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Medicare Enrollment Manager Jobs in Raleigh, NC (NOW HIRING)

McKesson

Reimbursement Case Manager

Cary, NC · Hybrid

$25 - $26/hr

... enrollment while providing high-touch support to patients and healthcare providers. This position ... Contact commercial, Medicare, Medicaid, and other payers to verify patient eligibility, benefits ...

McKesson Corporation

Reimbursement Case Manager

Cary, NC · On-site

$25 - $26/hr

... enrollment while providing high-touch support to patients and healthcare providers. This position ... Contact commercial, Medicare, Medicaid, and other payers to verify patient eligibility, benefits ...

McKesson

Reimbursement Case Manager

Cary, NC · Hybrid

$25 - $26/hr

... enrollment while providing high-touch support to patients and healthcare providers. This position ... Contact commercial, Medicare, Medicaid, and other payers to verify patient eligibility, benefits ...

Sagility

Licensed Health Insurance Agents

Raleigh, NC · On-site

$20 - $21/hr

... management, member engagement, provider solutions, payment integrity, claims cost containment, and ... We have opportunities available supporting both Medicare and Under 65 health plans, with agents ...

Sagility

Licensed Health Insurance Agents

Raleigh, NC · On-site

$21/hr

... management, member engagement, provider solutions, payment integrity, claims cost containment, and ... We have opportunities available supporting both Medicare and Under 65 health plans, with agents ...

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All JobsMedicare Enrollment JobsMedicare Enrollment Manager JobsMedicare Enrollment Manager Jobs in Raleigh, NC

Medicare Enrollment Manager information

See Raleigh, NC salary details

$34.5K

$84K

$113.7K

How much do medicare enrollment manager jobs pay per year?

As of Aug 30, 2026, the average yearly pay for medicare enrollment manager in Raleigh, NC is $83,967.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,300.00 and $113,200.00 per year, depending on experience, location, and employer.

What does a Medicare Enrollment Manager do?

A Medicare Enrollment Manager oversees the process of enrolling individuals into Medicare health plans, ensuring compliance with federal regulations and organizational policies. They manage a team that processes applications, resolves enrollment issues, and communicates with members and government agencies. Their responsibilities also include monitoring enrollment trends, training staff, and implementing process improvements to enhance efficiency and accuracy. The role requires strong knowledge of Medicare guidelines and excellent organizational and leadership skills.

What are the key skills and qualifications needed to thrive as a Medicare Enrollment Manager?

To thrive as a Medicare Enrollment Manager, you need in-depth knowledge of Medicare regulations, enrollment processes, and healthcare administration, often backed by a bachelor’s degree in healthcare or a related field. Familiarity with enrollment management systems, CRM software, and compliance documentation is typically required. Strong leadership, attention to detail, and clear communication are critical soft skills for managing teams and ensuring accurate enrollment. These skills and qualities are essential to maintain regulatory compliance, optimize enrollment efficiency, and deliver excellent service to beneficiaries.

What are some common challenges faced by a Medicare Enrollment Manager, and how can they be addressed?

A Medicare Enrollment Manager often navigates complex regulatory requirements and frequent updates to Medicare policies, which can create challenges in maintaining compliance and ensuring accurate enrollment processing. Another common challenge is coordinating across multiple teams, such as customer service, IT, and compliance, to resolve enrollment issues efficiently. Staying organized, fostering open communication, and regularly participating in training on Medicare regulations can help address these challenges. Additionally, leveraging technology to track applications and monitor compliance can streamline workflows and reduce errors.

What is the difference between Medicare Enrollment Manager vs Medicare Customer Service Representative?

AspectMedicare Enrollment ManagerMedicare Customer Service Representative
CredentialsTypically requires knowledge of Medicare policies, certifications may include insurance licensesCustomer service skills, basic Medicare knowledge, possibly some certifications
Work EnvironmentOffice-based, administrative, and managerial settingsCall centers, customer support centers, or remote
Employer & IndustryHealth insurance companies, government agencies, healthcare providersInsurance companies, healthcare providers, government programs

The Medicare Enrollment Manager focuses on overseeing enrollment processes, managing compliance, and coordinating with clients, often requiring specialized knowledge and certifications. In contrast, the Medicare Customer Service Representative primarily handles inquiries, provides information, and assists beneficiaries directly. Both roles are essential in the Medicare industry but differ in responsibilities, required credentials, and work environment.

What are the most commonly searched types of Medicare Enrollment jobs in Raleigh, NC?

The most popular types of Medicare Enrollment jobs in Raleigh, NC are:

What are popular job titles related to Medicare Enrollment Manager jobs in Raleigh, NC?

For Medicare Enrollment Manager jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Medicare Enrollment Manager jobs in Raleigh, NC look for?

The top searched job categories for Medicare Enrollment Manager jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Medicare Enrollment Manager jobs?

Cities near Raleigh, NC with the most Medicare Enrollment Manager job openings:

Medicare Enrollment Manager jobs near you
Infographic showing various Medicare Enrollment Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution, with an average salary of $83,967 per year, or $40.4 per hour.

Enrollment Specialist (Bilingual/Spanish)

Pittsboro, NC • On-site

Piedmont Health Services
51 - 200 employees
Learn more about Piedmont Health Servicesexternal

$22.49 - $30.23/hr

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 14 days ago

Job description

What is PACE?
At Piedmont Health Senior Care, we are dedicated to enhancing the lives of seniors in our community through our Program of All-inclusive Care for the Elderly (PACE). We help seniors maintain their independence and continue living at home for as long as possible. We achieve this by offering comprehensive, personalized healthcare and related services, all tailored to the unique needs and aspirations of each senior we serve.
Our approach is unlike any other healthcare plan! PACE emphasizes a participant-centered strategy, focusing on providing the right care and services that best support each participant's unique needs and goals. We integrate and coordinate all aspects of care, leveraging a team of dedicated doctors, nurses, therapists, dieticians, and other specialized professionals who work together as a care team to manage and address the complete health needs of each.
Job Title - Enrollment Specialist
Department - PACE Admin
Reports to - Marketing and Enrollment Manager
Benefits -
  • Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
  • 403(b) Plan
  • Paid Holidays
  • CME (Continuing Medical Education)
About Position: The Enrollment Specialist is responsible for the enrollment of new participants to the program, including all intake activities. Under the supervision of the Marketing and Enrollment Manager, obtains initial information relating to admissions, coordinates intake and enrollment process and provides information and referrals to community agencies as appropriate. Promotes the PACE program to potential participants, community agencies and at other outreach venues as needed.
Work Location: 163 Chatham Business Dr, Pittsboro, NC 27312 (Piedmont Health SeniorCare in Pittsboro)
Schedule: Monday through Friday, 8:00am to 5:00pm
Travel: As Needed
Duties/ Responsibilities -
  • Evaluates potential participants to the program to determine participant needs and eligibility for enrollment.
  • Assessments completed in the homes of the potential participant according to the availability of the participant and family, including evening as weekends as needed.
  • Utilize knowledge and required skills to insure appropriate assessments.
  • Assesses individual patient conditions, utilizing clinical observation, medical record, and verbal information, interaction with patient/family and care team.
  • Coordinates level of care applications with State Medicaid (or designee) and Medicare applications with county Department of Social Service personnel.
  • Participates in IDT, Management Team and other related meeting and activities.
  • Participates in outreach activities in conjunction with the Marketing and Enrollment Manager.
  • Completes appropriate documentation related to participant assessments as required.
  • Maintains statistical data required.
  • Presents Intake reports at the weekly staff meeting and additionally as needed.
  • Travels to client's homes and/or other agencies in the community as needed.
  • Knowledge of NC's nursing facility level of care criteria-FL2.
  • In collaboration with the Nurse Care Manager and Team Director, oversee facilitating execution/signing of Care Plan and Enrollment Agreement.
  • Participates in outreach events and presentations in the community.
  • Provides alternative community resources to applicants who are not accepted into the PACE program.
  • Contacts identified key referral sources regularly to discuss possible program candidates.
  • Maintains ongoing relationship with identified individuals and agencies to ensure a clear understanding of PACE as a vital community resource.

Qualifications -
Education/Experience: 3-year degree from a recognized college or university equivalent combination of experience required. Strong preference for knowledge of community served by Piedmont. Preference for sales experience and demonstrated success in meeting sales benchmarks. One year of experience with the frail or elderly preferred. Must be fluent in Spanish.
Licensure, Registry or Certification Required:Must have a valid NC Driver License. Must be CPR/BLS certified.
Immunizations: Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment.
Pay Range: $22.49/Hourly - $30.23/Hourly (commensurate with years of experience)
EEO STATEMENT
Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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