Job Description

Position Summary

We are currently seeking a dedicated and detail-oriented Enrollment Coordinator with MLTC (Managed Long Term Care) experience to join our healthcare client’s team. This position plays a critical role in supporting eligible members through the enrollment process, ensuring accuracy, compliance, and a positive onboarding experience.

Key Responsibilities

• Conduct outreach to potential members and respond to enrollment inquiries
• Coordinate and process new member enrollments into MLTC programs
• Verify applicant eligibility and manage required documentation
• Accurately enter data into enrollment systems and maintain updated member records
• Communicate with internal teams, field staff, and external stakeholders to ensure seamless transitions
• Monitor enrollment statuses and follow up to resolve discrepancies or delays
• Ensure compliance with all applicable federal, state, and plan-specific regulations
• Provide high-quality customer service to members, caregivers, and referral sources

Qualifications

• High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred
• 1–2 years of experience in healthcare enrollment, MLTC, Medicaid/Medicare, or care coordination required
• Strong working knowledge of MLTC policies and procedures (NY State)
• Experience using health plan systems and Microsoft Office Suite (Excel, Outlook, Word)
• Excellent communication, organizational, and follow-up skills
• Ability to work independently in a fast-paced, deadline-driven environment
• Bilingual a plus (e.g., Spanish, Mandarin, Russian)

Preferred

• Prior experience with eMedNY, HCS, or other NY Medicaid systems
• Familiarity with DOH regulations and UAS assessments

Benefits

• Health benefits (Medical, Dental, Vision)

📩 Apply today to support vulnerable populations in navigating their long-term care options and gain valuable experience in New York's managed care environment!

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