Medicare Enrollment Programs Manager

Socket.dev; Charlotte (NC); Hybrid; USD 122,000 - 183,000; Full time

Job summary

Judi Health, a health technology company delivering Unified Claims Processing for Medicare enrollment operations, seeks a Government Programs Enrollment Manager. You will oversee Medicare enrollment and eligibility operations for the EGWP line, ensuring CMS compliance and timely processing across PDP and EGWP programs.

Responsibilities include system build, go-live readiness, coaching staff, and regulatory reporting, with collaboration across Judi Health to support employer groups and audits.

Qualifications

• 5+ years of Medicare Enrollment operations experience.
• Deep knowledge of Medicare enrollment regulations and CMS processing guidelines.

Responsibilities

• Manage enrollment system build and program setup, implementation and go-live readiness.
• Provide leadership coaching and performance management to Government Programs Enrollment staff.
• Manage day-to-day Medicare enrollment and eligibility operations including premium billing.
• Oversee processing of all Medicare enrollment and disenrollment transactions.
• Ensure compliance with CMS enrollment regulations and service level agreements.
• Manage issue resolution and corrective action completion.
• Perform outreach on missing enrollment information and CMS processing errors.
• Lead regulatory reporting to ensure timely reporting from internal and external resources.

Skills

Medicare Enrollment operations

CMS processing guidelines

CMS systems HPMS MARx

Matrixed organization experience

Education

HS diploma/GED or equivalent experience

Job description

Judi Health, a health technology company delivering Unified Claims Processing for Medicare enrollment operations, seeks a Government Programs Enrollment Manager. You will oversee Medicare enrollment and eligibility operations for the EGWP line, ensuring CMS compliance and timely processing across PDP and EGWP programs.

Responsibilities include system build, go-live readiness, coaching staff, and regulatory reporting, with collaboration across Judi Health to support employer groups and audits.