Director, Enrollment (Duals) - REMOTE

Lensa; Provo (UT); Remote; USD 97,000 - 190,000; Full time

Job summary

A leading career site is seeking a Director of Enrollment to oversee member records and ensure compliance with enrollment processes. The role requires extensive experience in Medicare and Medicaid, along with strong leadership skills. This full-time position offers a competitive salary and benefits package.

Benefits

Competitive benefits and compensation package

Qualifications

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

Responsibilities

• Responsible for preparation and maintenance of member records.
• Monitors compliance with reconciliation processes.
• Acts as a subject matter expert for projects.

Skills

Compliance Monitoring

Data Accuracy

Coaching

Subject Matter Expertise

Education

Graduate Degree

Job description

Be among the first 25 applicants to apply for this position and gain access to AI-powered advice and exclusive features.

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, 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.
• Acts 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 of experience.
• Medicaid.
• Medicare Regulations.

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 is 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 skill level.

Additional Details

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

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