Director, Enrollment (Duals) - REMOTE

Lensa; Nampa (ID); Remote; USD 97,000 - 190,000; Full time

Job summary

An established industry player is seeking a Director of Enrollment to lead the preparation and processing of member records. This role involves overseeing compliance, ensuring accurate data delivery, and serving as a subject matter expert. The ideal candidate will have extensive experience in Medicare enrollment and a graduate degree. Join a forward-thinking organization that values expertise and offers a competitive compensation package, making a significant impact in the healthcare sector.

Qualifications

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

Responsibilities

• Oversee preparation and maintenance of member enrollment records.
• Address enrollment questions via claims, calls, or emails.

Skills

Enrollment Oversight

Compliance Monitoring

Data Accuracy

Project Management

Policy Maintenance

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, 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/or 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.

Additional Information

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.

Pay Range: $97,299 - $189,782 / ANNUAL

• 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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