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:
          Salary

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