Enrollment Specialist

We're hiring 4 Health Plan Enrollment Representatives to support a large-scale enrollment operations project with one of Northern California's most respected and recognized healthcare organizations. If you're experienced with health plan enrollment, eligibility, insurance operations, or healthcare administration and enjoy working in a fast-paced, detail-oriented environment, we'd love to hear from you.

Health Plan Enrollment Representative

Location: Sacramento, CA (Onsite)

Schedule: Full-Time | Monday-Friday | 8:00 AM-5:00 PM

Project Length: 52 Weeks

Start Date: July 27, 2026

About the Opportunity

Join a premier healthcare system known for its commitment to quality patient care and operational excellence. This special project team will play a key role in supporting health plan enrollment activities, ensuring member eligibility accuracy, maintaining regulatory compliance, and delivering exceptional service to members and internal stakeholders.

Key Responsibilities

• Process new enrollments, terminations, eligibility updates, and PCP changes
• Verify member eligibility and resolve enrollment discrepancies
• Review and maintain demographic and enrollment data within enrollment systems
• Process retroactive eligibility changes and enrollment corrections
• Respond to eligibility inquiries from internal and external partners
• Generate member correspondence and process duplicate ID card requests
• Review enrollment submissions for accuracy and completeness
• Collaborate with brokers, vendors, Member Services, and internal departments to resolve enrollment issues
• Support enrollment audits, data validation activities, and compliance initiatives
• Assist with open enrollment and annual enrollment readiness activities

Minimum Qualifications

• High School Diploma or equivalent
• At least 1 year of recent experience in health plan enrollment, eligibility, insurance operations, healthcare administration, or related healthcare support functions
• Experience working with enrollment processing, eligibility verification, demographic updates, and member data maintenance
• Proficiency with Microsoft Office Suite, including Excel, Word, and PowerPoint
• Experience with data entry, database management, file uploads, and data validation
• Strong understanding of confidentiality requirements and handling protected health information (PHI)
• Excellent communication and problem-solving skills

Preferred Qualifications

• Knowledge of health insurance enrollment and eligibility practices
• Familiarity with managed care, payer operations, reimbursement models, and regulatory requirements
• Experience with Microsoft Access, SQL Server, or enrollment file layouts
• Strong analytical, organizational, and time management skills
• Ability to manage multiple priorities and meet production standards
• Experience supporting open enrollment or annual enrollment activities

Ideal Candidate

We're looking for detail-oriented professionals who thrive in a structured environment, enjoy working with data, and understand the importance of accuracy in healthcare operations. Successful candidates will have a customer-service mindset, strong problem-solving abilities, and a commitment to delivering high-quality work.

Multiple openings available. Apply today to be considered for this exciting opportunity with a leading healthcare organization in the Sacramento area.

This is a Contract position based out of Sacramento, CA.

The pay range for this position is $25.00 - $25.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully onsite position in Sacramento,CA.

This position is anticipated to close on Jul 15, 2026.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Salary : $25