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Core Responsibilities:
- Manage member enrollment and disenrollment transactions while ensuring CMS and regulatory compliance.
- Resolve enrollment discrepancies and system rejections, and maintain accurate case documentation for CMS contractors.
- Reconcile membership reports, analyze data, and present findings on SLAs and KPIs.
Required Qualifications:
- High school diploma with 3-5 years of Medicare enrollment experience.
- Strong understanding of Medicare Advantage products, CMS transaction files, and eligibility rules.
- Excellent analytical, problem-solving, and communication skills for remote collaboration.
Benefits & Perks:
- Annual salary of $40,000–$44,000 with fully remote work in the US.
- Opportunity to develop expertise and mentor junior colleagues.
- Healthcare coverage, retirement benefits, and paid time off available.
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