Director, Enrollment (Duals) - REMOTE

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

Job summary

A leading career site is seeking a Director of Enrollment to oversee the preparation and processing of member enrollment records. The role involves ensuring compliance, managing staff, and serving as a subject matter expert in enrollment processes. Candidates should have extensive experience in Medicare and Medicaid regulations, along with a graduate degree. A competitive benefits package is offered.

Benefits

Competitive benefits and compensation package

Qualifications

• 7-9 years of duals/Medicare enrollment experience.
• 10+ years preferred in Medicaid, Medicare Regulations.

Responsibilities

• Oversees enrollment and premium staff, ensuring compliance.
• Maintains member and enrollment records, addressing inquiries.

Skills

Compliance

Coaching

Data Analysis

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 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, 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 per year. 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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