Manager, Enrollment Operations (Medicare / CMS experience a must)

Job Summary :

The Manager, Enrollment Operations provides leadership and direction to the Enrollment team to ensure the goals and standards of the department, and CareSource, are met.

Essential Functions :

• Understand enrollment end to end processes and able to comprehend impact of any enrollment issues to various departments in the organization
• Responsible for quality of outputs and operational efficiency of the team
• Responsible for managing staff to ensure timely, accurate and high quality completion of service items for internal customers
• Oversee the financial and member enrollment reconciliation for assigned lines of business
• Oversee vendor eligibility extract processes to ensure accurate and timely processing of eligibility data
• Responsible for complying with and meeting all regulatory requirements assigned to their team
• Manage enrollment technology and process analysts and associated activities involving 834 or Daily Translation Reply Report (DTRR) file processes and departmental P&P's
• Manage all enrollment audit engagements to ensure accurate and timely response. As necessary, develop and implement corrective action plans to address audit results
• Gather, analyze, and report data related to the performance of the department and make recommendations for process improvement(s)
• Actively participate in ongoing development of new products and technologies
• Manage daily operations and projects through effective allocation of resources
• Develop and maintain an in-depth knowledge of the company's business and regulatory environments
• Incorporate effective change and risk management controls
• Responsible for hiring, training, coaching and developing direct reports including completing performance appraisals and disciplinary actions
• Mentor team leads and team members to produce consistent, high quality deliverables
• Performs any other job related duties as requested.

Education and Experience :

Competencies, Knowledge and Skills :

Licensure and Certification :

Working Conditions :

Compensation Range :

$81,400.00 - $130,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type : Salary

Competencies :

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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