Director, Enrollment (Duals) - REMOTE

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

Job summary

A leading career site is seeking a Director of Enrollment to oversee member processing and compliance at Molina Healthcare. The role involves managing enrollment records and ensuring accurate data delivery. Ideal candidates will have extensive experience in Medicare and Medicaid regulations.

Qualifications

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

Responsibilities

• Responsible for maintaining health plan's member and enrollment records.
• Addresses enrollment questions or concerns received via claims, call tracking, or email.

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, 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 delivery of accurate enrollment and premium-related data for the region.
• Acts 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. We are an Equal Opportunity Employer (EOE) M/F/D/V.

Salary 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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