Director, Enrollment (Duals) - REMOTE

Lensa; Phoenix (AZ); Remote; USD 97,000 - 190,000; Full time

Job summary

Join a forward-thinking organization seeking a Director of Enrollment Management. In this pivotal role, you will oversee the preparation and processing of member enrollment records, ensuring compliance and accuracy across the board. With a focus on leadership and data analysis, you will guide a team dedicated to enhancing the enrollment experience for members. This position offers a competitive salary and the opportunity to make a significant impact in the healthcare sector, working with a collaborative team committed to excellence and innovation.

Qualifications

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

Responsibilities

• Prepare and maintain member enrollment records.
• Oversee compliance and data delivery for enrollment processes.

Skills

Enrollment Management

Compliance Monitoring

Data Analysis

Leadership

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, 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 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 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 based on geographic location, work experience, education, and skill level.

Additional Details

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