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Enrollment Processor, Specialist

Blue Shield of CA
United States, California, El Dorado Hills
4205 Town Center Boulevard (Show on map)
Aug 07, 2025

Your Role

The Group Eligibility Install and Renewal team is responsible for the review and installation of new and renewing small and large group business as well as ongoing maintenance. The Eligibility Processor, Specialist will report to the Supervisor, Group Eligibility, Install and Renewal. In this role you will work alongside the Supervisor, Operations to manage and report out inventory, attend and lead calls with team members and other internal business partners, provide coaching on complex cases and ensuring production and quality are meeting service level expectations.

Your Knowledge and Experience



  • Requires a minimum of 7 years of relevant experience
  • Requires Advanced-Expert skills creating documents/files using Excel, Outlook, Power Point, and Word
  • Requires Health Plan Operations Group level experience (i.e. claims, billing, processing, etc.)
  • Requires experience working cross-functionally and explaining complex concepts at all levels
  • Experience with Facets and Salesforce, a plus
  • Experience leading a team, providing coaching and feedback, reporting out on inventory, prioritizing tasks, leading meetings
  • Self-driven and able to operate in the best interests of our clients, our company, and team with limited supervision or oversight

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