Analyst, Enrollment

Molina Healthcare • Michigan, Michigan • 9h ago

Job Description

Job Summary

Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Provide customer service to plan members, providers, and employer groups by answering benefit questions, resolving issues and educating callers. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received via mail, phone, or e-mail. Maintain records in the enrollment database

Knowledge/Skills/Abilities

Manages the daily process of member exceptions from state eligibility file and takes appropriate action to ensure members are properly enrolled.

Tracks and follows up on any exceptions with revenue amounts expected from the State and maximizes recovery.

Researches discrepancies from state payments in order to ensure accurate payment to the health plan.

Compiles and reviews all reports, historical trends and forecasts future enrollment activities.

Manages and prepares daily performance reports summarizing key performance indicators regarding enrollment statistics.

Facilitating and coordination of meeting materials with Health Plan Compliance and Operations VPs for multiple states.

Subject Matter Expert in E2E enrollment processes for multiple states.

Assist with projects as assigned by Director, Enrollment concerning trending analysis, inventory, or other enrollment-related areas.

Quality review and submission of deliverables to Molina Healthcare Government Contract and to State Medicaid Agencies.

Tracking all contractual related tasks to completion.

Monitor inventory analysis provided by third party vendor for accuracy and explanation.

Record and publish enrollment events on SharePoint that are available for department and third-party vendor use.

Assist manager with preparation of submission of Sarbanes-Oxley (SOX) audit data to internal and external auditors.

Assist with complex enrollment issues concerning member eligibility.

Job Qualifications

Required Education

Associate's Degree or equivalent combination of education and experience

Required Experience

1-3 years

Preferred Education

Bachelor's degree in Accounting and/or Business or equivalent experience

Preferred Experience

3-5 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $19.84 - $38.69 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Similar Jobs

CYP Child and Youth Program Leader

Commander, Navy Installations • California, California • 1h ago

Summary The purpose of the Child and Youth Program (CYP) Leader is to provide appropriate specialized developmental care and instruction for children and youth ranging in age from 6 weeks to 18 years in one or more Child...

1h ago

Go to Apply

BUDGET ANALYST

Headquarters, Air Force Reserve Command • California, California • 1h ago

Finance, Accounting & Banking

Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information. The primary purpose of this position is to serve as a budget analyst in the installatio...

1h ago

Go to Apply

Army Reserve Administrator

U.S. Army Reserve Command • California, California • 1h ago

Summary About the Position: This is a military technician position with the 63rd Readiness Division, 191 Army Band located in Camp Parks, California. This position requires an active membership as a Soldier in the Army R...

1h ago

Go to Apply

ACQUISITION PROGRAM MANAGEMENT SPECIALIST-DIRECT HIRE AUTHORITY

Air Force Materiel Command • Ohio, Ohio • 2h ago

Management & Administrative

2h ago

Go to Apply

Electrical Commissioning Engineer II

Bureau Vertias North America • Virginia, Virginia • 9h ago

IT & Engineering

**- - - -**

9h ago

Go to Apply

Advanced Practice Provider - Nurse Practitioner - CareBridge - Virtual

Elevance Health • Ohio, Ohio • 9h ago

Hospital & Medical

Carebridge Health is a proud member of the Elevance Health family of companies within our Carelon business. Carebridge Health exists to enable individuals in home and community-based settings to maximize their health, in...

9h ago

Go to Apply

Advanced Practice Provider - Nurse Practitioner - CareBridge - Virtual

Elevance Health • Tennessee, Tennessee • 9h ago

Hospital & Medical

9h ago

Go to Apply

Advanced Practice Provider - Nurse Practitioner - CareBridge - Virtual

Elevance Health • Virginia, Virginia • 9h ago

Hospital & Medical

9h ago

Go to Apply

Lead Software Engineer (AI/ML)

CACI International • Virginia, Virginia • 11h ago

IT & Engineering

Lead Software Engineer (AI/ML) Job Category: Engineering Time Type: Full time Minimum Clearance Required to Start: NACI Employee Type: Regular Percentage of Travel Required: Up to 10% Type of Travel: Continental US The O...

11h ago

Go to Apply

Regional Chief Development Officer - Virginia Region (location flexible in state)

American Red Cross • Virginia, Virginia • 11h ago

Management & Administrative

Please use Google Chrome or Mozilla Firefox when accessing Candidate Home. By joining the American Red Cross you will touch millions of lives every year and experience the greatness of the human spirit at its best. Are y...

11h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.