ECM Enrollment Specialist at Serene Health

San Diego, California, United States -

Full Time

Start Date

Immediate

Expiry Date

28 May, 26

Salary

28.0

Posted On

27 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Outbound Calling, Enrollment Growth, Target Achievement, Sales Presentation, Objection Handling, EMR Navigation, Rapport Building, Empathy, HIPAA Compliance, Goal-Oriented, Persuasion, Resilience, Organizational Skills, Computer Proficiency, Microsoft Office

Industry

Hospitals and Health Care

Description

Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being. As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities. Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members. A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work! Job Summary: We are seeking a competitive, results-driven, and high-energy ECM Enrollment Specialist to join our dynamic Opt-Ins team. This is a results focused position where the primary goal is to drive enrollment growth for our vital Enhanced Care Management (ECM) program by converting pre-qualified member leads into active enrollments. This role is ideal for a professional motivated by clear targets, uncapped earning potential, and the opportunity to connect people with life-changing health benefits. Duties/Responsibilities: Drive Enrollment: Execute high-volume outbound calls to a list of pre-qualified health plan members to secure enrollments in new Enhanced Care Management (ECM) benefits. Exceed Enrollment Targets: Consistently meet and surpass daily, weekly, and monthly enrollment targets to maximize your bonus earnings. Master the Pitch: Articulately present the value of new health plan benefits to members and their support systems, overcoming objections and closing the enrollment. Streamline the Process: Efficiently navigate multiple health plan systems (EMR) to confirm eligibility and seamlessly onboard new members. Build Rapport: Establish trust and connect with members through empathetic, professional, and persuasive communication. Collaborate for Success: Partner with the care coordination team to ensure a smooth hand-off for newly enrolled members, contributing to a positive member experience. Maintain Compliance & Quality: Uphold the highest standards of service and strictly adhere to all organizational guidelines and healthcare regulations, including HIPAA. Performs other duties as assigned. Education and Experience: High school diploma or GED required; Bachelor’s degree preferred. Minimum of 1 year of sales experience required (healthcare experience preferred). Bilingual in English and Spanish preferred. Required Skills/Abilities: A Hunter's Mentality: Goal-oriented, self-motivated, and driven by performance metrics and financial incentives. Exceptional Communication: Excellent verbal communication and interpersonal skills with the ability to persuade and influence. Resilience & Professionalism: The ability to handle rejection, maintain a positive attitude, and act with empathy and professionalism in every interaction. Organizational Prowess: Strong organizational skills to manage a high volume of leads and follow-ups effectively. Tech-Savvy: Proficient with computers, Microsoft Office, and comfortable learning new software systems. Physical Requirements: Prolonged periods sitting at a desk and working on a computer. Must be able to lift up to 10 pounds at times. Pay range $23—$28 USD Benefits Our full-time employees are eligible for the following benefits enrollment after 60 days of employment: Medical, Dental, & Vision Benefits: We have various insurance options for you and your family. Short & Long-Term Disability Benefits: Protection when you need it most. Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones. Flexible Spending Accounts: Manage your finances with flexibility. Employee Assistance Program (EAP): Support when life throws challenges your way. 401(K): Building your financial future with us. Effective after 1 year of employment. Paid Vacation and Sick Leave: Flexibility for the planned and unplanned. Paid Holidays: Quality time to enjoy celebrations. Employee Referral Program: Share the opportunities and reap the rewards. Company Discount Program: Enjoy savings on everyday expenses and memberships. Equal Employment Opportunity Optima Medical Management Group and its divisions are an Equal Opportunity Employer. Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws. Optima MMG is committed to providing reasonable accommodation for individuals with disabilities. Pre-Employment Optima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.

Responsibilities

The primary goal is to drive enrollment growth for the Enhanced Care Management (ECM) program by executing high-volume outbound calls to convert pre-qualified leads into active enrollments. Responsibilities also include mastering the value pitch, navigating health plan systems, and ensuring compliance with healthcare regulations.