Manager of Enrollment Services

The Manager of Enrollment Services manages and oversees the day-to-day functions within the Eligibility department and assists with new client implementations in addition to new vendor eligibility integration and feed maintenance.

Director of Operations

• Assist the Eligibility Analysts with any escalated enrollment issues.
• Upon receipt of initial eligibility for a new client, validate the file and load it into P2P.
• Build P2P plans and location/reporting groups.
• Confirm all outside vendors are ready to accept eligibility and coordinate transmission to ensure members are successfully loaded.
• Review incoming response files from vendors to resolve data discrepancies and errors.
• Identify and process open enrollment changes for renewing clients. Coordinate with the client/broker regarding any eligibility discrepancies.
• Complete member plan migration to designated benefit offerings during renewals where plans are being added/removed or the client is changing TPAs.
• Train Eligibility Analysts as both technical and company processes are updated and optimized. Maintain documentation of P2P and Carrier Export processes.

• Strong communication skills; can effectively communicate tasks, expectations, and goals within the team.
• Knowledge of benefit rules and IRS compliance guidelines.
• Excellent attention to detail and concern about quality.
• Strong technical skills: must be able to interpret both industry standard insurance feeds and proprietary format used.
• Motivation to improve processes and assist the team in achieving efficiency.
• Strong sense of responsibility and attentiveness to others’ needs and expectations.

• Prolonged periods of sitting at a desk and working on a computer.

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Located in Feasterville-Trevose, PA, 19053

Please send an email to [email protected] and include a letter of interest and resume.