Enrollment manager job description

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: This position ensures Enrollment operations meet and/or exceed contract-required performance standards, including continuous performance improvements over the life of the contract.

• Manage the data integrity of member enrollment records and remittance files transmitted from the state.

• Provide support to the eligibility load process while coordinating with corporate IS department to resolve issues that arise during the process.
• Support all areas of the company to ensure quick responses on membership enrollment issues.

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

• Utilize vendor and state systems to aid in maintaining membership accuracy.

• Monitor, track and communicate state complaints to the responsible internal/external parties.

• Communicate, implement and maintain production and or quality standards.

Education/Experience: Bachelor's degree. Five years supervising/managing back-office operations in a high volume transaction production environment with 50 or more employees, including supervisory/management experience in healthcare industry in membership and/or customer service. One to two years experience with government healthcare delivery program (TRICARE, Medicaid, Medicare, etc.). Government contractor experience. Military Health System experience. Experience with ISO 9000 certification or similar Quality Assurance/ Quality Improvement Programs.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

**TITLE:** Manager, Enrollment

**LOCATION:** Little Rock, Arkansas

**REQNUMBER:** 1356842

GENERAL SUMMARY OF POSITION:

Under the general direction of the Senior Associate or designee, the Associate II Medicare Enrollment Support Manager will be responsible for project management activities, management of a customer service team, and oversee all aspects of specific cost savings and revenue initiatives, for both in and out-of-state clients.

The Medicare Eligibility Enhancement Programs (MEEP) Team at HCFS works with state Medicaid programs to identify and coordinate federal and state benefits for program recipients, helping ensure that individuals receive all benefits to which they are entitled. The MEEP team develops and implements benefit coordination initiatives which achieve cost savings and revenue opportunities for Medicaid agencies by ensuring federal benefits are appropriately identified and coordinated for state program recipients.

Responsibilities

MAJOR RESPONSIBILITIES:

* Perform complex analysis in support of projects in and out of state
* Perform research & development analysis relevant to revenue management/enhancement projects as assigned
* Assist in the development of program expansion plans
* Assist in the development of presentations and the preparation of marketing materials to clients
* Support senior staff on site visits
* Participate in the development of agreements between public entities and the University
* Participate in Request for Information/Request for Proposal processes
* Participate in project forecasting and work on assigned financial analysis projects.
* Participate in presentations to staff regarding success, merits of initiative, etc.
* Research, develop, and prepare work and implementation plans in support of project and initiatives. Complete assigned projects from start to finish
* Assist in coordinating with subcontractors to obtain databases for various revenue initiatives
* Participate in training staff and clients (in and out of state) in types of reimbursable initiatives
* Provide technical support in the preparation of federal claims for reimbursement
* Coordinate communications with clients about status of their projects
* Prepare internal and external reports
* Participate in the Continuous Quality Improvement program
* Perform other duties as required.

Qualifications

REQUIRED QUALIFICATIONS:

* Masters degree and 3 -5 years of experience in a business related field, or equivalent experience
* Must have knowledge of State and Federal regulations as they apply to public assistance programs
* Demonstrated experience in computer based tools including spreadsheets and word processing
* Knowledge of accounting principles, budgeting, and computer reporting preparation
* Demonstrated project management skills.
* Ability to travel to off-site locations

Additional Information

About Health Care Finance Solutions and Medicare Eligibility Enhancement Programs Team

Health Care Finance Solutions (HCFS) is a part of Commonwealth Medicine (CWM), the health care consulting division of UMass Medical School, Massachusetts' only public medical school. As nationwide leaders in the development and implementation of health care reform, CWM and HCFS stay ahead of health care trends and help strategize and plan for changes that impact both health care delivery systems and patients on the local, state and national level. HCFS helps state agencies identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunities for our clients to increase health care related services, reduce the net cost of delivery and help ensure individuals receive the health and human service benefits to which they may be entitled. The Medicare Eligibility Enhancement Programs (MEEP) Team at HCFS works with state Medicaid programs to identify and coordinate federal and state benefits for program recipients, helping ensure that individuals receive all benefits to which they are entitled. The MEEP team develops and implements benefit coordination initiatives which achieve cost savings and revenue opportunities for Medicaid agencies by ensuring federal benefits are appropriately identified and coordinated for state program recipients. The team focuses on identifying and coordinating eligibility for Social Security, Medicare, and Medicare Buy-In benefits for state Medicaid recipients. Current activities include identification of Medicare benefits, assistance with the Medicare application and enrollment process, review of eligibility for Social Security benefits and reconciliation of state Medicare premium payments.

Job Type: 12-month, Full-Time

Overview

The Recruitment & Enrollment Manager will oversee the College’s recruitment, admissions and enrollment processes and is part of the cadet services team. The manager is expected to produce deliverables within a diverse, fast paced environment, collaborate effectively across teams and juggle multiple projects and initiatives simultaneously. This position will report to the Provost of the College.

Responsibilities

Recruitment Management

• Efficiently manage the admissions selection process.
• Enhance successful recruitment and outreach efforts to increase interest from prospective students.
• Participate in recruiting events to attract and source students as needed.
• Manage the process of decision letters and forms.
• Provide appropriate follow-up communication with prospective students regarding inquiries on course content, campus and cadet life, and scholarship opportunities.
• Serve on internal committees as needed.
• Represent the college to prospective cadets at recruiting and job fairs and conferences.
• Design, implement and execute recruitment and outreach strategy that will influence and increase applications and admits.
• Conduct informational sessions (face to face or virtual).
• Work with the Marketing department to maintain recruitment materials and the college admissions website.
• Design and conceptualize new programs for recruiting and create new project plans for incorporating recruiting strategies.

Enrollment Management

• Manage, progressively process, and maintain applications through the initial application phase to enrollment.
• Increase College presence and develop new recruitment and outreach initiatives.
• Participate in the in-person orientation sessions.
• Compile data and materials to prepare reports and summaries for management.
• Design analytics from the new CRM to determine student trends.
• Serve as the point person for CRM.
• Provide students with information on courses, undergraduate admissions workshops and admissions contacts.
• Work with advising staff and transfer services to streamline student enrollment.

Minimum Qualifications

• Bachelor’s Degree required.
• Three years of Student Services and Higher Education experience required, preferably in an Admissions or Registrar’s office.
• Knowledge of CRMs and other supportive databases.
• Excellent oral, written and interpersonal communication skills.
• Ability to work in a team setting.

Preferred Qualifications

• Master’s Degree in Business, Education, Communications or related field strongly preferred.
• Proficient in university admissions and registration systems.
• Knowledge of FERPA regulations and the ability to handle confidential information.
• Experience working with multiple demands, schedules and work styles.
• Ability to prioritize various tasks and assignments.
• Sharp record keeping skills with attention to detail.
• Computer and database literacy and proficiency in MS Office (Word, Excel and PowerPoint for digital presentations).

Company DescriptionValley Forge Military Academy and College is a leadership institution focused on developing the whole person. The Academy is a college preparatory school for boys, offering middle school and high school. The College is a two-year institution for men and women and has been designated the Military College of Pennsylvania.TM

Our mission is to develop individuals to be fully prepared for the responsibilities and challenges of being citizen leaders. We produce graduates who are strong in mind, body and soul.

Our vision is to be a shining beacon, calling young people from around the world to achieve their full intellectual, physical, moral and leadership potential.

Our philosophy is to develop the whole person within an integrated academic and military environment. Our tightly structured and supervised cadet-led community helps to inculcate a deep, enduring commitment to responsible and informed citizenship in a democratic society.