Director, Enrollment (Duals) - REMOTE

Lensa; City of Yonkers (NY); Remote; USD 97,000 - 190,000; Full time

Job summary

A leading career site is seeking a Director of Enrollment to manage member processing and oversee compliance in enrollment. The role requires extensive experience in Medicare and Medicaid regulations, ensuring accurate data delivery and staff oversight. Join a competitive environment with a focus on professional growth and community engagement.

Benefits

Competitive benefits and compensation package

Qualifications

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

Responsibilities

• Responsible for processing and maintenance of member enrollment records.
• Address enrollment questions via claims, call tracking, or e-mail.
• Oversee enrollment and premium staff at each plan site.

Skills

Oversight

Compliance Monitoring

Data Accuracy

Project Management

Policy Maintenance

Education

Graduate Degree

Job description

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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 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 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 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 Duals / Medicare enrollment experience.

Preferred Experience

10+ years, Medicaid, Medicare Regulations

Additional Information

To all current Molina employees: If interested, apply through the intranet job listing.

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

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

• Actual compensation may vary based on location, experience, education, and skills.

Seniority level

• Director

Employment type

• Full-time

Job function

• Education and Training

Industries

• IT Services and IT Consulting

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