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Enrollment Specialist

About the Company

We are a leading healthcare technology and business services organization dedicated to simplifying healthcare administration through innovative digital solutions, intelligent automation, and exceptional customer experiences. Serving health plans, healthcare providers, government programs, and employer-sponsored organizations nationwide, we manage millions of enrollment transactions annually while maintaining the highest standards of accuracy, compliance, and service excellence.

Our mission is to improve access to healthcare by delivering seamless enrollment experiences for members, clients, and business partners. As healthcare continues to evolve, we are investing in advanced technology, operational excellence, and customer-focused solutions that improve efficiency while ensuring regulatory compliance and data integrity.

We are seeking a detail-oriented Enrollment Specialist to support enrollment operations, eligibility verification, membership processing, and customer account management. This role serves as a key contributor to ensuring enrollment information is processed accurately, efficiently, and in accordance with federal regulations, client requirements, and internal quality standards.

The Enrollment Specialist will work closely with Member Services, Customer Success, Claims Administration, Compliance, Information Technology, Human Resources, and Operations teams to resolve enrollment issues, maintain accurate records, and deliver outstanding support throughout the enrollment lifecycle.

This opportunity is ideal for professionals who enjoy working with data, solving customer challenges, and contributing to operational excellence within a fast-paced healthcare environment.


Essential Duties and Responsibilities

  • Process new enrollments, eligibility updates, coverage changes, and member terminations with a high degree of accuracy.
  • Review enrollment documentation to verify completeness and regulatory compliance.
  • Validate member eligibility using internal systems and third-party databases.
  • Resolve enrollment discrepancies through research, documentation review, and cross-functional collaboration.
  • Maintain accurate electronic member records while ensuring data integrity.
  • Respond to inquiries from members, clients, providers, and internal departments regarding enrollment status.
  • Coordinate with Customer Service and Operations teams to resolve complex enrollment issues.
  • Monitor enrollment processing timelines to ensure service-level agreement (SLA) compliance.
  • Prepare enrollment reports, quality metrics, and operational summaries.
  • Support audits by maintaining complete documentation and accurate processing records.
  • Assist with process improvement initiatives that enhance enrollment efficiency and customer satisfaction.
  • Maintain confidentiality while handling sensitive personal and healthcare information.
  • Stay current on enrollment regulations, healthcare policies, and organizational procedures.
  • Participate in ongoing training and quality assurance programs.

Job Qualifications and Requirements

  • Bachelor’s degree in Business Administration, Healthcare Administration, Public Health, or a related discipline preferred.
  • Minimum of 3 years of experience in enrollment operations, healthcare administration, customer service, insurance, or benefits administration.
  • Experience working with healthcare enrollment platforms, CRM systems, or enterprise business applications.
  • Strong knowledge of eligibility verification, enrollment workflows, and documentation standards.
  • Excellent organizational skills with exceptional attention to detail.
  • Strong written and verbal communication abilities.
  • Proficiency with Microsoft Office Suite and data management systems.
  • Ability to manage multiple priorities while meeting established processing deadlines.
  • Experience with HIPAA compliance and healthcare privacy regulations is highly preferred.

Personal Capabilities and Qualifications

The successful Enrollment Specialist demonstrates accuracy, professionalism, and a strong commitment to customer service. They work effectively in collaborative environments while maintaining attention to detail and ensuring every enrollment transaction meets quality and compliance standards.

Ideal candidates possess:

  • Strong analytical and organizational abilities.
  • Excellent customer service and communication skills.
  • Close attention to detail and accuracy.
  • Effective problem-solving and decision-making capabilities.
  • Strong time management and multitasking skills.
  • Professional integrity and confidentiality.
  • Adaptability in fast-paced operational environments.
  • Team-oriented mindset with excellent interpersonal skills.
  • Commitment to quality and continuous improvement.
  • Customer-focused approach to service delivery.

Strategic Support

As a member of the Enrollment Operations organization, the Enrollment Specialist provides strategic support by:

  • Ensuring accurate and timely enrollment processing.
  • Improving member satisfaction through exceptional service.
  • Supporting regulatory compliance and audit readiness.
  • Strengthening data quality and operational accuracy.
  • Collaborating across departments to improve workflow efficiency.
  • Supporting automation and digital transformation initiatives.
  • Enhancing operational performance through continuous process improvement.
  • Contributing to organizational growth by delivering reliable enrollment services.

Working Conditions

  • Fully Remote position within the United States.
  • Standard business hours supporting multiple U.S. time zones.
  • Company-provided laptop, secure remote access, and home office technology support.
  • Collaborative, customer-focused environment emphasizing operational excellence and continuous improvement.
  • Occasional participation in training sessions, operational meetings, and quality improvement initiatives.

Job Function

The Enrollment Specialist is responsible for managing enrollment processes, verifying eligibility, maintaining accurate member records, and ensuring compliance with healthcare regulations and organizational standards. This role collaborates with operations, customer service, compliance, and technology teams to deliver efficient enrollment services while supporting exceptional member experiences. Success is measured through processing accuracy, quality performance, regulatory compliance, operational efficiency, and customer satisfaction.


Compensation & Benefits

Compensation Package

Base Salary: $180,000 – $245,000 USD annually

Compensation is determined based on healthcare administration experience, enrollment expertise, operational performance, geographic location, and overall qualifications.

Eligible employees may also receive:

  • Annual Performance Bonus
  • 401(k) with Company Match
  • Comprehensive Medical, Dental, and Vision Insurance
  • Flexible Paid Time Off
  • Paid Company Holidays
  • Paid Parental and Family Leave
  • Professional Development and Certification Reimbursement
  • Tuition Assistance
  • Home Office and Technology Stipend
  • Employee Assistance Program (EAP)
  • Wellness and Mental Health Benefits
  • Life and Disability Insurance
  • Career Advancement and Leadership Development Opportunities

Why Join Us

Every successful healthcare experience begins with accurate enrollment and exceptional service. As an Enrollment Specialist, you’ll play a meaningful role in helping individuals gain access to the coverage and services they need while supporting operational excellence across a growing healthcare technology organization.

You’ll work alongside dedicated professionals in an environment that values collaboration, innovation, and continuous learning. Through advanced technology, supportive leadership, and meaningful career development opportunities, you’ll have the chance to make a lasting impact while building a rewarding career in healthcare operations.

If you’re passionate about delivering exceptional service, maintaining operational excellence, and helping improve access to quality healthcare, we encourage you to apply and join our Enrollment Operations team.