MassHealth Enrollment Specialist

Confidential

Arlington, Virginia, United States permanent

Posted: April 2, 2026

Job Description

Who we are

At Entyre Care, we’re on a mission to empower everyone to live with dignity and independence in the comfort of their own home. We’re passionate about supporting friends and families who provide home care for their loved ones. Our offerings include professional training, fair compensation, and the tools they need to thrive to create a safe and respected environment for those they care most about.

Entyre Care is a progressive, high growth, startup organization that centers around Adult Foster Care (AFC). We use cutting edge technology to further the advancement of healthcare in a home care setting. We’re always looking for motivated, empathetic, and value-driven people to join our supportive team.

Caring for someone you love shouldn’t feel overwhelming, which is why we’re here to ensure every caregiver feels confident, supported, and valued. Ready to join our journey? You can learn more about us here at www.entyrecare.com.

Your role as MassHealth Enrollment Specialist

We are seeking to grow our MassHealth Enrollment team! The ideal candidate will be dedicated and knowledgeable with all things Medicaid and MassHealth, and will possess a strong background in researching member insurance issues, counselling patients on insurance plans, navigating the complexities of MassHealth LTSS services and have a solid understanding of SCO, PACE and MassHealth Waivers. This role is vital in ensuring that our patients receive the best possible insurance solutions tailored to their needs. We’d love to speak to candidates who have CAC certifications or SHINE accredited.

Key Responsibilities:

• Assess and determine MassHealth eligibility for clients, utilizing the knowledge of MassHealth LTSS services and the specific benefits associated with various forms of MassHealth.

• Provide guidance and counsel to patients regarding insurance plans, discussing risks and benefits to help them make informed choices

• Experience with over 65 community and knowledge of SCO

• Engage with patients in their homes to assist with onboarding, ensuring a smooth transition into necessary services.

• Demonstrate a strong understanding of ACO/MCA plans within the Massachusetts health insurance system to aid clients in navigating their options.

• Research member insurance issues, addressing concerns related to benefits and eligibility, and help clients understand their options.

• Familiarize yourself with prior authorization processes related to LTSS and MassHealth services, including hospice services and personal care assistance (PCA).

• Display ambition and innovation in developing patient solutions through insurance options, constantly seeking to improve processes.

• Maintain a self-starter mentality by tracking key quantifiable metrics related to patient enrollment documents to enhance efficiency in the enrollment process.

• Practice keen listening skills to effectively connect with patients during insurance navigation, ensuring their needs are understood and met.

• Communicate effectively with internal staff regarding trends and issues related to insurance enrollment, fostering cooperative problem-solving.

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