Director, Enrollment (Duals) - REMOTE

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

Job summary

A leading healthcare organization is seeking a Director responsible for managing enrollment processes and overseeing staff. The role involves ensuring compliance, maintaining records, and serving as a subject matter expert. Competitive benefits and compensation are offered.

Benefits

Competitive benefits and compensation package

Qualifications

• 7-9 years of Duals / Medicare enrollment experience.
• 10+ years of experience preferred.

Responsibilities

• Oversees enrollment and premium staff, ensuring compliance.
• Maintains health plan's member and enrollment records.

Skills

Compliance Monitoring

Coaching

Data Accuracy

Subject Matter Expertise

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 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, and sends membership cards and materials. Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections. Addresses a variety of enrollment questions or concerns received via claims, call tracking, or email. Maintains records in the enrollment database.

Knowledge/Skills/Abilities

• Holds general oversight of enrollment and premium staff at each plan site within a defined region, including employee reviews, coaching sessions, and disciplinary actions.
• Monitors and enforces compliance with company-wide reconciliation processes.
• Ensures accurate delivery of enrollment and premium-related data for the defined region.
• Serves as a subject matter expert for projects and 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 of experience.
• Medicaid.
• Medicare Regulations.

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 skill level.

Seniority level

• Director

Employment type

• Full-time

Job function

• Education and Training

Industries

• IT Services and IT Consulting