Team Lead Enrollment (Enrollment experience required)

Job Summary:

The Team Lead, Enrollment manages the day-to-day operational activities for setup and maintenance of membership records and payment (data) reconciliation activities.

Essential Functions:

• Oversees the Enrollment Specialists, 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
• SQL knowledge preferred
• 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
• Time management skills
• Decision making/problem solving skills

Licensure and Certification:

• None

Working Conditions:

• General Office Environment; may be required to sit/stand for long periods of time

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business