Job Summary

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 day-to-day 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.

Essential Functions

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 day-to-day 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.

Essential Functions

Plan, assign and direct the day-to-day 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 day-to-day 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

Qualifications

Required

1 year of relevant experience Managed care and/or health care

Preferred

Bachelor's Degree Business Administration and/or health related degree or equivalent experience

1 year of relevant experience Enrollment

Working knowledge of Facets, state and CMS requirements

About Corewell Health

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 top-notch 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.

How Corewell Health cares for you

Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

On-demand 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 Rapids

Department Name

PH - Enrollment and Fulfillment Medicare

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. to 5:00 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site 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.