Enrollment Operations & Quality Manager

Highmark Health; Pennsylvania; Hybrid; USD 79,000 - 127,000; Full time

Job summary

United Concordia Dental is seeking a senior leader to manage the Electronic Enrollment function and its team. The role oversees onboarding, file formats, transmission schedules, processing profiles, ID card design, testing, and production rollout.

The incumbent champions process improvement and uses new technologies, AI, and governance to enhance productivity, decision-making, and service delivery in a compliant environment. Travel may be required.

Qualifications

• Requires US citizenship and the ability to pass a background check.
• 3+ years of management/leadership experience.
• 3+ years of Electronic Enrollment experience.
• 3+ years of applying insurance principles and practices.

Responsibilities

• Oversee enrollment team operations and staffing.
• Lead hiring, coaching, and performance management.
• Ensure controls across the enrollment lifecycle and drive corrective actions to improve quality and client satisfaction.
• Promote innovation and operational excellence through emerging technologies and AI while maintaining governance and compliance.
• Foster cross-functional partnerships to enhance end-to-end processes and drive integrated solutions.

Skills

Team leadership

Cross-functional collab

Process optimization

Vendor collaboration

Documentation

Knowledge sharing

Leadership experience

Electronic Enrollment experience

Insurance principles

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

United Concordia Dental is seeking a senior leader to manage the Electronic Enrollment function and its team. The role oversees onboarding, file formats, transmission schedules, processing profiles, ID card design, testing, and production rollout.

The incumbent champions process improvement and uses new technologies, AI, and governance to enhance productivity, decision-making, and service delivery in a compliant environment. Travel may be required.