Enrollment Communications Quality Specialist Job at EdTech Jobs

Provider Enrollment Specialist II - HP Enrollment Eligibility

Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care cred...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma
1-3 years of Payer Enrollment experience
Solid knowledge and utilization of PC applications to include WORD, EXCEL, ACCESS
Excellent written and verbal communication skills
Excellent organization and planning skills with demonstrated teamwork skills
Proven ability to interact with all levels of management and other Associates

Job Responsibility

Collects and maintains data on providers for Medicare and Medicaid enrollment
Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates
follows up by telephone or in writing, with carriers regarding application status
Complies with Medicare and Medicaid provider enrollment guidelines
Requests NPI numbers for providers and clinics as necessary and maintains NPI files
Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals
Generates various reports to identify outstanding claims issues with provider numbers and non-payment
Communicates information to appropriate personnel
Educates staff on corrections, e.g.. front-end entry errors in a positive, constructive manner
Collects and reviews managed care contracts for correct billing and payment terms

Fulltime

Project Specialist Intern for ONELead Program

Hewlett Packard Enterprise offers university students the opportunity to join a ...

Location

Bulgaria , Sofia

Salary:

Not provided

Hewlett Packard Enterprise

Expiration Date

Until further notice

Requirements

Currently enrolled in a bachelor’s or master’s degree
Excellent command / highly proficient in spoken and written English
Strong interpersonal skills to effectively convey ideas and collaborate with team members
Ability to prioritize tasks, meet deadlines, and manage multiple assignments
Quickly learns new tools, processes, or responsibilities and remains flexible in a dynamic work environment
Friendly, easy-going character

Job Responsibility

Execute defined process steps and handle operational tasks in support of the ONELead program
Lead submission
Lead assignment
Opportunity management and closure
Reward payout
Follow-up with Sales and Delivery organizations to ensure lead quality and answer questions
Provide customized trends analysis and performance updates on geo/country level
Communicate business impact to geo stakeholders
Prepare geo/country performance presentations
Support the geo Program Lead in communicating process changes, program news, and in executing their marketing strategy

What we offer

Initial extensive onboarding to support you with adjusting into the role
Ongoing learning and development throughout the duration of the program
Competitive salary and great benefits
Great work-life balance including hybrid working and Wellness Fridays initiative

Fulltime

Referral Specialist

Enroll clients referred to Pomelo’s doula network by health plans, providers, an...

Location

United States

Salary:

45000.00 - 55000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Excellent customer service and communication skills
Experience working with various healthcare referral systems
Are internet-connected, able to work remotely
Familiar with working with people assigned to Medicaid health plans
Passionate about changing the current landscape of healthcare
Strong organizational, documentation, and time-management skills
Ability to work independently and as part of a team

Job Responsibility

Conduct outbound calls and digital outreach (SMS, email) to referred clients to drive new client enrollments, meeting quality and productivity requirements
Document all incoming referrals and interactions in systems of record with timely and accurate updates
Match clients with existing doulas in the Pomelo Care doula network
Coordinate with health plan case managers and external healthcare providers to share updates on referrals and achieve enrollment goals
Track, monitor, and enroll referrals, ensuring timely processing and communication with all parties
Manage inbound calls from potential clients and external partners, answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs
Achieve member enrollment goals as driven by company KPIs
Confirm client’s health plan eligibility details via automatic clearinghouse and online health insurance portals
Participate in training and development opportunities to stay current on healthcare trends and regulations

What we offer

Competitive healthcare benefits
Generous and flexible vacation policy

Fulltime

Quality Assurance Specialist

The person in this position will be responsible developing and executing Ohio Be...

Location

United States , Columbus

Salary:

Not provided

Ocean Blue Solutions

Expiration Date

Until further notice

Requirements

Understand and effectively communicate the new or modified features and functions introduced in assigned releases as defined in Functional Design Documents
Effectively communicate all questions to the UAT Release Lead
Build positive relationships with UAT Release Leads and Team Members
Support UAT Release Lead in the distribution of test responsibilities with Stakeholder Agency UAT test leads and team
Support successful release resource capacity and schedule targets
Monitor and report individual resource metrics to track productivity and release schedule compliance
Prepare and submit weekly status reports
Support DAS UAT Automation Test Lead for appropriate automation of new test scripts/scenarios
Develop and execute manual and automated test scripts
Participate in regular meetings to triage defect resolution, coordinate and track retesting activities, and ensure schedule and quality compliance

Job Responsibility

Responsible developing and executing Ohio Benefits (OB) test scripts under the direction of a UAT Release Lead for major and minor releases each year

Outreach & Engagement Manager

Managing and motivating teams to drive enrollment. Drive enrollment and activati...

Location

United States

Salary:

90000.00 - 115000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Earned your Bachelor's degree in healthcare management, public health, or a related field
Able to work some evenings, with a standard schedule of Monday - Friday, 8:30am - 5:00pm CST
Proven experience in healthcare management, specifically in outbound calling and proactive outreach
Strong knowledge of Medicaid policies, procedures, and value-based care
Excellent communication and interpersonal skills to engage with diverse patient populations
Demonstrated leadership abilities, with experience in managing and motivating teams
Proficient in data analysis and reporting, using metrics to drive performance improvements
Detail-oriented, with exceptional organizational and documentation skills
Ability to adapt to changing priorities and work effectively in a fast-paced environment
Familiarity with healthcare software systems and customer relationship management (CRM) tools

Job Responsibility

Lead, and manage a team of outreach specialists providing regular training, and coaching to achieve enrollment KPIs
Facilitate onboarding and training of new specialists
Analyze qualitative and quantitative outreach performance metrics to identify trends and opportunities to improve key KPIs including enrollments and CAC
Monitor call quality and adherence to established protocols and standards by conducting regular audits of call recordings and specialist interactions
Maintain accurate and up-to-date documentation of specialist interactions, outcomes, and follow-up actions, adhering to privacy and confidentiality regulations
Identify opportunities and implement process improvements to enhance the efficiency and effectiveness of outbound and inbound calling
Execute on regular performance evaluations of outreach specialist calls and documentation
Create and maintain team schedules to ensure adequate coverage
Ensure compliance with government regulations and guidelines in all outbound calling and outreach activities
Foster a supportive and inclusive team environment, encouraging professional growth and development

What we offer

Competitive healthcare benefits
Generous equity compensation
Unlimited vacation
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

Fulltime

Enrolment Specialist

Join us in inspiring people to succeed, by being part of our remarkable operatio...

Location

United Kingdom

Salary:

27000.00 GBP / Year

Paragon Skills

Expiration Date

Until further notice

Requirements

GCSEs (A–C) in English and Maths or equivalent
Level 2 Functional Skills in English, Maths, and ICT
Excellent communication and interpersonal skills
Strong organisational skills and ability to manage your own workload
Experience using MS Office tools
Industry experience and preferably experience delivering apprenticeships
Solution-focused, adaptable, and proactive
Motivated with a positive, forward-thinking attitude
Energy and enthusiasm to inspire success

Job Responsibility

Provide a consistent, high-quality enrolment experience for learners and employers nationwide
Schedule and manage individual and group enrolment sessions
Offer clear information, advice, and guidance throughout the enrolment process
Conduct skills scans and recognise prior learning to tailor support
Support English and Maths requirements and book next-step workshops
Collaborate with Operations and Admin teams to resolve enrolment issues
Promote safeguarding and adhere to GDPR and data protection standards

What we offer

20 days annual leave - increasing with length of service and a holiday purchase scheme
3 Paragon Days for our Operational December Closure and 8 Public Bank Holidays
Up to 3 days of paid volunteering leave and corporate conscience initiatives
Perkbox – a suite of lifestyle benefits and wellness tools
Recognition and long service awards
Life assurance and income protection (optional)
Guaranteed interview scheme for applicants with a disability

Fulltime

Student Engagement Specialist

The Student Engagement Specialist is primarily responsible to ensure that employ...

Location

United States , Houston

Salary:

65000.00 - 90000.00 USD / Year

Adtalem Global Education

Expiration Date

Until further notice

Requirements

Bachelor's Degree required
3+ years Customer Service, Student enrollment, or prior experience serving healthcare institutions required
Knowledge working in and using Salesforce or similar CRM, PowerBI and/or other reporting tools
Knowledge of the nursing profession, healthcare career paths, and strong understanding of the degrees and credentials used in nursing (may be learned on the job)
Understanding of academic cycles and B2BC nature of enrollment revenue
Ability to discern interest level, engage in direct and indirect communication, and connect to prospective students

Job Responsibility

Engages directly with employees of healthcare and healthcare adjacent partners to ensure those employees have the information, context and motivation to seek enrollment at Adtalem institutions
works to identify alumni at our partner institutions that can serve as reference and connects them to prospective students
Works with Account Management team to strategically select, source and schedule onsite events at partner institutions
expected to be "in the field" 3-4 days per week
Ensures that relevant information is captured for each student lead, works closely with enrollment teams to ensure we are asking and collecting the correct information
Targets a minimum of 50 quality conversations per month, defined as conversations that lead to a highly qualified lead with a +10% chance of enrollment
Sources additional leads to be passed to marketing for nurturing (less-qualified leads) and may be asked to qualify existing or new lead sources (via calls, email or other communication modes)
Attends tradeshows and industry events where employee enrollment is a core focus
Performs other duties as assigned
Complies with all policies and standards

What we offer

Health, dental, vision, life and disability insurance
401k Retirement Program + 6% employer match
Participation in Adtalem’s Flexible Time Off (FTO) Policy
12 Paid Holidays

Fulltime

Credentialing Specialist Lead

The Credentialing Specialist Lead serves as the senior subject matter expert wit...

Location

United States , Long Island City

Salary:

30.00 - 32.00 USD / Hour

The Dermatology Specialists

Expiration Date

Until further notice

Requirements

3+ years of healthcare credentialing experience
dermatology or multispecialty experience preferred
Strong knowledge of CAQH, NPPES, Medicaid, Medicare, and commercial payer portals
Exceptional attention to detail, organization, and follow-through
Excellent communication and interpersonal skills
Proficiency in Excel and credentialing systems
experience with eClinicalWorks a plus

Job Responsibility

Manage the full credentialing lifecycle for physicians, NPs, and PAs — including Medicaid, Medicare, and commercial payer enrollments (Empire BCBS, Fidelis, Aetna, etc.)
Review and verify provider documents such as medical licenses, DEA, board certifications, malpractice coverage, and CVs
Prepare, track, and submit enrollment applications accurately and within payer timelines
Monitor revalidation and re-credentialing schedules to ensure ongoing compliance
Serve as the primary point of contact for escalated payer or provider inquiries
Partner with internal billing and operations teams to ensure credentialing aligns with billing readiness
Maintain credentialing logs, dashboards, and internal trackers for reporting purposes
Assist in training and supporting new credentialing specialists, ensuring quality and consistency across workflows

Enrollment Communications Quality Specialist

EdTech Jobs

Location:
United States

Category:
Education

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 17, 2026

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