Remote Senior Enrollment & Eligibility Specialist

NTT DATA, Inc.; Dallas (TX); Remote; USD 42,000 - 60,000; Full time

Job summary

NTT DATA, Inc. seeks an HC & INSURANCE OPERATIONS SENIOR REP to join our team in a US Location – Permanent Remote setting.

You will oversee enrollment data integrity and support the Medicaid back office processes, coordinating with multiple departments to resolve issues and ensure timely processing. The role requires strong English communication skills, the ability to work shifts and perform data entry for enrollments, changes, and cancellations.

Qualifications

• Experience in eligibility/enrollment processing preferred.
• Strong written and verbal communication skills.
• Ability to work in a team and coordinate across departments.

Responsibilities

• Oversee data integrity of member enrollment records and remittance files from the state.
• Provide timely support for the eligibility load process and coordinate with departments to resolve issues.
• Research and correct errors in membership and physician data output.
• Generate internal reports and analysis as needed.
• Enter daily eligibility data for new enrollees, changes, and cancellations.
• Research member information to resolve problems and disputes.
• Maintain quality and production standards per client, state regulations, and policies.
• Complete queue volumes within specified turnaround time.

Skills

Teamwork

English proficiency

Communication

Client interaction

Shift availability

Tools

MS Office

Job description

NTT DATA, Inc. seeks an HC & INSURANCE OPERATIONS SENIOR REP to join our team in a US Location – Permanent Remote setting.

You will oversee enrollment data integrity and support the Medicaid back office processes, coordinating with multiple departments to resolve issues and ensure timely processing. The role requires strong English communication skills, the ability to work shifts and perform data entry for enrollments, changes, and cancellations.