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Corporate Functions & Operations WellCare - Membership Support Careers

Enrollment Specialist - Senior Job

Full Job Title: Enrollment Specialist, Sr

Job Number: 1804042

Location: Tampa, FL

Date Posted: 6-12-2018

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

Essential Functions:
  • Processes more complex enrollment related transactions from various different data sources.
  • Researches and resolves financial membership and payment discrepancies. Identifies user errors and provides real-time feedback to associates.
  • Serves as a subject matter expert and acts as a first line of contact for complex member issues received from various different sources.
  • Performs detailed root cause analysis to determine core issues related to member complaints and system errors to resolution.
  • Summarizes issues and recommendations for IT, Customer Service, and other areas, as appropriate, to perform corrective and preventative actions.
  • Maintains data within various tracking tools related to outcome of research of various issues.
  • Conducts phone interactions with members and may outreach to regulatory agencies.
  • Read, understand and apply State and Federal Guidance to daily activities.
  • Adhere to productivity, quality and compliance expectations.
  • Provides support and guidance to Enrollment Specialists, analyzing and resolving member escalated issues.
  • Works with the manager/supervisor to maintain daily workflow within the department to maximize productivity.
  • Identifies issue trends and opportunities and assists on implementation.
  • Performs other duties as assigned.
Additional Responsibilities:Candidate Education:
  • Required A High School or GED
  • Preferred An Associate's Degree in a related field
Candidate Experience:
  • Required Other Internal candidates: 18 months of experience with WellCare in a related field
  • Required Other External candidates: An associates degree plus 1 year in a related field or 3 years experience in a related field without an associates degree
Candidate Skills:
  • Intermediate Ability to effectively present information and respond to questions from peers and management Critical thinker
  • Intermediate Ability to work as part of a team
  • Intermediate Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
  • Intermediate Ability to work in a fast paced environment with changing priorities
  • Beginner Demonstrated written communication skills
Licenses and Certifications:
A license in one of the following is required:
Technical Skills:
  • Required Intermediate Microsoft Outlook
  • Required Intermediate Microsoft Word
  • Required Intermediate Microsoft Excel
  • Preferred Other Bilingual

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Last Updated On: 12/9/2015