Medicare Enrollment Supervisor: Quality, Compliance & Audit Lead

Centene Corporation; Connecticut; Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work schedules

Job summary

Centene Corporation in the United States is seeking a results-oriented supervisor to oversee Medicare enrollment operations, regulatory audits, and related initiatives that impact membership across product lines. You will manage service levels and audit readiness, identify compliance risks, and drive process improvements through staff leadership and cross-functional collaboration.

You will lead a team to meet production and quality goals, prioritize daily work, and partner with health plans and

Qualifications

• Associate's Degree in Business or related field or equivalent experience.
• 2+ years supervisory/lead experience or management of large projects.
• 2+ years business operations in enrollment, billing, contact center, claims, customer service, provider data management or similar operations.
• 2+ years experience in managed care and/or Medicare environment preferred.

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, department business development, 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

Root cause analysis

Analytical problem-solving

Supervisory experience

Excel skills

Education

Associate's Degree in Business or related field

Tools

Excel

Job description

Centene Corporation in the United States is seeking a results-oriented supervisor to oversee Medicare enrollment operations, regulatory audits, and related initiatives that impact membership across product lines. You will manage service levels and audit readiness, identify compliance risks, and drive process improvements through staff leadership and cross-functional collaboration.

You will lead a team to meet production and quality goals, prioritize daily work, and partner with health plans and