Manager: Enrollment & Coordination of Benefits

Primewest-Health; Alexandria (MN); Sur place; USD 80 000 - 95 000; Plein temps

Avantages offerts par ce poste

Medical Insurance

Long-Term Disability (LTD) Coverage

Life Insurance

13 Paid Holidays

Vacation Bank

Sick Leave Bank

Fitness Room Onsite

Résumé du poste

PrimeWest Health is seeking an experienced Enrollment & COB Manager to lead enrollment, eligibility, and coordination of benefits across Medicaid, MinnesotaCare, Medicare D-SNP, and TPA lines. This role provides leadership to a dedicated team and ensures accurate, timely, and compliant processes.

The ideal candidate will hold a 4-year degree, have 5+ years in healthcare enrollment operations, and demonstrate strong analytical, communication, and regulatory knowledge to navigate CMS and DHS

Qualifications

• Bachelor's degree in Business, Healthcare Administration, or a related field.
• Minimum of five years of relevant healthcare enrollment, eligibility, or operations experience.
• Proficiency in Microsoft Office applications, including Excel, Word, and Outlook.
• Strong leadership, analytical, and problem-solving skills.
• Knowledge of Medicare, Medicaid, enrollment, eligibility, and COB processes.
• Understanding of CMS and DHS regulatory requirements.
• Excellent communication and relationship-building abilities.
• Strong attention to detail and commitment to data accuracy.
• Ability to manage multiple priorities in a fast-paced environment.

Responsabilités

• Lead enrollment, eligibility, and COB operations across Medicaid, MinnesotaCare, Medicare D-SNP, and TPA lines of business.
• Provide leadership to a dedicated team to ensure accurate, timely enrollment processes.
• Ensure compliance with CMS and DHS regulatory requirements.

Connaissances

Leadership

Analytical

Problem-solving

Excel

Word

Outlook

Communication

Formation

Bachelor's degree in Business, Healthcare Administration, or related field

Outils

Microsoft Excel

Microsoft Word

Microsoft Outlook

Description du poste

• Base Pay $80,000.00 - $95,000.00 / Year
• Job Category Manager, Medicaid, Healthplan
• Employee Type Full-Time Exempt
• Required Degree 4 Year Degree
• Manage Others Yes

Contact information

Description

PrimeWest Health is seeking an experienced Enrollment & COB Manager to lead enrollment, eligibility, and Coordination of Benefits (COB) operations across Medicaid, MinnesotaCare, Medicare D-SNP, and TPA lines of business. This role ensures accurate, timely, and compliant enrollment processes while providing leadership to a dedicated team.

Requirements

• Bachelor's degree in Business, Healthcare Administration, or a related field, or equivalent combination of education and experience.
• Minimum of five years of relevant healthcare enrollment, eligibility, or operations experience.
• Proficiency in Microsoft Office applications, including Excel, Word, and Outlook.
• Strong leadership, analytical, and problem-solving skills.
• Knowledge of Medicare, Medicaid, enrollment, eligibility, and COB processes.
• Understanding of CMS and DHS regulatory requirements.
• Excellent communication and relationship-building abilities.
• Strong attention to detail and commitment to data accuracy.
• Ability to manage multiple priorities in a fast-paced environment.

Summary

Why You'll Love Working Here

Not only a great job, and place to work, we also have a fantastic benefit package!

PrimeWest Health offers:

• Medical Insurance
• Long-Term Disability (LTD) Coverage
• Life Insurance
• 13 Paid Holidays
• Vacation Bank
• Sick Leave Bank
• Fitness Room Onsite