Senior Manager, Enrollment: (Appeals & Grievances/HICS)

Location: Little Rock, AR, United States
Position Purpose: Provides direction for all enrollment functions by providing technical and leadership support. Oversee all enrollment functions on a daily basis to ensure that all efforts are parallel with our contract requirements.
  • Collaborate with internal operations teams, including corporate operations to identify efficient solutions to meet business needs related to enrollment and facilitate continued process improvements.
  • Support the design and testing of new configuration code for new product implementation to include business rules and state contract compliance.
  • Develop, implement, and manage file interchanges with external vendors.
  • Responsible for all enrollment encounter data to ensure accurate submissions to the state.
  • Oversee all tort recovery, subrogation, and reconciliation processes.

Qualifications:
Education/Experience:
  • Bachelor's’ degree in related field or equivalent experience.
  • 6 + years of related experience.
  • Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff..
 
Preferred Skills:
  • HICS experience
  • Background in Appeals and Grievances
  • CMS Background
Tami Andrade Fitzpatrick
Senior Recruiter
720-845-6562
tami@proenlist.com
www.proenlist.com


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