Top 292 Provider enrollment Jobs in Santa Ana Ca

Enrollment Representative
Champion Health Plan —Long Beach, CA
- From $23 an hour
- Overtime
- Background check
- Spanish
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Member Liaison Specialist (Customer Service)
CalOptima —Orange, CA
- Weekends as needed
- Background check
- Spanish
- Microsoft Outlook
- Tuition reimbursement
- Paid time off
10d
Customer Service Representative I
Word & Brown Companies —Orange, CA
- $20.50 an hour
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Customer Service Representative I (2796)
Word & Brown Companies —Orange, CA
- $20.50 an hour
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Account Manager
WORD & BROWN INSURANCE ADMINISTRATORS INC & SUBSIDIARIES —Orange, CA
- $26 - $36 an hour
- Full-time
- Remote
- Microsoft Outlook
- Salesforce
- HIPAA
- Health insurance
Member Services Representative
Astiva Health —Orange, CA
- $24 - $29 an hour
- Full-time
- Background check
- Spanish
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Sales Support Analyst
WORD & BROWN INSURANCE ADMINISTRATORS INC & SUBSIDIARIES —Orange, CA
- $24 an hour
- Overtime
- Remote
- Microsoft Word
- Salesforce
- HIPAA
11d
Account Manager
Word & Brown Companies —Orange, CA
- $26 - $36 an hour
- Overtime
- Remote
- Microsoft Word
- Background check
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Healthcare Data Analyst
Astiva Health —Orange, CA
- $85,000 - $115,000 a year
- Computer Science
- Mid-level
- Analysis skills
Quick Apply
Account Manager (3396)
Word & Brown Companies —Orange, CA
- $26 - $36 an hour
- Full-time
- Remote
- Microsoft Outlook
- Salesforce
- HIPAA
- Health insurance
Case Management Coordinator - Mandarin Required
Angels Creation Reproductive Center —Irvine, CA
- $23 - $27 an hour
- Full-time
- Mid-level
- Windows
- Case management
- Health insurance
- Paid time off
Quick Apply
Senior Accountant – Benefits
Good Food Holdings —Carson, CA
- $80,000 - $100,000 a year
- Full-time
- Oracle
- CPA
- Basic math
- Paid training
- Health savings account
Quick Apply
Member Service Representative
Champion Health Plan/ Champion Payer Solutions —Long Beach, CA
- From $22 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Human Resources Manager
Lexor Manufacturing, LLC —Westminster, CA
- $70,000 - $85,000 a year
- Full-time
- Writing skills
- 11+ years
- English
- Paid holidays
- Health insurance
Quick Apply
Human Resources Sr. Generalist
HL Uriman Inc —Brea, CA
- $90,000 - $110,000 a year
- Full-time
- 5 years
- English
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Paraprofessional
Scoot Education —Baldwin Park, CA
- $20 - $23 an hour
- Temporary
- Background check
- School experience
- Classroom
- Paid training
- 401(k)
Case Management Coordinator
Angels Creation Reproductive Center —Irvine, CA
- $24 - $27 an hour
- Full-time
- English
- Mid-level
- Bachelor's degree
Quick Apply
Substitute Teacher K-12
Scoot Education —Santa Ana, CA
- $150 - $221 a day
- Part-time
- Bilingual
- Background check
- Classroom
- Paid training
- 401(k)
Quick Apply
Advanced Practice Provider (Hybrid)
TapestryHealth —Anaheim, CA
- $145,000 - $150,000 a year
- Full-time
- Hybrid work
- Skilled nursing facility
- Mid-level
- Travel
- 401(k)
- Paid time off
Quick Apply
Lead Two-Year-Old Teacher
Aliso Viejo KinderCare —Aliso Viejo, CA
- $17.35 - $22.45 an hour
- Part-time
- Classroom
- CPR Certification
- Customer service
- Health savings account
- Health insurance
Quick Apply
1d

I want to receive the latest job alert for provider enrollment in santa ana ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

provider enrollment jobs near santa ana ca

Enrollment Representative

Champion Health Plan
Long Beach, CA

Quick Apply

Job Details

Full-time
From $23 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Customer communication
Interpersonal skills
Administrative experience
High school diploma or GED
Attention to detail
Problem-solving
Productivity software
Cross-functional collaboration

Full Job Description

Position Summary

Champion is seeking an experienced Enrollment Representative to support Medicare Advantage enrollment operations. This position is responsible for the accurate and timely processing of enrollment, eligibility, and membership transactions while ensuring compliance with CMS regulations and company policies.

The ideal candidate has experience in Medicare Advantage or managed care enrollment, enjoys working in a fast-paced environment, and is committed to accuracy, compliance, and exceptional customer service.

Responsibilities

As an Enrollment Representative, you will:

Process Medicare Advantage enrollment, disenrollment, eligibility, and membership transactions accurately and within required turnaround times.
Review enrollment applications and supporting documentation for completeness, accuracy, and CMS compliance.
Verify Medicare eligibility and required enrollment documentation.
Enter, maintain, and update member information in enrollment systems.
Process enrollment corrections, retroactive enrollments, eligibility updates, reconciliations, and membership adjustments.
Conduct outbound member outreach, including Outbound Enrollment Verification (OEV) calls, to verify enrollment requests, obtain missing information, resolve discrepancies, and support CMS compliance requirements.
Research and resolve enrollment discrepancies, transaction errors, and eligibility issues.
Maintain accurate electronic documentation to support regulatory compliance and audit readiness.
Respond to enrollment-related inquiries from members, brokers, providers, and internal departments.
Partner with Member Services, Broker Relations, Marketing, Compliance, and other departments to resolve enrollment issues efficiently.
Protect confidential member information and comply with HIPAA, CMS, and Fraud, Waste & Abuse (FWA) requirements.
Participate in quality audits, training, and process improvement activities.
Support departmental operations during Annual Enrollment Period (AEP), Open Enrollment Period (OEP), and other peak enrollment periods.
Other duties as assigned.

Qualifications

Required

High School Diploma or GED.
Minimum 3 year of experience in Medicare Advantage, managed care, health plan enrollment, eligibility, customer service, or a related healthcare administrative role.
Strong attention to detail and commitment to accuracy.
Excellent organizational, analytical, and problem-solving skills.
Effective verbal and written communication skills.
Ability to manage multiple priorities while meeting deadlines.
Ability to work effectively as part of a team and collaborate respectfully with coworkers, supervisors, and other departments.
Ability to receive, understand, and follow instructions, established procedures, coaching, and supervisory direction.
Flexibility to work overtime and weekends, as requested, during AEP, OEP, and other high-volume or peak operational periods.
Proficiency with Microsoft Office applications.

Preferred

Experience working in a CMS-regulated healthcare environment.
Knowledge of Medicare Advantage enrollment processes and CMS regulations.
Experience with enrollment and eligibility systems.
Bilingual (English/Spanish) is a plus.

Pay: From $23.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

provider enrollment jobs in santa ana ca

Enrollment Representative

Member Liaison Specialist (Customer Service)

Customer Service Representative I

Customer Service Representative I (2796)

Account Manager

Member Services Representative

Sales Support Analyst

Account Manager

Healthcare Data Analyst

Account Manager (3396)

Case Management Coordinator - Mandarin Required

Senior Accountant – Benefits

Member Service Representative

Human Resources Manager

Human Resources Sr. Generalist

Paraprofessional

Case Management Coordinator

Substitute Teacher K-12

Advanced Practice Provider (Hybrid)

Lead Two-Year-Old Teacher

I want to receive the latest job alert for provider enrollment in santa ana ca

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected