Manager, Government Programs (Enrollment)
Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States
R
USD 146K-182K Mid-level Full Time
Tasks
- Collaborate with employer group on enrollment oversight and communications
- Conduct outreach for missing enrollment information and client file errors
- Develop compliant operational policies and procedures
- Develop enrollment workflows and requirements
- Ensure CMS regulatory compliance and service level adherence
- Lead enrollment staff coaching and performance management
- Lead regulatory reporting for Medicare enrollment
- Manage Medicare enrollment and eligibility operations
- Manage enrollment system build and go live readiness
- Oversee premium billing
- Perform monthly data validation audits and respond to CMS findings
- Process Medicare enrollment and disenrollment transactions
- Resolve enrollment issues and complete corrective actions
- Support federal and state audits with documentation and remediation tracking
Perks/Benefits
Skills/Tech-stack
Audit preparation | CMS | CMS Compliance | Corrective actions | Data Validation | Eligibility processing | Enrollment operations | HPMS | Issue Resolution | MARx | Medicare | Operational Documentation | Premium Billing | Regulatory Reporting | Workflow design
Education
Regions
Countries
States
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