Outbound Enrollment Specialist Job at Pomelo Care

Bilingual Outbound Enrollment Specialist

As an Outbound Enrollment Representative, you will be responsible for making out...

Location

United States

Salary:

45000.00 - 55000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Ability to work Monday-Friday, 8:30am - 5:00pm CT
Fluent in Spanish and English
Strong, empathetic communication skills
Motivated by goals, metrics, and monthly bonus program
Passionate about changing the current landscape of healthcare
Strong organizational and time-management skills
Ability to work independently and as part of a team
Willing to work occasional overtime hours
Are internet-connected, able to work remotely

Job Responsibility

Conduct high volume outbound calls to patients to provide information and education about Pomelo Care services and resources
Achieve member enrollment goals as driven by company KPIs
Support patients by answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs
Document all interactions and maintain timely, accurate records of patient outreach activities
Collaborate internally and externally with healthcare providers, community organizations, and other stakeholders to ensure patients receive appropriate care and services
Work with families to schedule appointments and follow-up care as needed
Participate in training and development opportunities to stay current on healthcare trends and regulations
Manage inbound calls from potential patients

What we offer

Competitive healthcare benefits
Generous vacation policy
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)
Uncapped performance bonus paid out monthly

Fulltime

Entitlement advocate

The Enrollment Medicaid Specialists provides Healthfirst’ s Medicare Advantage P...

Location

United States , New York

Salary:

48600.00 - 65960.00 USD / Year

Healthfirst

Expiration Date

Until further notice

Requirements

High school diploma or GED from an accredited institution
Member facing or customer service experience
Be able to work 9am-5:30pm schedule
Be able to travel throughout the 5 boroughs, Westchester, Orange, Sullivan, Rockland, and Nassau County
Capability to work in a Hybrid Schedule (remote/office/field)
Tech Savvy computer skills such as Microsoft Office Suites: Outlook, Excel, Word, PowerPoint
Bilingual
Be able to communicate and engage with the leadership team on virtual platforms such as Zoom or Microsoft Teams chat as well as in person

Job Responsibility

Handle inbound and outbound calls to and from customers to address their needs while adhering to our service level goals
Screen all incoming calls and handles accordingly
Transfer calls to appropriate staff, unit, or department
Assist callers requesting assistance with Medicaid Renewal application, Medicare Savings Program application, and New Medicaid Applications
Outreach Senior Health Partners, CompleteCare, and Life Improvement Plan members according to approved scripts
Research ePACES and/or Marx for Medicaid and Medicare eligibility, exclusion, and exemption codes
Consult with HRA Medicaid staff as needed and report to supervisor any need for HRA consultation
Document all client calls /outcomes in database systems
Schedule appointments to see members/prospects out in the field to assist with Medicaid Issue or restriction code removals or demographic information changes
Educate potential members on Senior Health Partners, Long term care plan benefits answering questions regarding plan’s features and benefits as well as go through eligibility and requirement for enrollment

What we offer

medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions

Fulltime

Bilingual Outreach & Engagement Manager

Your North Star: Managing and motivating teams to drive enrollment. We are seeki...

Location

United States

Salary:

90000.00 - 115000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Fluent in Spanish and English
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

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

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

Charter Partnerships Manager

Avela is seeking a proactive Charter Partnerships Manager to drive business grow...

Location

United States , San Francisco; Boston

Salary:

80000.00 - 200000.00 USD / Year

EdTech Jobs

Expiration Date

Until further notice

Requirements

4+ years of full time professional experience
2+ years in charter administration role, preferably at a large CMO/network in operational roles including CEO/Executive Director, Enrollment, Student Services, Accountability, or Operations
Passion for education, equity, or social impact
Entrepreneurial spirit and drive, extraordinary comfort with ambiguity
Excellent communicator, including written and oral
Among the best at what you do with a growth mindset and desire to constantly improve
Legal ability to work in the US without Visa sponsorship
Based in San Francisco Bay Area or Greater Boston

Job Responsibility

Generate demand and build a sales pipeline through outreach efforts
Manage deals through all sales stages
Develop target lists
Foster relationships with stakeholders
Understanding Avela's go to market strategy and ideal customer profile (ICP)
Learning the Avela product inside and out
Mastering pricing and packaging
Build target lists matching ICP using tools like LinkedIn, RocketReach, Clay, and district websites
Send outbound emails
cold calls

What we offer

Premium medical, dental, and vision plans
401k
paid family and medical leave
One Medical and TeleDoc membership
Peloton and Kindbody discounts
Equity: ~5,000 Shares

Fulltime

New

Call Center Specialist

As a Call Center Specialist you will be engaged in several key activities. You w...

Location

United States , Brentwood

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

A High School Diploma or GED at the minimum
a Bachelor’s Degree will be given preference
A least 1.5+ years of experience handling a high volume of calls
A quick response time to customer issues
At least a year of previous experience in sales support or inside sales/telesales is preferred
A keen eye for detail and the ability to handle multiple assignments promptly and effectively
Analytical and general math skills, and excellent time management skills
An excellent level of personal organization with superior telephone etiquette, verbal and written communication skills, as well as customer service skills
Verbal and written communication skills, as well as customer service skills
A calm demeanor in a fast-paced team environment and the capacity to manage multiple projects effectively

Job Responsibility

Communicating enrollment statistics with clients, sales, and/or project management teams
Acting as the liaison between vendor and client to address payment issues or negotiate payment terms
Overcoming vendor objections by proposing alternative payment options
Professionally handling a high-volume of both inbound and outbound calls
Using multiple applications to assist customers efficiently and swiftly
Demonstrating efficient oral and written communication with customers, department personnel, and management
Adeptly cross-selling additional products and services
Transferring calls to the appropriate department or personnel
Providing customers with accurate account information in a fast-paced setting
Displaying good interpersonal skills and teamwork awareness

What we offer

Medical, Dental & Vision benefits from the 1st month after hire
Automatic enrollment into our 401k plan (subject to eligibility requirements)
Access to company-wide virtual fitness classes
Generous PTO offerings including major holidays, vacation, sick, personal, and volunteer time
Employee discounts with major providers
Contributions to various local and national philanthropic organizations
A dynamic culture with company-wide contests and prizes

New

Call Center Specialist

As a Call Center Specialist you will be engaged in several key activities. You w...

Location

United States , Brentwood

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

A High School Diploma or GED at the minimum
a bachelor’s degree will be given preference
A least 1.5+ years of experience handling a high volume of calls
A quick response time to customer issues
At least a year of previous experience in sales support or inside sales/telesales is preferred
A keen eye for detail and the ability to handle multiple assignments promptly and effectively
Analytical and general math skills, and excellent time management skills
An excellent level of personal organization with superior telephone etiquette, verbal and written communication skills, as well as customer service skills
Verbal and written communication skills, as well as customer service skills
A calm demeanor in a fast-paced team environment and the capacity to manage multiple projects effectively

Job Responsibility

Initiating contact with strategic vendors who are not currently participating in our program
maintaining the vendor queue, effectively prioritizing calls, and retiring those vendors who opt not to participate, all while ensuring that campaigns are completed within the designated timelines
inputting vendor and/or client data into specific databases, with a focus on accurately recording vendor contact details and agreement information
Communicating enrollment statistics with clients, sales, and/or project management teams
Acting as the liaison between vendor and client to address payment issues or negotiate payment terms
Overcoming vendor objections by proposing alternative payment options
Professionally handling a high-volume of both inbound and outbound calls
Using multiple applications to assist customers efficiently and swiftly
Demonstrating efficient oral and written communication with customers, department personnel, and management
Adeptly cross-selling additional products and services

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan
free online training
competitive compensation and benefits

Call Center Specialist

As a Call Center Specialist you will be engaged in several key activities. You w...

Location

United States , Brentwood

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

A High School Diploma or GED at the minimum
a Bachelor’s Degree will be given preference
A least 1.5+ years of experience handling a high volume of calls
A quick response time to customer issues
At least a year of previous experience in sales support or inside sales/telesales is preferred
A keen eye for detail and the ability to handle multiple assignments promptly and effectively
Analytical and general math skills, and excellent time management skills
An excellent level of personal organization with superior telephone etiquette, verbal and written communication skills, as well as customer service skills
A calm demeanor in a fast-paced team environment and the capacity to manage multiple projects effectively
Proficiency in the use of Microsoft Office product suite, especially Excel and Outlook

Job Responsibility

Communicating enrollment statistics with clients, sales, and/or project management teams
Acting as the liaison between vendor and client to address payment issues or negotiate payment terms
Overcoming vendor objections by proposing alternative payment options
Professionally handling a high-volume of both inbound and outbound calls
Using multiple applications to assist customers efficiently and swiftly
Demonstrating efficient oral and written communication with customers, department personnel, and management
Adeptly cross-selling additional products and services
Transferring calls to the appropriate department or personnel
Providing customers with accurate account information in a fast-paced setting
Displaying good interpersonal skills and teamwork awareness

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan
free online training

Outbound Enrollment Specialist

Pomelo Care

Location:
United States

Category:
Customer Service

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
December 11, 2025

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