Manager, Enrollment & Premium Billing (Hybrid, CA)

CalOptima Health Partnership; Orange (CA); On-site; USD 120,000 - 170,000; Full time

Job summary

CalOptima Health Partnership is seeking a Manager of Customer Service, Enrollment & Premium Billing for the Covered California programs. You will oversee enrollment, premium billing, reconciliation and member account maintenance while ensuring compliance with regulatory standards.

Lead cross-functional teams, drive process improvements, and coordinate with partners to support accurate enrollment, billing and forecasting.

Qualifications

• Bachelor’s degree in business administration, healthcare administration, public administration or related field.
• 5 years of progressive experience in health plan enrollment, eligibility, premium billing, or related operational functions.
• 3 years of management or supervisory experience with direct staff oversight.

Responsibilities

• Oversees daily operations of enrollment, premium billing, payment processing and related activities for Covered California.
• Ensures regulatory compliance and adherence to service delivery standards.
• Provides leadership and strategic direction to support organizational goals and audits.

Skills

Leadership

Project management

Communication

Analytical thinking

Education

Bachelor’s degree in business administration / healthcare administration / public administration

Tools

Microsoft Office

Job description

CalOptima Health Partnership is seeking a Manager of Customer Service, Enrollment & Premium Billing for the Covered California programs. You will oversee enrollment, premium billing, reconciliation and member account maintenance while ensuring compliance with regulatory standards.

Lead cross-functional teams, drive process improvements, and coordinate with partners to support accurate enrollment, billing and forecasting.