Director, Enrollment (Duals) - REMOTE

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

Job summary

An established industry player is seeking a dedicated professional to oversee member enrollment processes. In this role, you will ensure accurate handling of enrollment records, compliance with regulations, and effective communication with stakeholders. With a focus on leadership, you will guide a team in delivering high-quality enrollment services. This is a fantastic opportunity to contribute to a vital aspect of healthcare while enjoying a competitive compensation package. Join a dynamic team and make a significant impact in the healthcare sector!

Qualifications

• 7-9 years of experience in Duals / Medicare enrollment.
• Knowledge of Medicaid and Medicare regulations preferred.

Responsibilities

• Prepare and maintain member enrollment records.
• Address enrollment questions and maintain database accuracy.

Skills

Enrollment Processing

Compliance Monitoring

Data Accuracy

Coaching and Employee Reviews

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 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. 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

• Holds general oversight of enrollment and premium staff at each plan site within the 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.
• Serves as a 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 of Duals / Medicare enrollment experience.

Preferred Experience

10+ years, Medicaid, Medicare Regulations.

Additional Information

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.

Seniority level

• Director

Employment type

• Full-time

Job function

• Education and Training

Industries

• IT Services and IT Consulting