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Director of Enrollment (Duals) - Remote

Posted 1 week ago
Sales / Business
Full Time
CA, USA

Overview

The Director of Enrollment (Duals) is responsible for overseeing the preparation, processing, and maintenance of member enrollment records, ensuring compliance with regulations, and managing staff within the enrollment department.

In Short

  • Oversee enrollment and premium staff across defined regions.
  • Ensure compliance with company-wide reconciliation processes.
  • Verify and maintain health plan member enrollment records.
  • Address enrollment-related questions from various channels.
  • Monitor accuracy of enrollment data delivery.
  • Act as a subject matter expert for related projects.
  • Maintain policies and standard operating procedures.
  • Conduct employee reviews and coaching sessions.
  • Research and resolve enrollment system rejections.
  • Manage the sending of membership cards and materials.

Requirements

  • Graduate Degree or equivalent combination of education and experience.
  • 7-9 years of experience in Duals/Medicare enrollment.
  • 10+ years of experience preferred.
  • Knowledge of Medicaid and Medicare regulations.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer (EOE).

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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