UCLA Health
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Description
Medicare Advantage Enrollment Representative
Work Location
Los Angeles,CA
Job #31710
Work Hours
Monday-Friday, 8:00am-5:00pm PST
Employment Type
2 – Staff- Career
Duration
Indefinite
Salary Range
$23.58-33.05 Hourly
Posted Date
July 6, 2026
Bargaining Unit
Teamsters – CX
Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.
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JOB DUTIES
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JOB QUALIFICATIONS
Description
As a member of the Medicare Advantage Operations team, the Medicare Advantage Enrollment Representative plays a crucial role in the enrollment process by reviewing and submitting enrollment requests.
You will:
- Review and submit Enrollment requests received as well as maintaining accuracy and timeliness of acknowledgment notices to members
- Maintain open lines of communication with various departments to resolve member issues and implement ADHOC resolutions to sustain quality member care
- Use Key Performance Indicator’s (KPIs) to identify trends and risks; manage service and Operating Level Agreement metrics/reporting and present findings
- Review Medicaid Aid codes and their corresponding Medicaid level and interpretation for department processes.
- Ensure quality and compliance to meet applicable guidelines; ensure timely, accurate and complete submissions to CMS – Medicare
- Identifies continuous improvement initiatives to streamline processes, reduce member complaints and improve the overall member experience
- Ensure that prospective enrollees are appropriately screened to meet eligibility requirements within regulatory timelines
- Work closely with the Sales and Compliance teams to ensure timely submissions and resolution of eligibility issues, as well as departmental goals and quality goals are met
- Ensure the required member mailings are sent in a timely fashion
Salary Range: $23.58 – $33.05/hourly