Type & Location

This is a Contract position based out of Santa Barbara, CA.

Pay And Benefits

The pay range for this position is $31.17 - $38.19/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical
• Dental & vision
• Critical Illness
• Accident
• Hospital 401(k) Retirement Plan
• Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Application Deadline

This position is anticipated to close on Nov 2, 2026.

Workplace Type

This is a fully remote position.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems And TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI)

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.