Enrollment Specialist/MLTC

Position SummaryWe 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 ResponsibilitiesConduct outreach to potential members and respond to enrollment inquiriesCoordinate and process new member enrollments into MLTC programsVerify applicant eligibility and manage required documentationAccurately enter data into enrollment systems and maintain updated member recordsCommunicate with internal teams, field staff, and external stakeholders to ensure seamless transitionsMonitor enrollment statuses and follow up to resolve discrepancies or delaysEnsure compliance with all applicable federal, state, and plan-specific regulationsProvide high-quality customer service to members, caregivers, and referral sourcesQualificationsHigh School Diploma or equivalent required; Associate's or Bachelor's degree preferred1-2 years of experience in healthcare enrollment, MLTC, Medicaid/Medicare, or care coordination requiredStrong 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 skillsAbility to work independently in a fast-paced, deadline-driven environmentBilingual a plus (e.g., Spanish, Mandarin, Russian)PreferredPrior experience with eMedNY, HCS, or other NY Medicaid systemsFamiliarity with DOH regulations and UAS assessmentsBenefitsHealth benefits (Medical, Dental, Vision)📩Apply today to support vulnerable populations in navigating their long-term care options and gain valuable experience in New Yorks managed care environment!

Created: 2025-05-08