Group Enrollment Specialist

Remote Group Enrollment Specialist

Description

The Group Enrollment Specialist will support Sentara’s Enrollment Department, which is responsible for member eligibility and enrollment for group customers. This team ensures member information is accurately loaded, updated, and maintained across Sentara’s enrollment and pharmacy systems so there are no downstream impacts to member coverage, claims, pharmacy access, or coordination of care.

This role will support enrollment activity for both small and large group customers. Small group includes approximately 5,000 groups, while large group includes approximately 120 groups. The Specialist will process a high volume of enrollment-related work, including manual applications and 834 electronic enrollment files, which are files received from various employer groups to upload and maintain group membership information. The role is responsible for identifying and resolving errors, validating information, and ensuring the system accurately reflects what the group is requesting.

On the first day, the new hire will complete departmental orientation. The Team Coordinator will review expectations for the employee, departmental policies, workflows, and overall team processes. Training will last approximately 1-2 weeks, during which the employee will learn the basic functions of the job and receive hands-on training.

After the initial training period, the new hire will be partnered with a seasoned Enrollment Specialist. The experienced Enrollment Specialist will observe their work, provide coaching and feedback, and help determine when the employee is ready to work more independently. Feedback from the seasoned Enrollment Specialist will help the team determine when the new hire is ready to be released to manage work on their own.

Once trained, day-to-day responsibilities will include working through emails in Outlook, responding to group inquiries, researching requests, processing enrollment updates, correcting errors, and making sure Sentara’s system matches what the group is requesting. For example, a group may send an email stating that a member’s date of birth is incorrect. The Group Enrollment Specialist would research the request, update the DOB in the appropriate system, and respond back to the sender professionally once completed.

Sentara uses a shared enrollment email mailbox that multiple team members work from throughout the day. Emails are categorized so the team can assign and track work across individuals. The Group Enrollment Specialist will be responsible for managing assigned emails, completing the necessary research, processing the appropriate updates, and responding to the sender with clear and professional communication.

Productivity expectations are reviewed based on individuals performing the same or similar functions. While there is not currently a formal productivity metric, the team does review productivity and overall output. The most critical performance metric is quality. Currently, employees are audited monthly on 40 transactions, with a quality expectation of 99%.

Beginning 10/1, the quality structure will change due to the implementation of a new database and will move to a rolling quality model:

First 60 days: 93% quality expectation

Days 61–90: 94% quality expectation

After 90 days: 95% or higher quality expectation

Accuracy is extremely important in this role because enrollment errors can directly impact a member’s eligibility, pharmacy access, claims processing, and coordination of care.

Skills

microsoft outlook, Microsoft Teams, Enrollment, Claims

Top Skills Details

microsoft outlook,Microsoft Teams

Additional Skills & Qualifications

Additional Skills and Qualifications

High school diploma required; college, degree, or certificate preferred

Prior healthcare, insurance, enrollment, administrative, or data entry experience helpful but not required

Customer service experience preferred

Ability to understand questions, research the issue, and complete the correct enrollment update

Comfortable working in Outlook and Excel daily

Ability to manage assigned workflow tasks and shared mailbox responsibilities

Ability to work with broker services and employer benefit administrators

Ability to handle questions while broker service representatives have callers on the phone

Secondary Skills / Nice to Haves

Previous group insurance or benefits administration experience

Previous healthcare payer enrollment experience

Experience supporting small group, mid-market, or large group enrollment

Broker support experience

Experience with Salesforce

Experience with QNXT/QNext

Experience working from fax folders or manual enrollment documentation

Most important - ability to critically think

Experience Level

Intermediate Level

This is a Contract to Hire position based out of Tampa, FL.

The pay range for this position is $20.00 - $21.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully remote position.

This position is anticipated to close on Jul 10, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.