Medicare Advantage Enrollment Supervisor

UCLA Health View all jobs


California
Permanent
Nurse

Posted 24 day(s) ago

Reference: 2292893


Description

As the Medicare Advantage Enrollment Supervisor, you will lead and supervise day-to-day enrollment operations, ensuring seamless Medicare membership enrollment, reconciliation, and benefits coordination.

You will:

  • Lead and oversee all aspects of Medicare Membership Enrollment and Reconciliation operations.
  • Manage coordination of benefits and ensure compliance with regulatory requirements.
  • Represent enrollment and reconciliation operations in cross-functional projects.
  • Act as Product Owner for Enrollment:
    • Ensure project requirements are clearly defined and implemented.
    • Review and approve requirements documentation.
    • Participate in solution design and definition.
    • Provide guidance and direction to project teams.
    • Coordinate cross-functional discussions and efforts.
  • Develop and maintain reports and project timelines to track progress and outcomes.

Salary Range: $73,000 - $149,600/annually

Qualifications

We’re seeking a detail-oriented leader with:

Required:

• A high school diploma or equivalent 

• 2-4 years of experience in a Medicare health plan or Managed Care environment supervising Member Enrollment and Billing staff and processes

• Robust knowledge of Medicare and CMS enrollment and regulatory requirements

• Strong leadership skills, with the ability to articulate goals, plan, implement processes to achieve goals, recognize and assess the implications of cofounding variables, anticipate consequences, and meet deadlines 

• Working knowledge of Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools 

• Excellent oral and written communication skills 

• Ability to prioritize and perform a variety of duties within a system that has frequently changing assignments, priorities and deadlines 

• Strong critical thinking and the ability to apply knowledge at a broad level 

• Reliability and compliance with scheduling standards