Alignment Healthcare
Hybrid-Sr. Enrollment Representative (Orange, CA)
Orange, CA · Senior
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About the role
- Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail.
- We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.
- Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them.
Responsibilities
- Support monthly Medicaid eligibility reviews and Dual Eligible Special Needs Plan (D-SNP) membership reconciliations.
- Maintain accurate documentation and records in accordance with departmental and regulatory requirements.
- This role serves as a subject matter expert for enrollment processes, CMS regulations, and internal systems while providing guidance, training and operational support to the Enrollment team.
Requirements
- High school diploma or equivalent required.
- Minimum 2-3 years of experience in Medicare Advantage or managed care enrollment operations
- Demonstrated experience with CMS enrollment systems, including MARx processing and WIPRO submission workflows
- Hands-on experience with enrollment reconciliation, including DTRR review, MMR/TRR file management, and SNP eligibility verification
- Experience supporting D-SNP and C-SNP program reconciliation in a Medicare Advantage plan setting
Compensation
- $41,472.00 - $62,208.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Benefits
- In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community.
- Experience working in a healthcare, health plan, or insurance operations environment
Company info
- It takes an entire team of passionate and caring people, united in our mission to put the senior first.
- Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company.
This listing is sourced directly from Alignment Healthcare's careers page and normalized into a canonical job model.