City/State

Work Shift

Overview:

Sentara Health Plans is recruiting Member Enrollment Manager for Commercial and Individual Plans - Remote in VA!

Status: Full-Time, permanent position (40 hours)

Standard working hours: 8am to 5pm EST, M-F.

Location: Remote in Virginia only

Job Description Summary:

The Enrollment Manager plans, directs, and implements processes related to all enrollment activities, including but not limited to, web, paper, electronic enrollment and group set up processes that will assure a high level of customer satisfaction in accordance with plan policies and procedures. Accountable for daily work flow, staff development and quality control and quality assurance activities for the team.
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Education:

• Bachelor’s degree preferred

• Applicants who do not have their Bachelor's Degree will be required to sign a Bachelor's Degree Agreement committing to successfully obtaining their Bachelor's Degree within 5 years of hire.

Certification/Licensure:

• None required

Experience:

• 3 years related experience in Healthcare or Information System Support REQUIRED

• Knowledge of 834 eligibility file highly preferred

• Enrollment Reconciliation and discrepancy resolution experience preferred 

• Health Plan enrollment experience preferred

• Experience with Salesforce, QNXT or any claims platform preferred

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.

Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. 

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-102477

Talroo-Health Plan

Healthcare, Health Pan, Health Insurance, Managed Care, MCO, Information System Support, 834 eligibility file, Enrollment, Reconciliation, discrepancy resolution, Member, Salesforce, QNXT

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.