Manager of Enrollment Services

Reports To: Director of Operations

Duties/Responsibilities:

• 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.

Required Skills/Abilities:

• 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.

Physical Requirements:

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

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Located in Feasterville-Trevose, PA, 19053

Interested in Applying?

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