Team Lead Enrollment (Enrollment experience required)

CareSource • Dayton, OH

95d • $53,400 - $85,600

About The Position

The Team Lead, Enrollment manages the day-to-day operational activities for setup and maintenance of membership records and payment (data) reconciliation activities.

Requirements

• Associates Degree in business, healthcare or related field or equivalent years of relevant work experience is required.
• Minimum of three (3) years of healthcare experience to include at least one (1) year of enrollment/eligibility or similar experience is required.
• Proficient in Microsoft Word, Excel, Access, Visio and PowerPoint.
• Expert proficiency in Facets subscriber/member setup and benefits eligibility.
• SQL knowledge preferred.
• Strong knowledge of database management is preferred.
• Advanced computer skills.
• Solid verbal and written communication skills.
• Ability to work independently and within a team environment.
• Attention to detail.
• Familiarity with healthcare and knowledge of Medicaid & Medicare.
• Critical listening and thinking skills.
• High-level analytical skills.
• Time management skills.
• Decision making/problem solving skills.

Responsibilities

• Oversees the Enrollment Specialists, ensuring Enrollment Operations meets all service level agreements (SLAs), follows all regulatory guidelines and that the work completed is of the highest quality.
• Manage staff for quality review, performance feedback, disciplinary issues and merit/bonus appraisal review.
• Work with Regulatory Compliance Officers and Enrollment Coordinators to ensure that requests are resolved within timelines and tracked for reporting.
• Maintain and communicate key performance indicators and other pertinent information to Enrollment leadership and others.
• Work with support departments and compliance officers to ensure policies and procedures are current.
• Establish and perform an audit process for markets and products that do not have an Enrollment Coordinator.
• Identify opportunities for process improvements and initiate efforts using accepted continuous improvement methodologies (DMAIC, Lean, etc.).
• Work with Enrollment Process Analyst to ensure internal procedures are documented and reviewed on a regular schedule.
• Develop and monitor workflows for Enrollment Operations that ensures maximum level of productivity.
• Coordinate incoming information and disseminate to staff to ensure accuracy of communication to internal and external customers.
• Proactively keep the management team apprised of the team’s performance, projects and issues.
• Develop, deliver or coordinate the delivery of Enrollment training to other areas as needed.
• Perform other job-related functions as requested.

Benefits

• In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
• Comprehensive total rewards package.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees