Related skills
enrollment census medicare medicaid eligibility📋 Description
- Lead census, enrollment, eligibility, and Medicaid re-eligibility.
- Oversee daily operations; supervise direct reports; contact for complex insurance matters.
- Collaborate with Growth/Enrollment, IDT, and external partners (Medicare, state Medicaid).
- Support seamless coverage for all PACE participants with care-team alignment.
- Develop and report operational metrics, audits, KPIs; drive timely remediation.
- Mentor staff and maintain accountability; resolve escalations with stakeholders.
🎯 Requirements
- 7+ years in health insurance operations with team leadership.
- Expertise in Medicaid and Medicare eligibility; oversee Medicaid re-eligibility.
- Experience with capitated health plan financials; PACE experience preferred.
- Bachelor’s in healthcare/finance; Master’s preferred.
- Excellent verbal and written communication skills.
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
🎁 Benefits
- Health insurance
- Life insurance
- Equity program
- Paid time off, including vacation and sick leave
Meet JobCopilot: Your Personal AI Job Hunter
Automatically Apply to Operations Jobs. Just set your
preferences and Job Copilot will do the rest — finding, filtering, and applying while you focus on what matters.
Help us maintain the quality of jobs posted on Empllo!
Is this position not a remote job?
Let us know!