Enrollment Team Lead

| Waltham
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A bit about us:

We’re on a mission to change healthcare — how it’s paid for, delivered, experienced. We want to put people center stage, not process or profit. We are guided by a deep belief that every person on Medicare should be treated like we would treat a member of our own family: with loving care and a profound commitment to their health and well-being.

That’s why we’re gathering a whole bunch of smart, big-hearted people to create a new kind of healthcare company — one that combines compassion, health insurance, clinical care, and technology seamlessly.

We want to throw the long ball with people we love for a cause we believe in. Life is short. Join us.

More about this role:

The Enrollment Team Lead is responsible for performing enrollment duties and ensures the team is meeting timeliness and accuracy requirements. This lead role applies comprehensive knowledge of Centers for Medicare and Medicaid enrollment guidance. Handling escalated eligibility issues and helps in the development, implementation and maintenance of Devoted Health’s enrollment policies and procedures is an important part of this role. Our lead will work collaboratively with the team to achieve goals and meet regulatory compliance requirements.

Responsibilities will include:

  • Monitor and analyze enrollment quality and productivity
  • Identify areas of improvement and works with manager to implement corrective action plans
  • Responsible to lead the enrollment team to achieve common goals
  • Develops enhanced subject matter expert knowledge
  • Works with manager to ensure policies and procedures are current Assist with accurate and timely entry of enrollment applications in our enrollment system for new enrollees
  • Help process member updates in our enrollment to ensure alignment with CMS records Meet accuracy and timeliness requirements for processing enrollment transactions
  • Ensure our membership records are reconciled and is in full agreement with CMS’s records
  • Collection of enrollment data for CMS monthly reporting
  • Handle escalated calls with members and provide resolution of issues

Attributes to success:

  • Flexibility and willingness to change as according to business needs
  • Consistently achieve quality and productivity standards
  • Strong financial acumen
  • Attention to detail
  • Enjoys communicating with members

Desired skills and experience:

  • Associate or Bachelor’s preferred
  • A minimum of 1 year of related leadership experience preferred
  • Strong knowledge of Medicare Advantage enrollment guidelines and regulations desired
  • Excellent written and verbal communication skills
  • Strong computer experience - typing, talking, using our system for information entry and all at the same time

If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you!

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Location

Our sunny office is in the beautiful Watch Factory alongside the Charles River in Waltham. It's easily reachable by commuter train, bus, or bike.

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