Medicare Advantage Enrollment Lead

A company is looking for an Enrollment Team Lead - Medicare Advantage. Key Responsibilities Oversee onshore and offshore enrollment specialists and manage discrepancy queues, RPC, LEP, and JIRA tickets Assist in developing and reviewing policies to ensure compliance with CMS regulations and improve workflows Generate client reports, maintain inboxes, and provide coaching and training to personnel Required Qualifications 7+ years of experience in related fields such as process improvement or health care policy Thorough understanding of Medicare Advantage products and CMS transaction files Experience with CMS interfaces for managing Medicare Advantage enrollment and billing Bachelor's degree in a related field or equivalent combination of education and experience Proficient in industry-standard PC applications (e.g., Access, Excel, Word, PowerPoint)

Mar 27, 2025 - 21:44

A company is looking for an Enrollment Team Lead - Medicare Advantage. Key Responsibilities Oversee onshore and offshore enrollment specialists and manage discrepancy queues, RPC, LEP, and JIRA tickets Assist in developing and reviewing policies to ensure compliance with CMS regulations and improve workflows Generate client reports, maintain inboxes, and provide coaching and training to personnel Required Qualifications 7+ years of experience in related fields such as process improvement or health care policy Thorough understanding of Medicare Advantage products and CMS transaction files Experience with CMS interfaces for managing Medicare Advantage enrollment and billing Bachelor's degree in a related field or equivalent combination of education and experience Proficient in industry-standard PC applications (e.g., Access, Excel, Word, PowerPoint)