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Corporate Functions & Operations WellCare - Membership Support Careers

Enrollment Specialist Job

Full Job Title: Enrollment Specialist

Job Number: 1805596

Location: Tampa, FL

Date Posted: 2018-08-07

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

Department: Health Services

Reports to: Dir, Field Care Management

Location: Waters Ave, Tampa, FL


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
      Languages:
      • Preferred Other Bilingual

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      Last Updated On: 12/9/2015