Director, Enrollment (Duals) - REMOTE

Lensa; Jacksonville (FL); Remote; USD 97,000 - 190,000; Full time

Job summary

An established industry player is seeking a Director of Enrollment to lead enrollment processing and compliance efforts. This pivotal role involves overseeing staff, ensuring accurate data delivery, and maintaining enrollment records for a healthcare organization. The ideal candidate will bring extensive experience in Medicare and Medicaid regulations, coupled with strong leadership skills. Join a dynamic team dedicated to improving healthcare access and delivery in Jacksonville, FL. This is a fantastic opportunity to make a significant impact in a growing organization while enjoying a competitive salary and benefits package.

Qualifications

• 7-9 years of experience in Duals/Medicare enrollment.
• Graduate degree or equivalent experience required.

Responsibilities

• Oversee enrollment and premium staff, ensuring compliance.
• Maintain records in the enrollment database and resolve issues.

Skills

Enrollment Processing

Compliance Monitoring

Data Management

Coaching and Leadership

Subject Matter Expertise

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, 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 e-mail. Maintains records in the enrollment database.

Knowledge/Skills/Abilities

• Oversees enrollment and premium staff at each plan site within the region, including employee reviews, coaching, and disciplinary actions.
• Monitors and enforces compliance with reconciliation processes.
• Ensures accurate delivery of enrollment/premium data for the region.
• Serves as a subject matter expert for projects or new business areas.
• Maintains 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 apply, current Molina employees should use the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $97,299 - $189,782 / annually. Actual compensation may vary based on location, experience, education, and skills.

Additional Details

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

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