Enrollment Analyst – ACA Enrollment

WVU Medicine

Enrollment Analyst processing ACA Marketplace transactions, eligibility, reconciliations, and member records for WVU Medicine’s Peak Health plan. Supporting CMS compliance, Open Enrollment, UAT, training, and process improvement.

Posted 8/5/2026full-timeRemote • Virginia, West Virginia • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in ACA/Marketplace enrollment processing, Medicare eligibility, and compliance with CMS regulations. Proficient in data analysis, system testing, and training development to enhance operational efficiency.

Highest-signal resume keywords

ACA/Marketplace Enrollment ProcessingMedicare Eligibility ProcessingData Analysis and ReportingSystem/User Acceptance TestingTraining Development and Delivery

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data EntryEnrollment ProcessingReconciliation OperationsTransaction Code FamiliarityCMS ComplianceMedical Insurance KnowledgeAdministrative ProceduresAnalytical SkillsProblem-Solving SkillsAttention to Detail

Soft Skills

OrganizationMultitaskingPlanningDocumentation

Tools & Technologies

Microsoft Office Professional SuiteEPICInternet ExplorerEMR Systems

Industry Keywords

Health Insurance MarketplaceMedicareFFM Enrollment OperationsCMS RegulationsMember Enrollment Records

About the role

Key responsibilities & impact

Review, execute, and oversee processing of member enrollment application information for Peak Health’s Plan Suite
Manage weekly enrollment files and daily ACA/Marketplace enrollment transactions
Reconcile membership, coverage, Marketplace, issuer, and CMS records
Maintain member enrollment records, including APTC and CSR information
Process new enrollments, maintenance transactions, cancellations, terminations, reinstatements, plan changes, SEP requests, SNP applications, and 834 transaction files
Resolve enrollment discrepancies, transaction errors, rejects, exceptions, and eligibility issues
Complete EDV monthly processes, REED submissions, LEP data files, MPWR files, and CMS reconciliation processes
Monitor enrollment work queues and meet production, quality, CMS, and organizational timeliness standards
Respond to member inquiries regarding enrollment procedures, benefits, and eligibility requirements
Develop and deliver department training to new hires and maintain job aids and standard operating procedures
Participate in system testing, UAT, validation activities, Open Enrollment planning, and process improvement initiatives
Analyze enrollment data, identify trends and discrepancies, and prepare management reports
Ensure compliance with CMS Marketplace regulations, federal and state regulations, issuer guidelines, and internal policies
Collaborate with underwriting, billing, customer service, Marketplace representatives, vendors, and other stakeholders
Maintain enrollment databases and software and troubleshoot system-related issues

Requirements

What you’ll need

High school Diploma or equivalent
Three (3) years of experience working with medical or institutional data entry
Three (3) years of customer service experience
Two (2) years of Medicare eligibility and Medicare Enrollment processing experience
Preferred: Three (3) or more years of ACA/Marketplace enrollment processing experience
Experience working with Federally Facilitated Marketplace (FFM) enrollment operations
Familiarity with Health Insurance Marketplace eligibility and enrollment regulations
Familiarity with Medicare elections, transaction codes, reconciliation operations, LEP, CMS tools/resources, MARx, EDVs, REED Submissions, COB payment orders, and Tapestry’s AFO table
At least one (1) year of experience with system/user acceptance testing
At least one (1) year of experience with developing and delivering trainings
Previous experience in EMR systems
Working knowledge of administrative and clerical procedures, word processing, and managing files and records
Ability to navigate multiple systems simultaneously and work with minimal supervision
Familiarity with medical insurance, ASO/Commercial, Medicare, and ACA/Marketplace enrollment processes
Exceptional attention to detail, organization, multitasking, planning, documentation, analytical, and problem-solving abilities
Proficiency with Microsoft Office Professional Suite, Internet Explorer, and EPIC
Ability to sit for extended periods of time

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account WVU Medicine Website LinkedIn All Job Openings 10,000+ employees 🏥 Healthcare ⚕️ Healthcare Insurance Healthcare
Healthcare Insurance WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves. Enrollment Analyst – ACA Enrollment Job not on LinkedIn 🔥 1 hour ago ⚔️ Virginia, West Virginia – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🧐 Analyst Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Review, execute, and oversee processing of member enrollment application information for Peak Health’s Plan Suite
Manage weekly enrollment files and daily ACA/Marketplace enrollment transactions
Reconcile membership, coverage, Marketplace, issuer, and CMS records
Maintain member enrollment records, including APTC and CSR information
Process new enrollments, maintenance transactions, cancellations, terminations, reinstatements, plan changes, SEP requests, SNP applications, and 834 transaction files
Resolve enrollment discrepancies, transaction errors, rejects, exceptions, and eligibility issues
Complete EDV monthly processes, REED submissions, LEP data files, MPWR files, and CMS reconciliation processes
Monitor enrollment work queues and meet production, quality, CMS, and organizational timeliness standards
Respond to member inquiries regarding enrollment procedures, benefits, and eligibility requirements
Develop and deliver department training to new hires and maintain job aids and standard operating procedures
Participate in system testing, UAT, validation activities, Open Enrollment planning, and process improvement initiatives
Analyze enrollment data, identify trends and discrepancies, and prepare management reports
Ensure compliance with CMS Marketplace regulations, federal and state regulations, issuer guidelines, and internal policies
Collaborate with underwriting, billing, customer service, Marketplace representatives, vendors, and other stakeholders
Maintain enrollment databases and software and troubleshoot system-related issues 🎯 Requirements
High school Diploma or equivalent
Three (3) years of experience working with medical or institutional data entry
Three (3) years of customer service experience
Two (2) years of Medicare eligibility and Medicare Enrollment processing experience
Preferred: Three (3) or more years of ACA/Marketplace enrollment processing experience
Experience working with Federally Facilitated Marketplace (FFM) enrollment operations
Familiarity with Health Insurance Marketplace eligibility and enrollment regulations
Familiarity with Medicare elections, transaction codes, reconciliation operations, LEP, CMS tools/resources, MARx, EDVs, REED Submissions, COB payment orders, and Tapestry’s AFO table
At least one (1) year of experience with system/user acceptance testing
At least one (1) year of experience with developing and delivering trainings
Previous experience in EMR systems
Working knowledge of administrative and clerical procedures, word processing, and managing files and records
Ability to navigate multiple systems simultaneously and work with minimal supervision
Familiarity with medical insurance, ASO/Commercial, Medicare, and ACA/Marketplace enrollment processes
Exceptional attention to detail, organization, multitasking, planning, documentation, analytical, and problem-solving abilities
Proficiency with Microsoft Office Professional Suite, Internet Explorer, and EPIC
Ability to sit for extended periods of time Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Informatics Analyst 🔥 1 hour ago Dearborn Group 1001 - 5000 🏥 Healthcare 🛡️ Insurance ⚕️ Healthcare Insurance Website LinkedIn All Job Openings Informatic Analyst supporting SQL/VBA reporting solutions for Dearborn Group, which provides employer-paid and voluntary insurance products. Designing, testing, and delivering data-driven reports. 🇺🇸 United States – Remote 💵 $41.7k - $92.8k / year ⏰ Full Time 🟢 Junior 🟡 Mid-level 🧐 Analyst 🚫👨‍🎓 No degree required Workday Analyst 🔥 1 hour ago Geode Health 51 - 200 💼 Consulting 🛡️ Insurance 🏥 Healthcare Website LinkedIn All Job Openings Workday Analyst administering HR and finance systems for Geode Health, a national outpatient mental healthcare provider. Supporting modules, reporting, integrations, data integrity, and process improvements. 🇺🇸 United States – Remote 💵 $105k - $115k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 🧐 Analyst Provider Payment Appeals Analyst I 🔥 2 hours ago Elevance Health 10,000+ employees 🏥 Healthcare ⚕️ Healthcare Insurance 🤝 B2B Website LinkedIn All Job Openings Provider payment appeals analyst resolving healthcare payment disputes for Elevance Health, a company simplifying healthcare. Reviewing claims, investigating decisions, and determining appropriate resolutions. 🇺🇸 United States – Remote 💵 $22 - $34 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 🧐 Analyst 🦅 H1B Visa Sponsor Partner Engagement Senior Analyst 🔥 2 hours ago DaVita Kidney Care 10,000+ employees 🏥 Healthcare ⚕️ Healthcare Insurance Website LinkedIn All Job Openings Senior Analyst advancing provider engagement programs for DaVita, a comprehensive kidney care provider. Managing cross-functional initiatives, presentations, and data-driven improvements supporting value-based care. 🇺🇸 United States – Remote 💵 $66.3k - $95k / year 💰 Post-IPO Debt on 2021-02 ⏰ Full Time 🟠 Senior 🧐 Analyst Quality Analyst – Autonomous Coding 🔥 2 hours ago Solventum 10,000+ employees 🏥 Healthcare 📦 Logistics 💼 Consulting Website LinkedIn All Job Openings Autonomous coding analyst evaluating AI-enabled healthcare coding performance for Solventum, a healthcare technology company. Identifying risks, anomalies, and optimization opportunities to scale responsible automation. 🇺🇸 United States – Remote 💵 $125.6k - $172.7k / year ⏰ Full Time 🟠 Senior 🔴 Lead 🧐 Analyst View More Analyst Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates About us Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course Remote Job Search MasterClass AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs