Medicare Enrollment Manager

Job Summary

Leading a team of Enrollment/Eligibility Associates, the full-time remote Medicare Enrollment Manager will manage daily workflows, ensure compliance with CMS requirements, and oversee transaction processing for enrollments, disenrollments, and plan changes.

Key responsibilities

• Managing daily workflow and transaction inventory to ensure timely processing of enrollments and related activities within CMS and internal SLAs
• Monitoring CMS MARx submissions and resolving discrepancies to maintain accurate membership records
• Supervising and developing team members, including hiring, onboarding, and performance management, to achieve departmental KPIs

Required qualifications

• 4+ years in Medicare Advantage eligibility and enrollment operations, with at least 2 years in a supervisory role
• Working knowledge of CMS enrollment regulations for HMO, PPO, and SNP products
• Hands-on experience with CMS MARx transaction processing and membership reconciliation
• Bachelor's degree in Business, Health Administration, or a related field, or equivalent experience
• Ability to work remotely and support extended coverage during peak enrollment periods