Leader, Enrollment OperationsHeadquarters Office, 625 State Street, Schenectady, New York, United States of America • Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America • Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America Req #2231Friday, September 27, 2024At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Leader, Enrollment Operations to join #TeamMVP. This is the opportunity for you if you have a passion for health equity and your love for your community.
What's in it for you: - Growth opportunities to uplevel your career
- A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
- Competitive compensation and comprehensive benefits focused on well-being
- An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York
Qualifications you'll bring:
- Bachelor's degree in Business Administration, Finance, Healthcare Administration, or a related field. Equivalent experience in a similar role or function is acceptable
- The availability to work full-time, hybrid and any travel requirements
- Minimum of 5 years of experience in enrollment operations, healthcare administration, or a related area within the healthcare sector.
- At least 3 years in a leadership or management role, preferably within a health insurance environment.
- Experience in managing enrollment operations within a healthcare or health plan setting.
- Demonstrated success in enhancing enrollment processes and embracing technological advancements.
- Expertise with Medicare, Medicaid, and ACA marketplace enrollment procedures and regulations
- Curiosity to foster innovation and pave the way for growth
- Humility to play as a team
- Commitment to being the difference for our customers in every interaction
Your key responsibilities:
- Develop and maintain accurate staffing models to ensure optimal team performance and resource allocation.
- Participate in and occasionally coordinate audit-related activities with Internal Audit, Internal Compliance, or representatives from State and Federal Governments or Commercial Groups.
- Reconcile enrollment data with State-Based entities, ensuring accuracy and compliance with regulatory standards.
- Draft and update policies and procedures in response to new or evolving requirements and circumstances.
- Collaborate with Premium Billing resources to ensure seamless premium billing, termination, and reinstatement practices.
- Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
Where you'll be: Preferably within NY or VT, or with the ability to come to our Schenectady office, as needed. This will be a hybrid role.Pay Transparency At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.Affirmative Action MVP is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at ...@mvphealthcare.com .
Other details - Job Family Claims/Operations
- Pay Type Salary
- Min Hiring Rate $121,767.00
- Max Hiring Rate $137,000.00