The Team Lead, Enrollment manages the day-to-day operational activities for setup and maintenance of membership records and payment 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:
$53,400.00 - $85,600.00
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):
Salary
Organization Level Competencies
* Create an Inclusive Environment
* Cultivate Partnerships
* Develop Self and Others
* Drive Execution
* Influence Others
* Pursue Personal Excellence
* Understand the Business
**This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer.