Medicare Advantage Enrollment Representative

Medicare Advantage Enrollment Representative - - 31796 - UCLA Health

Skip to content

UCLA Health Home Page

Main menu. Press enter or space keys to expands and escape key to collapse

• Search jobs

• Employee Resources

• Employee Referral Program

• For Employees

• Employee Onboarding

• Log In

Medicare Advantage Enrollment Representative

General Information

Press space or enter keys to toggle section visibility

Work Location: Los Angeles, CA, USA

Onsite or Remote

Flexible Hybrid

Work Schedule

Monday-Friday, 8:00am-5:00pm PST

Posted Date

07/06/2026

Salary Range: $23.58 - 33.05 Hourly

Employment Type

2 - Staff: Career

Duration

Indefinite

Job #

31710

Primary Duties and Responsibilities

Press space or enter keys to toggle section visibility

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

Job Qualifications

Press space or enter keys to toggle section visibility

We're seeking detail-oriented, self-directed professional with:

• High School Diploma or equivalent experience required
• Experience in a Medicare or Managed Care environment, Member Enrollment and Billing experience preferred
• Ability to analyze and organize complex federal and private insurance regulations
• Working knowledge of Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools.
• Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities and deadlines
• Strong critical thinking and the ability to apply knowledge at a broad level is essential
• Reliability and compliance with scheduling standards

As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.

Current/former UC employees are subject to a personnel file review.

Apply Now

Apply as Internal/Current Employee

Refer a Friend

• Back to Search Results

UCLA Health

Accessibility | Privacy policy