Enrollment Specialist

Position is responsible for performing duties related to enrolling, dis-enrolling, and maintaining membership files.

Essential Functions:
  • Processes enrollment related transactions from various data sources.
  • Researches and resolves member issues received from various different sources.
  • Performs root cause analysis to determine issues related to member complaints and system errors.
  • Maintains data within various tracking tools related to outcome of research of various issues.
  • Ad-hoc phone interactions with members related to issue resolution (if needed).
  • Read, understand and apply State and Federal Guidance to daily activities
  • Adhere to productivity, quality and compliance expectations.
  • Identifies issue trends and opportunities for improvement.
  • Performs other duties as assigned.
Additional Responsibilities:
    Candidate Education:
    • Required A High School or GED
    • Preferred An Associate's Degree in a related field will be considered in lieu of work experience
    Candidate Experience:
    • Required 1 year of experience in related field
    Candidate Skills:
    • Intermediate Ability to work as part of a team
    • Intermediate Ability to work in a fast paced environment with changing priorities
    • Intermediate Other Ability to communicate effectively and comprehend state and federal guidelines
    • Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
    Licenses and Certifications:
    A license in one of the following is required:
      Technical Skills:
      • Required Intermediate Microsoft Excel
      • Required Intermediate Microsoft Word
      • Required Intermediate Microsoft Outlook
      • Preferred Other Bilingual

      About us
      Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.