Vice President, Enrollment and Eligibility

Brighton Health Plan Solutions, LLC • Chapel Hill, NC

1d • Hybrid

About The Position

The Vice President of Enrollment and Eligibility is responsible for providing strategic direction and management of the Enrollment and Eligibility Department. The VP will be a highly motivated leader with a demonstrated track record of success meeting or exceeding established objectives, leveraging a high performance team. The VP will be expected to ensure their department’s adherence to all existing processes and procedures while also identifying areas for efficiency and enhancement. This requires the VP to oversee and monitor all performance related metrics, as well as identify additional metrics that are necessary to drive accuracy and efficiency. A detailed orientated person, the VP will be responsible to ensure that all enrollment and eligibility transactions and requirements meet or exceed established service level agreements. The VP will also be required to serve as the point of contact for external facing customers, as well as oversee a service team who will be the day to day point of contact to external clients whose eligibility the department is managing.

Requirements

• 10+ years in health insurance industry.
• 5+ year’s management experience.
• Bachelor’s Degree in Business or Health Insurance Related Field.

Nice To Haves

• Master’s in Business Administration or Health Insurance related field.
• Experience working with Taft Hartley trusts.
• Experience with self-funded insurance plan administration.
• Familiarity with ERISA rules and regulations.
• Experience overseeing Enrollment and Eligibility Responsibilities or a Plan or Self-Administered group.
• Preferred residence near Westbury, NY Office, but not required

Responsibilities

• Serve as the overall Subject Matter Expert within the company for the Enrollment and Eligibility responsibility.
• Establish department objectives that support company goals and produce regular status reports.
• Prepare an operating budget that reflects the forecasted needs of the department and control expenditures to assure adherence to approved budgets. Manage expenses not to exceed the budget
• Ensure effective workflows, maximize system efficiencies, monitor quality performance measures and confirm appropriate completion of work assignments. Make recommendations for change as appropriate.
• Implement checks and balances where appropriate to drive accuracy and timeiless of the Enrollment and Eligibility process.
• Ensure all Departmental deliverables and reporting requirements are met within the required timeframes.
• As the Leader of the Eligibility and Enrollment Department, serve as the point person with Leaders from dependent departments to drive cross departmental
• Partner with the technology Department to drive innovation and efficiency in the Enrollment and Eligibility process, delivering high satisfaction to our clients and their members.
• Approve personnel actions such as hiring, disciplinary, termination and/or salary recommendations.
• Participate in training, coaching and motivation of employees including career path development. Assess individual employee performance and conduct timely performance appraisals.
• Promote teamwork, discussion, and cooperation among staff and other departments. Ensure timely communication and sharing of information with team members.
• Work with staff to resolve work-related issues and concerns. Promote a respectful and diverse workplace.
• Develop and maintain departmental policies and procedures.

Benefits

• diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level
• encouraged to bring your authentic self to work with all of your unique abilities

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Number of Employees: 1-10 employees