Director, Enrollment (Duals) - REMOTE

Lensa; Grand Island (NE); Remote; USD 97,000 - 190,000; Full time

Job summary

A leading career site is seeking a Director of Enrollment for Molina Healthcare. This role involves overseeing enrollment processes, ensuring compliance, and managing staff. Ideal candidates have extensive experience in Medicare and Medicaid regulations. Competitive benefits and compensation offered.

Qualifications

• 7-9 years Duals / Medicare enrollment experience.
• 10+ years in Medicaid and Medicare Regulations.

Responsibilities

• Preparation, processing, and maintenance of new members and re-enrollment.
• Address enrollment questions via claims, call tracking, or e-mail.
• Maintain records in the enrollment database.

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 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 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 Duals / Medicare enrollment experience.

Preferred Experience

10+ years in Medicaid and Medicare Regulations.

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

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