Job Summary:

The Team Lead, Enrollment manages the day-to-day operational activities for setup and maintenance of membership records and payment (data) 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:

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):

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. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.