Director, Enrollment (Duals) - REMOTE

Lensa; Dallas (TX); Remote; USD 97,000 - 190,000; Full time

Job summary

An established industry player is seeking a skilled professional for a pivotal role in managing member enrollment and maintaining accurate records. This exciting position involves overseeing the enrollment process, ensuring compliance with regulations, and serving as a subject matter expert in the field. With a focus on leadership and data accuracy, you will play a crucial role in enhancing the enrollment experience for members. This full-time opportunity offers a competitive salary and a chance to make a significant impact in the healthcare sector.

Qualifications

• 7-9 years of Duals / Medicare enrollment experience required.
• Graduate Degree or equivalent combination of education and experience.

Responsibilities

• Prepare, process, and maintain member and enrollment records.
• Address enrollment questions and maintain records in the database.

Skills

Enrollment Oversight

Compliance Monitoring

Data Delivery Accuracy

Policy Maintenance

Coaching and Employee Reviews

Education

Graduate Degree or equivalent

Job description

Be among the first 25 applicants

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/premium related data for the region.
• Serves as a subject matter expert for projects and new business related to oversight areas.
• 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.

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