Enrollment Team Lead - Medicare Advantage

Role Description

Enrollment Team Lead - Medicare Advantage

Lead II - Business Analysis

Who We Are

UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members’ well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care for all.

We have a strong global presence and a dedicated workforce of over 4000 people spread across the world.

Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership. We stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively.

You Are

The Enrollment Team Lead is responsible for supporting key processes to ensure the smooth operation of the Enrollment Operations Business Unit. The Enrollment Team Lead will help oversee both onshore and offshore enrollment specialists, focusing on tasks that require a higher level or analytical expertise. Responsibilities include managing and processing discrepancy queues, RPC, LEP, briefcases, and JIRA tickets, as well as assisting with audits, overseeing correspondence submissions, generating client reports, maintaining inboxes, and delegating tasks. This position plays a critical role in supporting client value delivery within the Business Unit.

The Opportunity

• Navigating and effectively interpreting regulations and guidance in accordance with the CMS Manual System and other regulatory agencies guidelines
• Assisting with the development and/or review of policies and procedures to ensure compliance with CMS regulations.
• Assisting in researching, analyzing, and disseminating new and existing CMS guidance and communications to cross-functional business units and internal/external stakeholders.
• Assisting and partnering with business units with the development and/or improvement of workflows and business processes to improve controls and overall quality.
• Assisting with the development and recommendations for ongoing improvement of core processes
• Assisting onshore and offshore personnel by answering questions, supplying information, provide coaching / training, as appropriate.
• Recommending process improvements in support of positive SLA results
• Assisting the Enrollment by writing and maintaining documents related to Enrollment’s internal functions.
• Serving as a Lead Enrollment SME
  
  

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

What You Need

• 7+ years’ experience in a related field, typically in two subject areas (e.g. process improvement, project planning, health care economics, health care policy, statistical modelling, business decisions, analysis, or business management)
• A thorough understanding of Medicare Advantage products, CMS transaction files, and the corresponding enrollment-related guidelines
• Experience with CMS interfaces and systems for managing the Medicare Advantage enrollment and billing functions
• Ability to analyse enrollment reconciliation data and report SLAs, KPIs, and other operations reports and present findings in a structured way
  
  

Bachelor’s degree in a related field. Relevant combination of education and experience may be considered in lieu of a degree.

• Proficient in current industry standard PC applications and systems (e.g., Access, Excel, Word, and PowerPoint)
• Willingness to learn
• Team collaborator
• Significant creativity and flexibility.
• Strong work ethic
  
  

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST HealthProof provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.

Role Location: Remote

Compensation Range: $95,000-$103,000

Benefits

Full-time, regular employees accrue up to 16 days of paid vacation per year, receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year), 10 paid holidays, and are eligible for paid bereavement leave. They are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance, as well as the following Company-paid benefits: basic life insurance, accidental death and disability insurance, and short- and long-term disability benefits. Regular employees may purchase additional voluntary short-term disability benefits, and participate in a Health Savings Account (HSA) as well as a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses. Certain regular employees may have the potential for quarterly incentive-based bonuses and or commissions depending on role. Benefits offerings vary in Puerto Rico.

Part-time employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching.

Full-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) program with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance.

Part-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year).

All US employees who work in a state or locality with more generous paid sick leave benefits than specified here will receive the benefit of those sick leave laws.

What We Believe

At UST HealthProof, we envision a bold future for American healthcare. Our values are the bedrock beliefs our organization holds dear. They not only define what our brand stands for but also serve as a compass guiding every action and decision.

Guiding Principles

These principles illuminate the path of ‘how’ we operate. They detail actions and behaviors we much embody to honor our values and achieve our goals.

• Simplicity
  
  

Simplifying complexity underlines everything we do—this approach is what makes us unique. We come with an open mind and straightforward approach, cutting our way to the core with measurable and actionable insights.

• Integrity
  
  

Integrity is our currency to build relationships. We believe in being open and honest. It is only natural when we have nothing to hide. It demonstrates that we are here to do the right thing, no matter who is watching.

• People-Centricity
  
  

Everything that we do reflects our deep bonds with peers and customers. These aren't mere transactions, but transformational ties. They shape our culture and decisions, affirming that our true value lies in the lives we touch and impact.

• Leadership
  
  

Taking ownership is about taking initiative, being in-charge and driving things to completion. It’s a brave choice to ‘own’ all aspects of our work, ensuring we take full responsibility for everything we handle.

Mission

A future possible only when health plans are free from administrative burdens so they can truly focus on what matters more – their members’ well-being.

Equal Employment Opportunity Statement

UST HealthProof is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other applicable characteristics protected by law. We will consider qualified applicants with arrest or conviction records in accordance with state and local laws and “fair chance” ordinances.

UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

#Healthproof

#CB

Skills

Healthcare,Enrollments,Open Enrollment