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Enrollment Professional 2

Humana
Posted 7 hours ago
United StatesRemote$58.7K–$70.4KHealthcare/Clinical
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Become a part of our caring community The Enrollment Professional 2 processes applications from members, enrolls them on company platforms, and transmits enrollment to Center for Medicare and Medicaid Services. The Enrollment Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Enrollment Professional 2 reviews reports and submits adjustments, additions, and deletions based on enrollment rules. Manage a daily mailbox. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Interact with both internal and external customers on a regular basis to implement new Medicare clients and provide ongoing enrollment support to meet the clients' enrollment and reporting needs after implementation Ensure enrollment information is processed timely, accurately and in compliance with CMS guidelines Provide enrollment data to clients to ensure all member data is kept in synch and all data discrepancies are resolved Monitor numerous reports to analyze enrollment data and identify process gaps/system issues, and work with the appropriate parties to resolve any issues/process gaps in a timely manner Use your skills to make an impact Required Qualifications 3 or more years of Medicare enrollment and/or customer service experience Demonstrated ability to analyze information, research problems, and determine and implement solutions Working knowledge of CI Excellent verbal and written communication skills Creative, innovative problem-solving skills Positive attitude/able to work in a team environment Organizational and multi-tasking skills Flexibility - ability to handle changing priorities and work under pressure to meet deadlines Comprehensive knowledge of Microsoft Word and Excel Preferred Qualifications Group Medicare enrollment and/or customer service experience Knowledge of Medicare compliance guidelines Bachelor's degree AE/CRM/TSO experience Microsoft Access and PowerPoint Progressive experience managing small to mid-scale projects Consultative skills which include ability to assess, understand the consumer and make recommendations Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $58,700 - $70,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 09-25-2026 About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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