Elisabeth McGinnis
Watertown,MA
Summary
Experienced with enrollment eligibility, regulatory compliance , and data management. Strong focus on collaboration and achieving results, adapting to changing needs and providing dependable support. Skilled in time management, database systems, and problem-solving. Recognized for excellent communication, organizational skills, and results-driven mindset.
Overview
7
7
years of professional experience
Work History
Enrollment Specialist II
CareSource
01.2026 - Current
- Maintained extensive knowledge of industry regulations, keeping up-to-date with changes impacting enrollment and eligibility criteria.
- Collaborated with cross-functional teams to resolve complex complaints and grievances.
- Researched and constructed Retroactive Adjustment Requests for industry regulators.
- Developed custom reports for management review, highlighting significant findings from the reconciliation process.
- Supported audit preparation with thorough documentation of all reconciliations, reducing time spent during audits.
Enrollment Reconciliation Specialist
Commonwealth Care Alliance
07.2024 - 12.2025
- Collaborated with cross-functional teams to resolve complex enrollment discrepancies.
- Increased efficiency by developing and maintaining comprehensive reconciliation databases and reports.
- Enhanced reconciliation accuracy by streamlining processes and implementing automated tools.
- Developed custom reports for management review, highlighting significant findings from the reconciliation process.
- Resolved an error backlog of several thousand members, while reconciling discrepancies between the company, vendors, and industry regulators.
Mail Room Specialist
Commonwealth Care Alliance
01.2024 - 07.2024
- Gained extensive knowledge in data entry, analysis and reporting.
- Developed strong leadership skills by managing projects from start to finish.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to develop and implement creative solutions to complex problems.
- Streamlined the Mail Merge process, shrinking the turnaround time from one week to one day.
Photographer
Freelance
06.2021 - 01.2024
- Taking portraits, headshots, and event photography
- Using a variety of software to store and edit photographs, manage client information, and plan photoshoots
- Managed and organized photo database using consistent naming conventions and key-wording for search optimization
- Customized photography strategies based on intended use and client preferences.
Personal Leave of Absence
12.2019 - 06.2021
- Having moved three months prior, there wasn't time to settle and find work before the pandemic broke out
- Chose to self-isolate following the outbreak of the Coronavirus pandemic due to health risks
- Fully vaccinated and eager to return to work.
Associate
Dollar Tree
05.2019 - 12.2019
- Worked at the cash register, filling downtime with checking inventory and keeping the store clean
- Trained under the Store and Assistant Managers for promotion to AM, but relocation interrupted the process
- Worked varied hours to meet seasonal and business needs
- Managed customer relations through communication and helpful interactions
- Prioritized tasks to meet tight deadlines, pitching in to assist others with project duties.
Skills
- Data Analysis
- Project Management
- Microsoft Excel
- Microsoft Office
- Jira
- Data reconciliation
- Policy interpretation
- Record maintenance
Timeline
Enrollment Specialist II
CareSource
01.2026 - Current
Enrollment Reconciliation Specialist
Commonwealth Care Alliance
07.2024 - 12.2025
Mail Room Specialist
Commonwealth Care Alliance
01.2024 - 07.2024
Photographer
Freelance
06.2021 - 01.2024
Personal Leave of Absence
12.2019 - 06.2021
Associate
Dollar Tree
05.2019 - 12.2019