Enrollment and Eligibility Manager
Brighton Health Plan Solutions · Chapel Hill, North Carolina, US
BPHS is seeking an experienced Manager for our new Enrollment and Eligibility Department. This role will manage all operations of the Enrollment, Employer Se...
Job description
About The Role BPHS is seeking an experienced Manager for our new Enrollment and Eligibility Department. This role will manage all operations of the Enrollment, Employer Services, Escalation, and Quality Assurance areas. The role will work closely with Employers, oversee daily communication (emails, inquiries, and calls), participate in Webinars, and ensure timeliness of daily workflow processes of enrollment and employer file validations, errors, and submissions. Primary Responsibilities: •Manage the operations of the Enrollment and Eligibility Department, with emphasis on Employer Services. Analyze and manage production volumes, timeliness of data input, Employer portal reporting and workflows, and other variables to ensure optimal service to clients, employers, and caregivers. •Assist the Director/Vice President in developing strategic plans to improve operations, systemize manual processes, enhance systemic processes, evaluate and modify Enrollment and Eligibility policies and procedures to maintain compliance and service-level agreements, and promote efficient department operations. •Support Director/VP in employer, client, and vendor interactions via multi-channel functionali...