Director, Enrollment (Duals) - REMOTE

Lensa; Tampa (FL); Remote; USD 97,000 - 190,000; Full time

Job summary

An established industry player is seeking a Director of Enrollment to lead the preparation and maintenance of member records in a dynamic healthcare environment. This role involves ensuring compliance with enrollment processes, overseeing staff, and acting as a subject matter expert on related projects. With a competitive compensation package and a commitment to equal opportunity, this position offers a chance to make a significant impact in the healthcare sector. If you have extensive experience in enrollment and a passion for improving processes, this opportunity is perfect for you.

Qualifications

• 7-9 years of experience in Duals/Medicare enrollment.
• Expertise in Medicaid and Medicare regulations preferred.

Responsibilities

• Oversee preparation and processing of member enrollment.
• Address enrollment questions and maintain records.

Skills

Enrollment Oversight

Compliance Monitoring

Data Accuracy

Policy Maintenance

Education

Graduate Degree

Job description

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, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received via claims, call tracking, or e-mail. Maintain records in the enrollment database.

Knowledge/Skills/Abilities

• Holds general oversight of enrollment and premium staff at each plan site within defined region. This may include employee reviews, coaching sessions, and disciplinary actions.
• Monitors and enforces compliance with company-wide reconciliation processes.
• Ensures that delivery of enrollment / premium related data is accurate for defined region.
• 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 Duals / Medicare enrollment experience.

Preferred Experience

10+ years, Medicaid, Medicare Regulations.

Additional Information

To all current Molina employees: If you are 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 from posting based on geographic location, work experience, education, and/or 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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