Remote Medicare Enrollment Operations Lead

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

Benefits offered by this job

Health insurance

401K matching

Stock purchase plans

Tuition reimbursement

Paid time off

Holidays

Flexible work arrangements

Job summary

Centene Corporation in Alabama is seeking a Senior Operations Manager to oversee Medicare enrollment operations, audits, and related initiatives. You will ensure audit readiness, manage service levels, and lead process improvements, with a focus on enrollment transactions and CMS requirements.

The role requires supervisory experience, strong analytical skills, and the ability to collaborate with health plans and IT partners.

Qualifications

• Associate's degree in Business or related field, or equivalent experience.
• 2+ years supervisory or lead experience.
• 2+ years in business operations such as enrollment, billing, contact center, claims, customer service 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

Supervisory experience

Project management

Enrollment operations

Billing operations

Managed care

Medicare knowledge

Education

Associate's degree in Business

Tools

Excel

Job description

Centene Corporation in Alabama is seeking a Senior Operations Manager to oversee Medicare enrollment operations, audits, and related initiatives. You will ensure audit readiness, manage service levels, and lead process improvements, with a focus on enrollment transactions and CMS requirements.

The role requires supervisory experience, strong analytical skills, and the ability to collaborate with health plans and IT partners.