Member Enrollment Manager for Commercial and Individual Plans - Remote in VA!
About The Position
Sentara Health Plans is recruiting a Member Enrollment Manager for Commercial and Individual Plans. This is a full-time, permanent position with standard working hours of 8am to 5pm EST, Monday through Friday. The role is remote within Virginia only. The Enrollment Manager will plan, direct, and implement processes related to all enrollment activities, including web, paper, and electronic enrollment, as well as group setup processes, to ensure a high level of customer satisfaction in accordance with plan policies and procedures. This role is accountable for daily work flow, staff development, and quality control and quality assurance activities for the team.
Requirements
- Bachelor’s degree preferred (Applicants without a Bachelor's Degree will be required to sign a Bachelor's Degree Agreement committing to successfully obtaining their Bachelor's Degree within 5 years of hire).
- 3 years related experience in Healthcare or Information System Support REQUIRED
- Knowledge of 834 eligibility file highly preferred
- Enrollment Reconciliation and discrepancy resolution experience preferred
- Health Plan enrollment experience preferred
- Experience with Salesforce, QNXT or any claims platform preferred
Nice To Haves
- Knowledge of 834 eligibility file
- Enrollment Reconciliation and discrepancy resolution experience
- Health Plan enrollment experience
- Experience with Salesforce, QNXT or any claims platform
Responsibilities
- Plans, directs, and implements processes related to all enrollment activities, including web, paper, electronic enrollment and group set up processes.
- Ensures a high level of customer satisfaction in accordance with plan policies and procedures.
- Accountable for daily work flow, staff development and quality control and quality assurance activities for the team.
Benefits
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Annual discretionary bonus if established system and employee eligibility criteria is met.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
