Associate Director (AD) of Enrollment

Essen Healthcare; New York (NY); On-site; USD 120,000 - 190,000; Full time

Job summary

Essen Health Care seeks an Associate Director of Enrollment, Care Management to lead enrollment operations for Care Management and Health Home programs across New York. You will shape enrollment strategy, ensure regulatory compliance, and drive growth while scaling processes with accuracy and care.

The ideal candidate brings deep knowledge of NYS Health Home enrollment and Medicaid Managed Care, a track record of building high-performing teams, and a data-driven approach to optimize workflows

Qualifications

• 5+ years of experience in healthcare enrollment, care management, or Health Home operations.
• Strong knowledge of NYS Health Home enrollment and Medicaid Managed Care requirements.
• Proven experience leading teams and managing operational workflows.
• Experience with enrollment systems, EMRs, and reporting platforms.
• Excellent organizational, analytical, and communication skills.
• Bachelor's degree required; Master's degree (MHA, MPH, MBA) preferred.
• Experience supporting population health or value-based care programs; knowledge of NYC/Bronx healthcare market; scaling enrollment operations across multiple partners or sites; familiarity with regulatory audits and quality improvement initiatives.

Responsibilities

• Enrollment Operations & Strategy: Oversee all enrollment and eligibility processes for Care Management and Health Home programs.
• Develop and implement enrollment strategies to support growth targets and program expansion.
• Ensure accurate and timely member enrollment in compliance with NYS DOH and Medicaid Managed Care requirements.
• Manage enrollment forecasting and volume planning.
• Compliance & Quality Assurance: Ensure enrollment processes meet regulatory and documentation standards.
• Conduct regular audits of enrollment files and workflows.
• Partner with Compliance and Quality teams to address gaps and corrective actions.
• Maintain audit readiness for regulatory reviews.
• Team Leadership & Development: Build, manage, and mentor enrollment teams.
• Develop standardized training programs and operational procedures.
• Foster a culture of accountability, accuracy, and continuous improvement.
• Cross-Functional Collaboration: Partner with Care Management Operations, Compliance, IT, Billing, and Clinical teams.
• Support onboarding of new Care Management partners and programs.
• Collaborate with Growth & Strategy teams to align enrollment efforts with expansion initiatives.
• Process Improvement & Systems Optimization: Design scalable enrollment workflows and best practices.
• Leverage data and metrics to improve turnaround times and member experience.
• Partner with IT to optimize enrollment systems and reporting tools.
• Reporting & Performance Metrics: Track and report key enrollment KPIs including enrollment volume, processing turnaround time, error rates, audit findings, and provide regular performance reports to senior leadership.

Skills

Enrollment operations leadership

Regulatory compliance

Process optimization

Data-driven decision making

Cross-functional collaboration

Team development

Education

Bachelor's degree

Master's degree (MHA, MPH, MBA) preferred

Tools

EMRs

Reporting platforms

Job description

Overview

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state's most vulnerable and underserved residents.

Founded in 1999, we've grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women's health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We're looking for talented, motivated individuals to join our growing team. Whether you're a medical provider, administrator, or operations professional, there's a career here for you. Join us in making a real difference in the health of our community.

Job Summary

The Associate Director of Enrollment, Care Management will lead and oversee all enrollment operations for Essen Health Care's Care Management and Health Home programs. This role is responsible for managing enrollment strategy, ensuring regulatory compliance, optimizing workflows, and supporting growth initiatives across partner organizations.

The ideal candidate is a results-driven operational leader with deep knowledge of NYS Health Home enrollment requirements and the ability to scale enrollment processes while maintaining accuracy, compliance, and high service standards.

Responsibilities

• Enrollment Operations & Strategy

  Oversee all enrollment and eligibility processes for Care Management and Health Home programs

  Develop and implement enrollment strategies to support growth targets and program expansion

  Ensure accurate and timely member enrollment in compliance with NYS DOH and Medicaid Managed Care requirements

  Manage enrollment forecasting and volume planning

  Compliance & Quality Assurance

  Ensure enrollment processes meet regulatory and documentation standards

  Conduct regular audits of enrollment files and workflows

  Partner with Compliance and Quality teams to address gaps and corrective actions

  Maintain audit readiness for regulatory reviews

  Team Leadership & Development

  Build, manage, and mentor enrollment teams

  Develop standardized training programs and operational procedures

  Foster a culture of accountability, accuracy, and continuous improvement

  Cross-Functional Collaboration

  Partner with Care Management Operations, Compliance, IT, Billing, and Clinical teams

  Support onboarding of new Care Management partners and programs

  Collaborate with Growth & Strategy teams to align enrollment efforts with expansion initiatives

  Process Improvement & Systems Optimization

  Design scalable enrollment workflows and best practices

  Leverage data and metrics to improve turnaround times and member experience

  Partner with IT to optimize enrollment systems and reporting tools

  Reporting & Performance Metrics

  Track and report key enrollment KPIs including:

  Enrollment volume

  Processing turnaround time

  Error rates

  Audit findings

  Provide regular performance reports to senior leadership

Qualifications

• 5+ years of experience in healthcare enrollment, care management, or Health Home operations

  Strong knowledge of NYS Health Home enrollment and Medicaid Managed Care requirements

  Proven experience leading teams and managing operational workflows

  Experience with enrollment systems, EMRs, and reporting platforms

  Excellent organizational, analytical, and communication skills

  Bachelor's degree required; Master's degree (MHA, MPH, MBA) preferred

  Preferred Qualifications

  Experience supporting population health or value-based care programs

  Knowledge of NYC/Bronx healthcare market

  Experience scaling enrollment operations across multiple partners or sites

  Familiarity with regulatory audits and quality improvement initiatives

  Core Competencies

  Enrollment Operations Leadership

  Regulatory Compliance

  Process Optimization

  Data-Driven Decision Making

  Cross-Functional Collaboration

  Team Development

Equal Opportunity Employer

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.