Supervisor, Medicare Enrollment

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🔥 0 minutes ago

🏈 Alabama, Arizona, +42 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $70.1k - $126.2k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Monitor and oversee Medicare enrollment operations, regulatory audits, and related initiatives impacting membership for product lines and health plans • Manage service levels and audit readiness • Identify compliance risks, root causes, service opportunities, and process improvements • Oversee implementation of quality and operations excellence programs • Monitor production status to ensure production and quality goals are met • Prioritize daily work volumes • Hire, train, and manage staff performance • Monitor service levels for compliance with state, federal, and company metrics and standards • Support special projects, process improvement evaluations, department business development, and ROI analysis • Partner with stakeholders on membership-related initiatives, including business needs, strategy recommendations, project outlines, deliverables, and ROI • Develop and maintain relationships with health plans, IT partners, and other business units • Oversee training and business processes • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Strong Medicare enrollment experience highly preferred, including enrollment transactions, member maintenance, cancellations, disenrollments, reinstatements, and CMS processing requirements • Experience with CMS, state, corporate compliance, or other highly regulated operational audits highly preferred • Experience with audit preparation, documentation validation, findings, and root cause analysis highly preferred • Strong root cause analysis and analytical problem-solving skills highly preferred • Intermediate to advanced Microsoft Excel skills highly preferred, including formulas, pivot tables, graphs, and charts • Must be available Monday through Friday, 8:00 a.m. to 5:00 p.m. Eastern Time • Associate's degree in Business or related field or equivalent experience required • 2+ years supervisory/lead experience or management of large projects required • 2+ years business operations experience in enrollment and billing, contact center, claims, customer service, provider data management, or similar operations required • 2+ years experience in managed care and/or Medicare environment preferred • Up to 10% travel based on audit needs

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation, subject to eligibility

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