Director, Enrollment (Duals) - REMOTE

Lensa; Seattle (WA); Remote; USD 97,000 - 190,000; Full time

Job summary

A leading healthcare provider is seeking a Director of Enrollment in Seattle, WA. This role involves overseeing enrollment processes, maintaining records, and ensuring compliance with regulations. The ideal candidate will have significant experience in Medicare and Medicaid enrollment, along with strong leadership skills. Join a team dedicated to improving healthcare access and quality for members.

Benefits

Competitive benefits and compensation package

Qualifications

• 7-9 years of Duals / Medicare enrollment experience.
• Experience with Medicaid and Medicare regulations.

Responsibilities

• Responsible for preparation and maintenance of member records.
• Verifies enrollment status and resolves system rejections.
• Oversees compliance with reconciliation processes.

Skills

Compliance

Leadership

Data Management

Education

Graduate Degree

Job description

Be among the first 25 applicants to apply for this job and get AI-powered advice and exclusive features on Lensa, the leading career site for job seekers at every stage of their career.

Our client, Molina Healthcare, is seeking professionals for the role described below. 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 the defined region, including employee reviews, coaching sessions, and disciplinary actions.
• Monitors and enforces compliance with company-wide reconciliation processes.
• Ensures accurate delivery of enrollment and premium-related data for the 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 an equivalent combination of education and experience.

Required Experience

7-9 years of Duals / Medicare enrollment experience.

Preferred Experience

• 10+ years of experience.
• Experience with Medicaid and Medicare regulations.

To all current Molina employees: If interested in this position, please 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 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
• Industries: IT Services and IT Consulting

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