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Full-time Director of Enrollment - $97,400-$124,700

at International Consulting Services in California

Location: Rancho Cordova



Position Purpose: Provide strategic direction for all enrollment functions by providing technical and leadership support. Oversee enrollment functions to ensure that all efforts are parallel with the mission and objectives of the plan.



•Oversee the Eligibility and Enrollment department staff



•Establish working relationships with external sources with Health & Human Services Commission (HHSC), state enrollment broker and other local state offices



•Collaborate with internal operations teams to identify efficient solutions to meet business needs related to enrollment and facilitate continued process improvement



•Establish and maintain liaison relationships with corporate IT to support and facilitate the common goals and objectives related to enrollment and eligibility services



•Design and test new codes sets and processes for new product implementation to include business rule integration and state contract compliance



•Manage and establish file interchanges with external vendors and affiliates including the mailhouse



•Direct resolution to state complaint trends related to enrollment and eligibility



•Represent the health plan in state MIS meetings



•Develop and implement a reconciliation process of enrollment and financial records



•Direct the eligibility load process while coordinating with corporate IS department to resolve issues that arise during the process



•Coordinate monthly reconciliation process of remittance files by resolving discrepancies in the report



Qualifications:

Education/Experience:

•Bachelor's’ degree in related field or equivalent experience.

•7+ years of managed care or government programs preferred.

•Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.



Job Level:

Director/Sr. Director

More information about the job

Is there a bonus structure?

20% or higher

Are you open to sponsorship?

No

Is there a possibility to work remote?

No

Is there equity?

No

Are there flexible work hours?

No

Does this position have direct reports?

Yes

Who does this position report to?

Vice President, Individual Enrollment and Billing Operations



What are the 3-4 non-negotiable requirements on this position?

Must have a degree, strongly prefers MBA 7+ years of managed care or government programs preferred. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Will have 4-6 direct reports but be responsible for a team of 120-150 employees



What are the nice-to-have skills?

Background in finance or accounting (a strong preference for an MBA, must have a degree), coming from an insurance based organization (Cigna, Aetna, etc.) Strong leadership experience, ability to see the big picture,



If you're ready for an exciting challenge. Now is your time!


Reference : Director of Enrollment - $97,400-$124,700 jobs


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Published at 10-01-2017
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