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Effectively lead all steps of the enrollment process for government programs products in a pleasant and expedient manner to ensure quality customer service and compliance with all legislative regulatory and accreditation requirements. Plan assign and direct daytoday responsibilities and workflow of the government programs enrollment staff. Assist customers and staff throughout the enrollment process by providing complete information and follow up on a timely basis. Assist the Senior Manager in coordinating activities and in the development/collection of materials required to meet and demonstrate compliance to all state federal and accrediting organization requirements.
Plan assign and direct the daytoday responsibilities and workflow of the government programs enrollment staff to ensure all enrollment procedures are followed and timeline requirements are met
Utilize various reports to monitor individual and team production and performance; revise staffing model as necessary to meet customer and department needs
Audit enrollment files consistently to ensure all are complete organized and secure according to policies and procedures
Inform team members of audit results rewarding and/or counseling regarding ongoing performance as necessary
Provide technical product policy and procedure training for new and existing staff
Address complex issues including customer complaints to facilitate effective resolution
Assist with enrollment processing as necessary to ensure compliance with regulations and standards including timeframes
Maintain knowledge of technical systems products policies/procedures regulatory requirements and accreditation standards to be an effective resource for staff
Courteously provide internal and external customers with information and education regarding the government programs enrollment process
Effectively educate team on an ongoing basis relative to daytoday changes company initiatives and communications (internal and external) that may directly affect their interpretations of policy changes or benefit clarification to members employers and other Priority Health staff
Required
High School Diploma or equivalency
1 year of relevant experience Managed care and/or health care
Preferred
1 year of relevant experience Enrollment
Working knowledge of Facets state and CMS requirements
Bachelors Degree Business Administration and/or health related degree or equivalent experience
As a team member at Corewell Health you will play an essential role in delivering personalized health care to our patients members and our communities. We are committed to cultivating and investing in YOU. Our topnotch teams are comprised of collaborators leaders and innovators that continue to build on one shared mission statement to improve health instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
Ondemand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
Optional identity theft protection home and auto insurance pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location
SITE Priority Health 1239 E Beltline Grand RapidsDepartment Name
PH Enrollment and Fulfillment MedicareEmployment Type
Full timeShift
Day (United States of America)Weekly Scheduled Hours
40Hours of Work
8:00 a.m. to 5:00 p.m.Days Worked
Monday to FridayWeekend Frequency
N/ACURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for NonCorewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drugfree workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an onsite or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.
An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Required Experience:
IC
Full-Time