Enrollment Supervisor

Job Overview:

The Enrollment Supervisor is responsible for the day-to-day operations of the Enrollment department, providing first-line supervision and support to the Enrollment team. The Enrollment Supervisor works with team members to establish goals, action plans, training plans, and set timelines. This is a working supervisor position that works alongside the Enrollment team processing and managing Western Health Advantage’s eligibility and enrollment data on a daily basis. The Enrollment Supervisor is adept in processing both electronic and paper enrollment and has an astute understanding of and the ability to communicate enrollment requirements.

Duties:

• Promote and adhere to WHA’s Privacy and Information Security Programs. Ensure and verify that all department Workforce Members attend and complete mandatory training. Inform department Workforce Members that WHA will take disciplinary action up to and including termination of employment or assignment with WHA for violation of these privacy and security policies, procedures, and regulatory requirements. Also, that strict adherence to the related laws, rules, regulations, policies, and procedures is considered an integral part of their job performance, and monitor compliance.
• Support functional area Chief, Director and/or Manager with the development and implementation of the organizational plans, strategies and annual budget.
• Review and analyze functional area and/or department actual performance against the targeted performance objectives leveraging company data applicable to the department, available KPI (Key-Performance Reports) and other available performance measurement resources.
• Work collaboratively and cooperatively with functional area leaders to develop and implement supplemental plans and/or strategies to mitigate departmental performance gaps to stated business objectives and/or targeted KPI (Key Performance Indicator) results.
• Support the functional area Chief, Director and/or Manager with the process of aligning and documenting the department’s business priorities, goals and objectives on a quarterly and/or monthly basis so as to achieve business targets as set forth in the annual business plan.
• Interface and collaborate with departmental team members, as well as other functional area leaders, on special projects and/or towards the accomplishment of company-wide business goals, objectives and project deliverables.
• Effectively present departmental performance information, project updates and other miscellaneous information to a variety of internal business stakeholders.
• Collaborate with functional area leaders on the departmental staffing plans and processes to support the effective execution of the departments and/or company’s business plans, strategies and initiatives.
• Work collaboratively with Human Resources and the functional area team members to select, train, supervise, and effectively performance manage direct reports.
• Maintain consistently high performance standards for all direct reports and other team members by regularly communicating business updates, coaching, counseling, disciplining and completing timely performance evaluations in accordance with the company’s HR guidelines and standards.
• Establish and execute personal and professional development initiatives for all direct reports and other team members and their self for the purpose of keeping current and effective in the performance of their various job duties and roles.
• Ensure enrollment and eligibility procedures are followed per Western Health Advantage’s Evidence of Coverage and Disclosure Handbook and Group Service Agreement.
• Work collaboratively with the functional area leadership on 834 implementation, testing, processing, and assignment of new electronic files.
• Collaborate with the QA Specialist to ensure individual team members and the department as a whole are meeting timeliness and accuracy goals, including identifying and providing training for the team as needed.
• Serve as a key contact for system upgrades, website functionality issues, and specific high profile accounts.
• Serve as the primary resource and authority for enrollment and eligibility exceptions and retro-activity.
• Participate in meetings and technical calls as requested by the functional area leadership.
• Prepare business correspondence to include reports, policies and procedures, business letters, graphs, etc.
• Communicate eligibility requirements/enrollment status to brokers, employers, and internal departments.
• Process enrollments to include additions, terminations, ID card orders, PCP changes, and address changes.
• Responsible for maintaining the Scorecards for both individual team members and the department as a whole.
• Identify training needs and provide training, resources, and materials when needed.
• Perform other duties and special projects as assigned.

Qualifications:

• Associates Degree in a related discipline.
• 5 years’ experience working in a related field of enrollment at the health plan level with increasing responsibilities.
• Experience working with Facets Application Software is a plus.
• Must be available to work extended hours during the regular work week as well as Saturdays during Open Enrollment period.
• Proficient computer skills, including electronic mail, routine database activity, word processing, spreadsheet, graphics, etc.
• Must be able to speak, read, write, and understand the primary language(s) used in the workplace.

We encourage you to apply for the position of Enrollment Supervisor. We offer competitive compensation and benefits packages, as well as opportunities for professional growth within our institution.

Please submit your resume and cover letter detailing your relevant experience. Only qualified candidates will be contacted for an interview.

Job Type: Full-time

Pay: $66,560.00 - $72,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to Relocate:

• Sacramento, CA 95833: Relocate before starting work (Required)

Work Location: Hybrid remote in Sacramento, CA 95833