Member Enrollment Manager – Commercial and Individual Plans

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🔥 4 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Sentara Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1890

⚕️ Healthcare Insurance

Healthcare Insurance

Sentara Health is a leading healthcare system that operates over 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals. The company is dedicated to providing exceptional patient care, fostering professional development, and maintaining a diverse workforce. Sentara Health aims to improve health every day and has been recognized for its clinical and operational performance, being named one of the top 15 health systems by IBM Watson Health. The organization supports its employees in achieving their full potential and encourages growth and innovation in the healthcare sector.

📋 Description

• The Enrollment Manager plans, directs, and implements processes related to all enrollment activities, including but not limited to, web, paper, electronic enrollment and group set up processes that will assure a high level of customer satisfaction in accordance with plan policies and procedures. • Accountable for daily work flow, staff development and quality control and quality assurance activities for the team.

🎯 Requirements

• 3 years related experience in Healthcare or Information System Support REQUIRED • Knowledge of 834 eligibility file highly preferred • Enrollment Reconciliation and discrepancy resolution experience preferred • Health Plan enrollment experience preferred • Experience with Salesforce, QNXT or any claims platform preferred • Bachelor’s degree preferred • Applicants who do not have their Bachelor's Degree will be required to sign a Bachelor's Degree Agreement committing to successfully obtaining their Bachelor's Degree within 5 years of hire. • Certification/Licensure: None required

🏖️ Benefits

• Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.