Enrollment & Member Services Supervisor — Hybrid

CalOptima Health Partnership; Orange (CA); Hybride; USD 64 000 - 103 000; Plein temps

Avantages offerts par ce poste

Partial Telework

Competitive pay

Benefits package

CalPERS pension

PTO

Wellness programs

Tuition Reimbursement

Professional development

Flexible scheduling

Impact healthcare access

Résumé du poste

CalOptima Health is seeking a Supervisor Customer Service, Member Enrollment to oversee the Enrollment & Reconciliation team in California. You will guide staff on eligibility issues, stay current on state/federal changes, and collaborate with providers, vendors, and agencies for member resolution.

The role supports a Partial Telework arrangement with in-office attendance at least two days per week in Orange, CA, and requires strong leadership in enrollment operations.

Qualifications

• High school diploma plus 2 years of health plan or clinical experience with diverse populations.
• 2 years lead or supervisory experience required.
• Experience in managed care and/or government programs preferred.

Responsabilités

• Oversee day-to-day Enrollment & Reconciliation department activities and staff.
• Guide staff on member eligibility issues and regulatory changes.
• Coordinate with internal/external stakeholders to resolve member issues.
• Ensure CMS and DHCS regulatory compliance and reporting.

Connaissances

Supervisory experience

Enrollment eligibility

Managed care

Communication

Project management

MS Office

Formation

Bachelor’s degree in health care or related field

2 years lead or supervisory experience

Experience in managed care or government programs

Outils

Microsoft Office

Description du poste

CalOptima Health is seeking a Supervisor Customer Service, Member Enrollment to oversee the Enrollment & Reconciliation team in California. You will guide staff on eligibility issues, stay current on state/federal changes, and collaborate with providers, vendors, and agencies for member resolution.

The role supports a Partial Telework arrangement with in-office attendance at least two days per week in Orange, CA, and requires strong leadership in enrollment operations.