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Program Manager - Enrollment and Eligibility

Program Manager - Enrollment and Eligibility

Genesis10Eden Prairie, MN, US
1 day ago
Job type
  • Permanent
  • Temporary
Job description

Genesis10 is currently looking for a Program Manger with Healthcare Enrollment and Eligibility for a 3-6 month contract with a large Healthcare client in Minneapolis MN. 100% remote with some light travel. Compensation : $70.00 - 75.00 per hour W2, depending on skill and experience level. Description : The Enrollment and Eligibility Program Manager will attend daily operational calls related to health plan enrollment and eligibility across Commercial and Medicare Advantage lines of business. They bring experience with enrollment systems and platforms, supporting initial and open enrollment processes, if needed, and understanding of business rules to determine member eligibility. They will provide support for Electronic Data Interchange (EDI) processes, including investigating and resolving data issues such as mismatches, duplicate entries, and missing records. The role also involves supporting vendor implementations, managing end-to-end vendor relationships, and participating in regular meetings to capture issues, risks, and action items. Additionally, the Program Manager augments operational staff to support daily issues and any ongoing projects and RFPs and can transfer subject knowledge to newer members to foster role growth and operational excellence. Telecommute : May need to travel to client site for initial meeting Travel : 0-25% Required Skills : o Experience with enrollment systems and platforms o Enrollment processes, including initial enrollment, open enrollment o Commercial / Medicare / Medicare Advantage enrollment and eligibility o ACA marketplace o Familiarity with regulatory requirements such as HIPAA, CMS guidelines o Some experience applying policy rules to determine member eligibility o Some experience with Electronic Data Interchange (EDI) o Some experience with health plan vendor implementation o Strong problem-solving abilities and have experience analysis tools and techniques (such as Excel and Smartsheet) o Provide support managing the end-to-end relationships with assigned vendors o Mentorship to team members to help with their professional growth o RFP creation and evaluation process o Vendor relationship management If you have the described qualifications and are interested in this exciting opportunity, apply today! About Genesis10 : Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. With more than 300 active clients, Genesis10 provides access to many Fortune 100 firms and a variety of mid-market organizations across the full spectrum of industry verticals. Benefits of Working with Genesis10 : Access to hundreds of clients, most of whom have been working with Genesis10 for 5-20+ years. The opportunity to have a home in Genesis10; many of our consultants have been working exclusively with Genesis10 for years. Access to an experienced, caring recruiting team (more than 7 years of experience, on average.) Behavioral Health Platform Medical, Dental, Vision Health Savings Account Voluntary Hospital Indemnity (Critical Illness & Accident) Voluntary Term Life Insurance 401K Sick Pay (for applicable states / municipalities) Commuter Benefits (Dallas, NYC, SF) For multiple years running, Genesis10 has been recognized as a Top Staffing Firm in the U.S., as the Best Company for Work-Life Balance, and as the Best Company for Career Growth, Diversity, and for Leadership, amongst others. To learn more and to view all our available career opportunities, please visit at our website. Genesis10 is an Equal Opportunity Employer. Candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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Program Manager • Eden Prairie, MN, US

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