TL-Enrollment & Billing

Cognizant • Providence, RI • 1d ago

Enrollment Team Lead (remote)

This is a remote position open to any qualified applicant living in the United States.

Summary :

Lead membership business and oversee all aspects of Enrollment processes. - Monitor performance and work with other members of the management team to achieve business goals. - Motivate team through open communication, transparency, coaching and developing. - Provide excellent custom service to the client through written and verbal communications.

Key Responsibilities: - Manage and monitor daily workflow and preparation of daily, weekly, monthly production and inventory reports to ensure business objectives are maintained within State and Federal compliance mandates. - Serve as the primary point of contact for addressing and resolving day-to-day operational issues related to membership functions, including but no limited to investigating and resolving questionable membership and eligibility issues reported by internal and external stakeholders. Collaborate with Subject Matter Experts (SMEs) and other functional teams as needed to ensure accurate and timely resolution. - Ability to problem solve and apply existing knowledge of membership principles to any changes in the business. - Identify and coordinate training and tools to ensure staff members are operating at desired skill levels. - Inventory oversight and management. - Host meetings with the client as well as with the team to ensure seamless communication and transparency internally as well as externally. - Lead and inspire team through open communication and delegation of authority. - Develop, evaluate and manage enrollment personnel to ensure high quality and maximize the customer experience. - Assess individual and team performance on a regular basis and provide developmental feedback. - Collaborate with the Quality Assurance team to monitor and address quality issues within the membership operations team. Assist in implementing corrective action plans for areas under direct and indirect control, and support continuous improvement by providing coaching, conducting process reviews, and ensuring adherence to established quality standards.- Identify and escalate opportunities for efficiencies intended to reduce rework. - Evaluate business processes and perform high level analysis to leverage opportunities for operational improvements. - Perform initial root-cause analysis for workflow or data load break-fixes. - Champion communication and collaboration within areas of oversight and between key areas including but not limited to Robotic Process Automation (RPA) team, Process Excellence team, Claims team, Information Technology, and Human Resources to effectively develop and implement business solutions. - Assist with the implementation and operational readiness of new technologies and/or software interfaces across multiple platforms in support of corporate and departmental objects to improve efficiencies, accuracy and medical expense ratio (MER) /administrative expense ratio (AER).- Assign work based on inventory and SLA guidelines. - Coordinate cross-training on several enrollment processes. - Managing inventory of multiple work streams daily.- Receive research and respond to Operation Quality Audits, including providing individual and departmental feedback to enrollment staff; handle resolution of system or procedural issues identified by quality reviews and assume leadership role for developmental and implementation of quality initiatives.- Perform other duties as assigned and required by leadership Skills/Knowledge Needed: - Excellent communication (written and verbal) and interpersonal skills - Ability to lead and motivate a high performing team to achieve desired results. - Ability to take the lead on projects, and assure that all requirements are met - Ability to conduct research and effectively analyze data - Ability to develop appropriate reports to Senior Management, categorize and report findings and determine trends - Innovative: ability to identify and develop improved processes and procedures - Detailed oriented, organized with strong analytical skills, problem solving and negotiating skills - Ability to multi-task, and work in a fast-paced environment - Proven skills in staff development and the ability to meet deadlines under pressure Education & Experience: - 2+ years of managerial/supervisory experience within a related health care and/or Enrollment/Eligibility environment required - Strong Microsoft Excel experience and knowledge required - Bachelor's degree in business management preferred - 2+ years in enrollment processing or reconciliation preferred - Knowledge of Healthcare insurance regulations, Medicaid and/or Medicare preferred - Facets knowledge a plus

Salary and Other Compensation:

Applications will be accepted until January 15, 2026.

The annual salary for this position is between $50,000 - $60,000 depending on experience and other

qualifications of the successful candidate.

This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and

subject to the terms of Cognizant's applicable plans.

Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

Medical/Dental/Vision/Life Insurance

Paid holidays plus Paid Time Off

401(k) plan and contributions

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Cog2026

Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting.

Cognizant reserves the right to modify this information at any time, subject to applicable law.

Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Go to Apply

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