Site: Mass General Brigham Health Plan Holding Company, Inc.

 

At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.

At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.

 

This is a remote role that can be done from most US states.

 

Job Summary

Responsible for processing and managing member enrollments, ensuring accuracy and adherence to regulatory requirements.

Does this position require Patient Care? No

 

Qualifications

Essential Functions

Process new member enrollments, ensuring all required documents are accurately completed and submitted. Accurately enter member enrollment data into the enrollment system or database. Maintain comprehensive and up-to-date records of all member enrollment activities and communications. Respond to member inquiries and concerns regarding the enrollment process, benefits, and coverage. Ensure compliance with all applicable regulations, policies, and procedures related to member enrollment. Collaborate with cross-functional teams, such as customer service, claims, and finance, to ensure a seamless member enrollment experience.Assist in training and mentoring new Member Enrollment Representatives, providing guidance on enrollment procedures and best practices. 

 

Additional Job Details (if applicable)

Education

High School Diploma or Equivalent required and Associate's Degree Related Field of Study preferred

Can this role accept experience in lieu of a degree?
No


Experience

At lest 2-3 years of experience in member enrollment or a related administrative role in the healthcare or insurance industry required

Knowledge, Skills and Abilities

Solid understanding of member enrollment processes, regulations, and compliance requirements.Proficiency in data entry and knowledge of relevant computer applications and software.Excellent attention to detail and accuracy in handling sensitive member information.Strong organizational and time management skills to prioritize tasks and meet enrollment deadlines.Exceptional customer service and communication skills, both written and verbal.Ability to handle complex enrollment issues and resolve member inquiries effectively.

Physical Requirements

Standing Frequently (34-66%)Walking Frequently (34-66%)Sitting Occasionally (3-33%)Lifting Frequently (34-66%) 35lbs+ (w/assisted device)Carrying Frequently (34-66%) 20lbs - 35lbsPushing Occasionally (3-33%)Pulling Occasionally (3-33%)Climbing Rarely (Less than 2%)Balancing Frequently (34-66%)Stooping Occasionally (3-33%)Kneeling Occasionally (3-33%)Crouching Occasionally (3-33%)Crawling Rarely (Less than 2%)Reaching Frequently (34-66%)Gross Manipulation (Handling) Frequently (34-66%)Fine Manipulation (Fingering) Frequently (34-66%)Feeling Constantly (67-100%)Foot Use Rarely (Less than 2%)Vision - Far Constantly (67-100%)Vision - Near Constantly (67-100%)Talking Constantly (67-100%)Hearing Constantly (67-100%)

 

Remote Type

Remote

 

Work Location

399 Revolution Drive

 

Scheduled Weekly Hours

40

 

Employee Type

Regular

 

Work Shift

Day (United States of America)

 

EEO Statement:

Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

 

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.