Medicare Enrollment Operations Leader (Remote)

Centene Corporation; Arkansas; On-site; USD 70,000 - 126,000; Full time

Job summary

Centene Corporation is seeking an experienced professional to monitor and oversee Medicare enrollment operations, audits, and related initiatives impacting membership across product lines and health plans. The role drives service levels, audit readiness, and sustainable process improvements while managing staff and coordinating with health plans and IT partners.

The position requires strong Medicare enrollment knowledge, root-cause analysis, and advanced Excel skills.

Qualifications

• 2+ years supervisory/lead experience or management of large projects.
• 2+ years business operations in enrollment and billing, contact center, claims, customer service, provider data management or similar operations.
• Strong knowledge of Medicare enrollment transactions and CMS processing requirements.
• Intermediate to advanced Microsoft Excel skills including formulas, pivot tables, graphs and charts.

Responsibilities

• Oversee implementation of programs centered on quality and operations excellence.
• Oversee status of production in assigned department to ensure production and quality goals are being met.
• Prioritize work volumes daily.
• Responsible for hiring, training, and performance management of staff.
• Monitor service levels to ensure compliance with state, federal, and company metrics and standards.
• Support ongoing and special projects including process improvement evaluations and analysis, ROI analysis, etc.
• Partner with stakeholders to address membership related initiatives including identification of business need, strategy recommendation, project outline, management of deliverables, and ROI.
• Develop and maintain collaborative relationships with health plans, IT partners, other business units and oversee training and business processes as necessary.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Medicare enrollment experience

Audit readiness

Root cause analysis

Microsoft Excel

Education

Associate's Degree in Business or related field

Tools

Microsoft Excel

Job description

Centene Corporation is seeking an experienced professional to monitor and oversee Medicare enrollment operations, audits, and related initiatives impacting membership across product lines and health plans. The role drives service levels, audit readiness, and sustainable process improvements while managing staff and coordinating with health plans and IT partners.

The position requires strong Medicare enrollment knowledge, root-cause analysis, and advanced Excel skills.