Medicare Enrollment Supervisor — Remote & Compliance Focus

Centene Corporation

Colorado

Hybrid

USD 70,000 - 126,000

Full time

20 hours ago
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Benefits offered by this job

Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible work schedules

Job summary

Centene Corporation is seeking an experienced operations professional in Colorado to oversee Medicare enrollment activities and audits. The role focuses on ensuring audit readiness, process improvement, and adherence to CMS requirements while leading a team through production and quality goals.

The ideal candidate has strong Medicare enrollment experience, root cause analysis skills, and solid Excel proficiency. This position supports multiple health plans and may require up to 10% travel.

Qualifications

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

Responsibilities

  • Oversee implementation of programs centered on quality and operations excellence.
  • Oversee status of production in assigned department to ensure goals are 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 ROI analyses.
  • Partner with stakeholders to address membership initiatives including ROI and project outlines.
  • Develop and maintain relationships with health plans and IT partners and oversee training.
  • Perform other duties as assigned and ensure policy compliance.

Skills

Medicare enrollment
Root cause analysis
Excel
Audit readiness
Regulatory audits
Staff supervision

Education

Associate's Degree in Business or related field

Tools

Microsoft Excel

Job description

Centene Corporation is seeking an experienced operations professional in Colorado to oversee Medicare enrollment activities and audits. The role focuses on ensuring audit readiness, process improvement, and adherence to CMS requirements while leading a team through production and quality goals.

The ideal candidate has strong Medicare enrollment experience, root cause analysis skills, and solid Excel proficiency. This position supports multiple health plans and may require up to 10% travel.

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