Director, Enrollment (Duals) - REMOTE

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

Job summary

A leading company in IT Services is seeking a Director of Enrollment to oversee member processing and enrollment management. This role requires extensive experience in Medicare and Medicaid regulations, along with strong leadership skills to supervise staff across multiple sites. The position offers a competitive salary and benefits package.

Qualifications

• 7-9 years of duals / Medicare enrollment experience required.
• Preferred: 10+ years with Medicaid and Medicare regulations.

Responsibilities

• Oversee enrollment and premium staff across multiple plan sites.
• Manage health plan's member and enrollment records.
• Ensure accurate delivery of enrollment data.

Skills

Compliance

Leadership

Problem Solving

Education

Graduate degree or equivalent

Job description

Be among the first 25 applicants to apply for this exciting opportunity with Molina Healthcare, listed on Lensa, the leading career site for job seekers at every stage of their career.

Job Description

The Director of Enrollment is responsible for overseeing the preparation, processing, and maintenance of new members and re-enrollment. This role involves managing health plan's member and enrollment records, employer's monthly reports, and sending membership cards and materials. The position requires verifying enrollment status, making changes to records, researching and resolving enrollment system rejections, and addressing various enrollment questions or concerns received via claims, call tracking, or email. Maintaining records in the enrollment database is also essential.

Knowledge/Skills/Abilities

• Oversees enrollment and premium staff across multiple plan sites within the region, including employee reviews, coaching, and disciplinary actions.
• Monitors and enforces compliance with reconciliation processes.
• Ensures accurate delivery of enrollment and premium data for the region.
• Acts as a subject matter expert for projects and new business initiatives related to enrollment.
• Maintains policies and standard operating procedures.

Job Qualifications

Required Education

Graduate degree or an equivalent combination of education and experience.

Required Experience

7-9 years of duals / Medicare enrollment experience.

Preferred Experience

10+ years, including Medicaid and Medicare regulations experience.

Additional Information

Interested Molina employees should 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 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
• Industry: IT Services and IT Consulting

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