Director, Enrollment (Duals) - REMOTE
Molina Healthcare Albany, New York; Everett, Washington; Wisconsin; Texas; Michigan; Idaho; Ohio; New Mexico; Kentucky; Iowa; Washington; New York; Nebraska; Utah; Georgia; Florida; Columbus, Ohio; Savannah, Georgia; Columbus, Georgia; Nampa, Idaho; Mesa, Arizona; Fort Worth, Texas; Warren, Michigan; Yonkers, New York; Milwaukee, Wisconsin; Idaho Falls, Idaho; Tucson, Arizona; Houston, Texas; Seattle, Washington; Omaha, Nebraska; Kearney, Nebraska; Iowa City, Iowa; Macon, Georgia; Caldwell, Idaho; Bellevue, Washington; Bowling Green, Kentucky; Kenosha, Wisconsin; Scottsdale, Arizona; San Antonio, Texas; Layton, Utah; Detroit, Michigan; Spokane, Washington; Louisville, Kentucky; New York, New York; Dayton, Ohio; Akron, Ohio; Cincinnati, Ohio; Meridian, Idaho; Las Cruces, New Mexico; Rio Rancho, New Mexico; Grand Rapids, Michigan; Sterling Heights, Michigan; Tacoma, Washington; Jacksonville, Florida; Lincoln, Nebraska; Grand Island, Nebraska; Davenport, Iowa; Des Moines, Iowa; Dallas, Texas; Santa Fe, New Mexico; Ann Arbor, Michigan; Orlando, Florida; Augusta, Georgia; Boise, Idaho; West Valley City, Utah; Vancouver, Washington; Buffalo, New York; Covington, Kentucky; Sioux City, Iowa; Cedar Rapids, Iowa; Cleveland, Ohio; Atlanta, Georgia; Green Bay, Wisconsin; Racine, Wisconsin; Madison, Wisconsin; Phoenix, Arizona; Chandler, Arizona; Austin, Texas; Albuquerque, New Mexico; Roswell, New Mexico; Orem, Utah; Salt Lake City, Utah; Provo, Utah; St. Petersburg, Florida; Tampa, Florida; Miami, Florida; Syracuse, New York; Rochester, New York; Owensboro, Kentucky; Lexington-Fayette, Kentucky; Bellevue, Nebraska Job ID 2031349Job Description
Job Summary
Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received via claims, call tracking, or e-mail. Maintain records in the enrollment database.
Knowledge/Skills/Abilities
• Holds general oversight of enrollment and premium staff at each plan site within defined region. This may include employee reviews, coaching sessions and disciplinary actions.
• Monitors and enforces compliance with company-wide reconciliation processes.
• Ensures that delivery of enrollment / premium related data is accurate for defined region.
• Subject matter expert for projects and / or new business related to areas of oversight.
• Oversees maintenance of policies and standard operating procedures.
Job Qualifications
Required Education
Graduate Degree or equivalent combination of education and experience
Required Experience
7-9 years Duals / Medicare enrollment experience.
Preferred Experience
10+ years
Medicaid
Medicare Regulations
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $97,299 - $189,782 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 04/15/2025ABOUT OUR LOCATION
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