Job Directory Enrollment Specialist

Enrollment Specialist
Cambridge, MA

Companies like
are looking for tech talent like you.

On Hired, employers apply to you with up-front salaries.
Sign up to start matching for free.


Job Description

This position is responsible for processing, data entry and file maintenance of enrollment, assessment and dis-enrollment documentation for strategic business unit (SBU) operations.

* Effectively supports Magellan's SBU program operations ensuring that data is entered accurately and timely as required by contract service level agreements.
* Communicates with appropriate contacts on eligibility issues and questions.
* Answers incoming calls on eligibility, program benefits, plan limitations and point of sale edits from providers.
* Proficient use of enrollment and claims point of sale for research and problem resolution.
* Assists in data collection and reporting.
* Completes bi-weekly checkwrite production for provider payment in the accounts payable system, reporting all operational issues and assisting with system issues.
* Assists with quality monitoring and provides constructive feedback.
* Reviews production reports, identifies issues and recommends resolutions.
* Continually seeks to improve processes and increase efficiencies.
* Assists in data collection and reporting.
* Other special projects as required by management.

General Job Information





Job Family

Customer Service Group


United States of America

FLSA Status

United States of America (Non-Exempt)

Recruiting Start Date


Date Requisition Created


Minimum Qualifications



License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements


* Must be a team player, flexible, organized and able to manage multiple tasks.
* Possess strong verbal and written communication skills.
* Possess interpersonal skills such as initiative, resourcefulness and integrity.
* Ability to interact with internal and external clients with confidence, assertiveness and a pleasant demeanor.
* Strong computer skills and working knowledge of Microsoft Office Suite.
* Ability and willingness to learn other proprietary computer systems quickly and efficiently.
* Experience in health care, managed care or pharmacy management preferred.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled

Let your dream job find you.

Sign up to start matching with top companies. It’s fast and free.