Commercial Enrollment Specialist II

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It says e.g., implying those are examples but we could use others? Safer to stick to those. So we need to fit work environment details into one of those sections. Perhaps under Schedule we can include full-time, remote, and work environment details. Or under About the role we could include company description but not work environment. Work environment details are about physical demands, etc. Could be placed under Schedule as well, but maybe better to put under Schedule? However schedule is about time, not physical demands. But we have no other heading. Could we create a "Working Conditions" heading? Not in examples but maybe allowed? The instruction says use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). The "e.g." suggests those are typical but not exhaustive; but to be safe, we could create a section like "Working Conditions" but risk deviating. Better to incorporate into Schedule or maybe under Responsibilities? Not appropriate. We could create a Schedule section that includes: Type of Employment: Full-time, permanent; Geographic Responsibility: Remote, US; Work environment details (physical demands, etc.). That seems okay. Now we need to ensure we don't include filler like "The physical demands described here are representative..." that's substantive; we keep. Now we need to remove boilerplate: lines about equal opportunity, accommodations, background check, HealthEdge reserves the right, etc. Also remove "Learn more at HealthEdge.com." maybe keep as part of overview but it's a link; could keep but it's not essential. Might be considered navigation? It's a call to action; but it's not boilerplate. I'd keep it as part of overview. Also remove "The above statements are intended to describe the general nature and level of the job being performed..." that's boilerplate; remove. Also remove "HealthEdge reserves the right to modify , add, or remove duties and to assign other duties as necessary." remove. Also remove "In addition, reasonable accommodations may be made..." remove. Also remove "Candidates may be required to go through a pre-employment criminal background check." remove. Also remove "HealthEdge is an equal opportunity employer..." remove. Also remove "The annual US base salary range for this position is $40,000 to $44,000 . This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education." We need to keep salary range but maybe we can keep just the range; the rest is filler? It says "This salary range may cover multiple career levels..." etc. That's extra detail but still substantive? It's about compensation details. Could keep but it's not required; we can keep the range and maybe the sentence about final compensation determined during interview process is also substantive. However instruction: do not emit filler/placeholder text like "commensurate with experience", "not specified", "N/A", "varies", "TBD". This is not filler; it's actual detail about compensation determination. So we can keep. But we need to avoid duplication. We'll keep a concise Pay section: maybe just the range and note about determination. Now we need to ensure we don't include any duplicate lines. Let's extract content. Overview paragraphs: - "HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com." - "At UST HealthProof, you will join a fast paced, growing company in our mission to reshape the future of health insurance through significantly reducing administrative costs and building better healthcare experiences for our health plans customers and their members. By creating a modern, cloud based, Best-In-Class core administration ecosystem, we have made healthcare more affordable and helped our health plans operate more efficiently. Through member and provider touchpoints with less friction, we have created real impact for members. UST HealthProof is run by leaders with strong health plan and technology backgrounds who have start-up mindsets and an environment of support where individual growth is nurtured. You will be supporting our proven core admin solutions and business process-as-a-service (BPaaS) operations to provide transparency, improve operational efficiency, and break down operational barriers to scale and drive strategic growth." Combine into About the role. Now responsibilities list: After "As an Enrollment Specialist II at UST HealthProof, this is your opportunity to" then list: - Be responsible for preparing, processing, and maintaining enrollment and disenrollment requests - Be responsible to verify and maintain all applicable eligibility requirements - Be responsible to review and process CMS transactions - Be responsible for reviewing Medicaid eligibility and completing verification processes - Be responsible to resolve enrollment system rejections based on regulatory and client specified guidelines - Be responsible to reconcile membership reports as required by CMS - Be accountable to attend and successfully complete the trainings scheduled by the client and employer - Mentor junior members of the team - Collaborate with other team members on special projects; special projects can include process documentation development, training, quality reviews for the client(s), or any other project as determined by management - Establish and maintain an appropriate level of communication with management to address issues and concerns and take preventive measures that ensure case accuracy and quality - Participate in projects as assigned by management - Perform other duties as assigned We need to keep each as

. Ensure we keep the semicolons etc. Now "You bring:" list: - High school degree required - 3-5 years of professional experience in processing Medicare enrollment transactions - A thorough understanding of Medicare Advantage products, CMS transaction files, and the corresponding enrollment-related guidelines; Medicaid enrollment experience a plus - Experience with CMS interfaces and systems for managing the Medicare Advantage enrollment and billing functions - Ability to analyse enrollment reconciliation data and report SLAs, KPIs, and other operations reports and present findings in a structured way - Willingness to learn - Team collaborator - Strong work ethic