Enrollment Specialist

About the role

We're hiring 4 Health Plan Enrollment Representatives to support a large-scale enrollment operations project with one of Northern California's most respected and recognized healthcare organizations.

Responsibilities

• Process new enrollments, terminations, eligibility updates, and PCP changes
• Verify member eligibility and resolve enrollment discrepancies
• Review and maintain demographic and enrollment data within enrollment systems
• Process retroactive eligibility changes and enrollment corrections
• Generate member correspondence and process duplicate ID card requests
• Review enrollment submissions for accuracy and completeness
• Collaborate with brokers, vendors, Member Services, and internal departments to resolve enrollment issues
• Support enrollment audits, data validation activities, and compliance initiatives
• Assist with open enrollment and annual enrollment readiness activities

Requirements

• High School Diploma or equivalent
• At least 1 year of recent experience in health plan enrollment, eligibility, insurance operations, healthcare administration, or related healthcare support functions
• Proficiency with Microsoft Office Suite, including Excel, Word, and PowerPoint
• Experience with data entry, database management, file uploads, and data validation
• Strong understanding of confidentiality requirements and handling protected health information (PHI)
• Excellent communication and problem-solving skills

Qualifications

• Knowledge of health insurance enrollment and eligibility practices
• Familiarity with managed care, payer operations, reimbursement models, and regulatory requirements
• Experience with Microsoft Access, SQL Server, or enrollment file layouts
• Strong analytical, organizational, and time management skills
• Experience supporting open enrollment or annual enrollment activities

Skills

Not specified

Benefits

Not specified

Pay

The pay range for this position is $25.00 - $25.00/hr.

Schedule

Full-Time | Monday-Friday | 8:00 AM-5:00 PM

Project Length

52 Weeks, room for extension!

Start Date

July 27, 2026

Job Type & Location

This is a Contract position based out of Sacramento, CA.

Requirements

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment.

Benefits

If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Sacramento, CA.

Application Deadline

This position is anticipated to close on Jul 14, 2026.