Healthcare Operations Manager

1 week ago


Tarrytown, New York, United States MVP Health Care Full time
About the Role

MVP Health Care is seeking a skilled Leader, Enrollment Operations to join our team. As a key member of our organization, you will be responsible for developing and maintaining accurate staffing models, participating in audit-related activities, and reconciling enrollment data with State-Based entities.

Key Responsibilities
  • Develop and maintain accurate staffing models to ensure optimal team performance and resource allocation.
  • Participate in and occasionally coordinate audit-related activities with Internal Audit, Internal Compliance, or representatives from State and Federal Governments or Commercial Groups.
  • Reconcile enrollment data with State-Based entities, ensuring accuracy and compliance with regulatory standards.
  • Draft and update policies and procedures in response to new or evolving requirements and circumstances.
  • Collaborate with Premium Billing resources to ensure seamless premium billing, termination, and reinstatement practices.
Requirements
  • Bachelor's degree in Business Administration, Finance, Healthcare Administration, or a related field.
  • Minimum of 5 years of experience in enrollment operations, healthcare administration, or a related area within the healthcare sector.
  • At least 3 years in a leadership or management role, preferably within a health insurance environment.
  • Experience in managing enrollment operations within a healthcare or health plan setting.
  • Demonstrated success in enhancing enrollment processes and embracing technological advancements.
  • Expertise with Medicare, Medicaid, and ACA marketplace enrollment procedures and regulations.
What We Offer
  • Growth opportunities to uplevel your career.
  • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team.
  • Competitive compensation and comprehensive benefits focused on well-being.
  • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York.


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