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Medicare Enrollment Manager Jobs in Rochester, NY

Required to meet sales and retention goals as determined by Management * Responsible for resolving eligibility and enrollment related questions * Responsible for assisting CDPHP Medicare Sales Agents ...

Required to meet sales and retention goals as determined by Management * Responsible for resolving eligibility and enrollment related questions * Responsible for assisting CDPHP Medicare Sales Agents ...

Required to meet sales and retention goals as determined by Management * Responsible for resolving eligibility and enrollment related questions * Responsible for assisting CDPHP Medicare Sales Agents ...

Manage benefit eligibility, enrollments, life events, status changes, and terminations, ensuring ... Medicare, and related reporting requirements. * Monitor HRIS processes affecting benefit ...

Benefits Manager

Rochester, NY · On-site

$70K - $73K/yr

Manage benefit eligibility, enrollments, life events, status changes, and terminations, ensuring ... Medicare, and related reporting requirements. * Monitor HRIS processes affecting benefit ...

Benefits Manager

Rochester, NY · On-site

$70K - $73K/yr

Manage benefit eligibility, enrollments, life events, status changes, and terminations, ensuring ... Medicare, and related reporting requirements. * Monitor HRIS processes affecting benefit ...

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Medicare Enrollment Manager information

See Rochester, NY salary details

$35K

$85.2K

$115.4K

How much do medicare enrollment manager jobs pay per year?

As of Aug 25, 2026, the average yearly pay for medicare enrollment manager in Rochester, NY is $85,227.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,200.00 and $114,900.00 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 popular job titles related to Medicare Enrollment Manager jobs in Rochester, NY?

For Medicare Enrollment Manager jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Medicare Enrollment Manager jobs in Rochester, NY look for?

The top searched job categories for Medicare Enrollment Manager jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Medicare Enrollment Manager jobs?

Cities near Rochester, NY with the most Medicare Enrollment Manager job openings:

Infographic showing various Medicare Enrollment Manager job openings in Rochester, NY as of June 2026, with employment types broken down into 100% Full Time. Highlights an 60% In-person, and 40% Remote job distribution, with an average salary of $85,227 per year, or $41 per hour.

Medicare Sales Advocate I

Lthc

Rochester, NY • Remote

Full-time

Medical, Dental, Retirement

Posted 11 days ago


Job description

Job Description:

*This position is supporting our CDPHP Medicare Sales team. Leadership is open to considering candidates who reside within our service area in NYS (Inclusive of Albany, Rochester, Buffalo, Syracuse, Utica & Binghamton regions)

Summary:

The Medicare Sales Advocate (MSA) is responsible for finding Medicare solutions for beneficiaries by explaining CDPHP's Medicare benefits and plans to prospective members along with assisting CDPHP Medicare Authorized Agents. This position will also qualify prospective members and arrange for enrollment meetings with a CDPHP Authorized Sales Agent. The MSA duties also include resolving eligibility and enrollment related questions and responding to internal and external customer inquiries that may be received via email or by phone. This position requires the ability to work a flexible schedule to ensure all Medicare regulations are met.

Essential Accountabilities:

  • Responsible for accurately explaining CDPHP Medicare products to beneficiaries
  • Required to meet sales and retention goals as determined by Management
  • Responsible for resolving eligibility and enrollment related questions
  • Responsible for assisting CDPHP Medicare Sales Agents with benefit inquiries, enrollment and eligibility related questions
  • Responsible for responding to customer inquiries, internal and external, via phone and/or email communication
  • Must be able to independently identify and solve problems by implementing appropriate solutions within the department and/or organization
  • Responsible for remaining up to date on Medicare guidelines and CDPHP internal policies and procedures
  • Required to meet monthly sales coaching and production standards as determined by Management
  • Have a thorough understanding of Macess, MARx, inContact and CRM system(s) and the ability to consistently enter accurate and appropriate documentation
  • Must have the ability to successfully work closely with other departments within the organization
  • Responsible for conducting sales presentations to walk-in prospects
  • Adhere to all Medicare, Department of Insurance, and company guidelines
  • Work cohesively with all team members to ensure the team meets all established goals for accuracy, timeliness and customer satisfaction
  • Ensure confidentiality of all data in compliance with department and Plan confidentially policies.
  • The employee agrees to comply with CDPHP's Corporate Compliance Policy, and all laws, rules, regulations and standards of conduct relating to the Corporate Compliance Policy and has a duty and obligation to report any suspected violations of any law, the standards of conduct or Corporate Compliance Policy to his or her immediate Supervisor, the fraud and abuse hotline, the Compliance Officer, the Compliance Director, Human Capital Management or the Chief Executive Officer
  • Performs other duties as assigned.

Minimum Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • High school diploma or GED required.
  • Associates degree preferred
  • NYS Life, Accident and Health Insurance License required or secured within 60 days of hire. (3 attempts)
  • Must successfully complete AHIP certification (3 attempts)
  • Must successfully complete product exams (3 attempts)
  • Minimum two years direct selling or telemarketing experience or one year experience in a health-related field required.
  • Experience with Medicare strongly preferred.
  • Strong working knowledge of Microsoft Word required.Microsoft Excel preferred. Experience with a computer-based documentation system or customer relationship management (CRM) software to track inquiries received is required.
  • Ability to apply problem solving and time management methodology to organization problems is required.
  • Demonstrated public speaking ability preferred.
  • Demonstrated ability to effectively communicate with external and internal contacts both verbally and in written correspondence.
  • Ability to interpret and make decisions based on prospective member needs, corporate underwriting guidelines, as well as federal regulations relating to Medicare Advantage.
  • Strong attention to detail and capability to meet established productivity and quality standards.
  • Ability to work a flexible schedule including but not limited to nights, weekends and holidays.
  • Ability to work from home when necessary and/or required by management.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Equal Opportunity Employer

Compensation Range(s):

Minimum: $22.50/hr - Maximum: $35/hr

The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.

Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.


All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.