Member Enrollment Representative

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

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

 

Job Summary

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.

Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.

We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.

Responsible for processing and managing member enrollments in QNXT, ensuring accuracy and adherence to regulatory requirements. Experience with QNXT and prior member enrollment operations within a health plan environment is highly preferred.

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. 

 

Education

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

Experience

• At least 1-2 years of experience in a customer service, administrative, or enrollment role required

• At least 2-3 years of experience in member enrollment or a related administrative role in the health insurance industry highly preferred

• QNXT experience highly preferred

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.

 

Working Conditions

• This is a remote role that can be done from most US states.
• This is a full-time role with a Monday through Friday, 8 AM to 4:30 PM ET

 

Remote

 

399 Revolution Drive

 

40

 

Regular

 

Day (United States of America)

 

Pay Range

$19.81 - $28.30/Hourly

 

Grade

3

 

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

 

8925 Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

 

Mass General Brigham Competency Framework