The Enrollment Coordinators play a critical role in working with our new member clients to determine eligibility and perform various enrollment activities. Enrollment Coordinators interface with both individual plan members and employer group and require a strong focus around accurate and timely customer support to ensure client enrollment and retention. The Enrollment Coordinator III reports directly to the Enrollment Supervisor, also functioning as SME (Subject Matter Expert) in the functions, processes, and eligibility procedures as they relate to Medicare Part D enrollment and CMS (Center for Medicare/Medicaid Services) Standards.

A Registered Nurse (RN) assesses patient conditions, plans and delivers comprehensive care by administering medications, monitoring vital signs, providing emotional support, and collaborating with healthcare teams to promote patient health and recovery; requiring a nursing degree and state license to practice

A Registered Nurse (RN) assesses patient conditions, plans and delivers comprehensive care by administering medications, monitoring vital signs, providing emotional support, and collaborating with healthcare teams to promote patient health and recovery; requiring a nursing degree and state license to practice

A Registered Nurse (RN) assesses patient conditions, plans and delivers comprehensive care by administering medications, monitoring vital signs, providing emotional support, and collaborating with healthcare teams to promote patient health and recovery; requiring a nursing degree and state license to practice

This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.