Enrollment Specialist
Sentara Healthcare
Sentara Healthcare is currently hiring a Pharmacy Benefit & Compliance Specialist- Remote in Virginia! Status: Full-time, permanent position (40 hours) Work hours: 8am to 5pm EST, M-F Location: This is a remote position in Virginia. Job responsibilities: This position is responsible for supporting the Pharmacy Department's day-to-day operations for the benefits and compliance of all products and lines of business. Provides subject matter expertise related to analysis, implementation, and process improvement activities in support of the Pharmacy Department. The Pharmacy Benefit & Compliance Specialist creates and maintains reports for business operations and special projects as it pertains to operational processes. Utilizes knowledge of numerous applications, databases, information systems, statistical tools and analytical principles to monitor and analyze information in support of the business. Assists in the implementation, maintenance and improvement of information systems. The person should listen carefully to others in order to respond appropriately and professionally, answer questions, or obtain needed information with respect to pharmacy issues. This position will strongly collaborate with teams within Pharmacy Department, Senior Pharmacy Benefit & Compliance Specialists and internal Pharmacy teams to ensure compliance and benefit configuration needs. Education HS - High School Grad or Equivalent REQUIRED Certification/Licensure None required Experience Managed Care- 1 year REQUIRED Compliance - 1 year highly preferred Pharmacy or Pharmacy Benefit Management (PBM) system experience preferred Strong proficiency in Microsoft Office Suite especially Excel preferred Experience in SQL a plus Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Talroo-Health Plan Keywords: Managed Care, MCO, Healthcare, Health Plan, Health Insurance, Remote, Virginia, VA, Pharmacy Benefit, Compliance, Specialist, PBM, Express Scripts #J-18808-Ljbffr
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...Enrollment Specialist | Brooklyn, NY $50,000$60,000 This position sits at the intersection of patient support and operational problem-solving you'll be helping people navigate Medicaid re-enrollment and annual reassessments while also working to fix the backend processes...SuggestedBHIRED
Brooklyn, NY2 days ago- ...Enrollment Specialist The Supportive Programs and Initiatives (SPI), Fair Fares program Division is a Mayoral initiative to subsidize NYCT fares initiative designed to provide accessible discount for NYCT subways and eligible local bus service to low-income families...SuggestedWork at officeLocal area
New York City | Constituent Services & Community Programs
Brooklyn, NY1 day ago - ...Privia Health is seeking an Enrollment Specialist to serve as the primary contact for the Enrollment Department for Privia independent providers and manage the payer enrollment process. You will enroll providers with commercial plans, Medicaid, and Medicare, keep CredentialStream...SuggestedRemote work
Privia Health
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ArchWell Health
Brooklyn, NY4 days ago - ...USA is seeking a Benefits Coordinator (Bilingual) in Fort Smith, AR. You will communicate benefit plans to new hires, manage open enrollment, and handle enrollment data entry in the HR system. The role requires bilingual English/Spanish communication skills and involves...Work at office
Bachoco
Brooklyn, NY4 days ago - ...increasing demand for our innovative tools and services by welcoming new talent to our growing team. Position Overview The Enrollment Specialist performs all aspects of the payor enrollment processes for providers under the OCHIN Collaborative or contracted third parties...For contractorsWork at officeRemote workWork from homeHome office
OCHIN
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...Enrollment Specialist of School Health Dental (Required Managed Care Experience) - Brooklyn Administrative/Office Support Brooklyn, NY Full-Time/Regular Family Health Centers at NYU Langone, a designated Level 3 Medical Home, is the largest federally qualified...Full timeWork at office- ...innovation, service excellence, and a strong commitment to the people and communities it serves. Responsibilities Conducts the enrollment process with the person served and their circle of support (i.e., families, guardians) in a timely manner. Ensures enrollment documents...
- ...Great Place to Work® for 2025/2026 —a distinction reserved for top employers committed to outstanding employee experiences. The Enrollment Specialist conducts face-to-face and virtual enrollments to consumers who will receive financial management services that support them...Work at officeRemote workWork from homeFlexible hours
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...costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Job Description The Enrollment Specialist will be the primary contact for the Enrollment Department for Privia independent providers and responsible for all aspects of...Work at officeLocal areaRemote workWork from homeHome office- Career Prep Schools is seeking a High School Student Enrollment & Outreach Specialist to guide students from initial contact through the enrollment process, coordinating campus tours and timely responses to inquiries. This role emphasizes relationship-building, organization...
- Big Brothers Big Sisters of Middle Tennessee is seeking a Program Specialist to screen volunteers and families, interview youth, and manage enrollment for community-based mentoring programs. You will assess needs, propose matches, and maintain thorough documentation to...Work at office
- UW-Parkside is seeking an Enrollment Systems Specialist to support the CRM (Slate) and enrollment processes. This role focuses on configuration, testing, and stakeholder communication to improve admissions operations. You will develop reports, assist with system upgrades...
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North Bergen, NJ4 days ago - ...Preparatory Academy of Oklahoma is seeking a dedicated School Registrar in Oklahoma City. You will manage student files, process enrollments, transfers and withdrawals, and accurately enter data into the SIS while coordinating with schools and county agencies. Maintaining...
- ## Pharmacy Benefit & Compliance Specialist - Remote in VirginiaApplyremote type: Remotelocations: Remote - VAtime type: Full timeposted on: Posted Todayjob requisition id: JR-100237**City/State**Norfolk, VA**Work Shift**First (Days)**Overview:**# ***Sentara Healthcare...Permanent employmentFull timeTemporary workCurrently hiringWork at officeRemote workShift work
Sentara Health Plans
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$15 per hour
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- ...California State University, Stanislaus is seeking a Student Records administrator to provide day-to-day support for Enrollment Services programs. The role involves coordinating operations, managing records, and analyzing information to improve processes and reporting...
The California State University
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