Director, Enrollment (Duals) - REMOTE

Lensa; Augusta (GA); Remote; USD 97,000 - 190,000; Full time

Job summary

A leading career site is hiring a Director of Enrollment for Molina Healthcare in Augusta, GA. This role involves overseeing member enrollment processes, ensuring compliance, and maintaining accurate records. The candidate should have extensive experience in Medicare enrollment and a graduate degree. Join a dynamic team and contribute to improving healthcare services.

Benefits

Competitive benefits and compensation package

Qualifications

• 7-9 years of Duals / Medicare enrollment experience required.
• 10+ years preferred in Medicaid, Medicare Regulations.

Responsibilities

• Prepare, process, and maintain member enrollment records.
• Address enrollment questions and maintain records in the database.
• Oversee enrollment and premium staff compliance.

Skills

Compliance Monitoring

Coaching

Data Accuracy

Policy Maintenance

Education

Graduate Degree

Job description

Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description

Job Summary

Responsible for the preparation, processing, and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received via claims, call tracking, or e-mail. Maintain records in the enrollment database.

Knowledge/Skills/Abilities

• Holds general oversight of enrollment and premium staff at each plan site within the defined region. This may include employee reviews, coaching sessions, and disciplinary actions.
• Monitors and enforces compliance with company-wide reconciliation processes.
• Ensures that delivery of enrollment / premium related data is accurate for the defined region.
• Subject matter expert for projects and/or new business related to areas of oversight.
• Oversees maintenance of policies and standard operating procedures.

Job Qualifications

Required Education

Graduate Degree or equivalent combination of education and experience.

Required Experience

7-9 years of Duals / Medicare enrollment experience.

Preferred Experience

10+ years, Medicaid, Medicare Regulations.

Additional Information

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $97,299 - $189,782 / ANNUAL

• Actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level.

Additional Details

• Seniority level: Director
• Employment type: Full-time
• Job function: Education and Training
• Industries: IT Services and IT Consulting

Referrals increase your chances of interviewing at Lensa by 2x.

Get notified about new Director of Enrollment jobs in Augusta, GA.

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.