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Team Lead, Enrollment

Company: CareSource
Location: Dayton
Posted on: November 18, 2023

Job Description:

Job Summary: The Team Lead, Enrollment manages the day-to-day operational activities for setup and maintenance of membership records and payment reconciliation activities. This position works primarily in the Dayton office. Essential Functions:

  • Oversees the Enrollment Analysts, ensuring Enrollment Operations meets all service level agreements (SLAs), follows all regulatory guidelines and the that 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 time lines 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 Education and Experience:
    • 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 Competencies, Knowledge and Skills:
      • Proficient in Microsoft Word, Excel, Access, Visio and PowerPoint
      • Expert proficiency in Facets subscriber/member setup and benefits eligibility
      • 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
      • Proper grammar usage
      • Time management skills
      • Customer service oriented
      • Decision making/problem solving skills Licensure and Certification:
        • Six Sigma Green Belt is preferred Working Conditions:
          • General Office Environment; may be required to sit/stand for long periods of time Compensation Range:
            $50,400.00 - $80,700.00 Compensation Type:

Keywords: CareSource, Dayton , Team Lead, Enrollment, Other , Dayton, Ohio

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