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Supervisor, Enrollment & Eligibility - Managed Care
Job Description
The Enrollment & Eligibility Supervisor directly supervises enrollment, eligibility and benefit plan analysts and carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Is responsible for a higher-level knowledge in the analysis and management of day to day operations and team progress of enrollment and eligibility files, as well as benefit plan coordination. Will support team members and management in creating and analyzing work flows for efficiency and quality.
Duties and Responsibilities:- Responsible for supervising the overall quality of enrollment, eligibility and benefit plan processes as they pertain to departmental policies and procedures as well as compliance and Health Plan and contractual obligations.
- Provides training support for new employees and existing enrollment, eligibility and benefit plan analysts on policies and procedures and regulatory guidelines in accordance Health plan and contractual agreements.
- Provides general enrollment, eligibility and benefit plans support to teams in reviewing, resolving, member inquiries specific to eligibility to acquire authorized services, as well as the coordination of the member’s benefits, as provided by the Health Plans.
- Responsible to process and respond to Health Plan inquiries and coordinates with appropriate departments for any provider, member, or system issues.
- Responsible for recommending changes in guidelines, procedures, and policies. Ensuring the use of the best standard process workflows and operational excellence in activities.
Qualifications
Education:
High school diploma/GED required. Bachelor's degree in Healthcare or related field preferred.
Experience:
Two (2) years of supervisory experience in health plan payer enrollment or related field required.
About Us
About the Team
Req ID : 11749
Working Title : Supervisor, Enrollment & Eligibility - Managed Care
Department : MNS Managed Care
Business Entity : Cedars-Sinai Medical Center
Job Category : Strategic Plan / Business Dev
Job Specialty : Managed Care
Overtime Status : EXEMPT
Primary Shift : Day
Shift Duration : 8 hour
Base Pay : $42.16 - $65.35
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Diversity and Inclusion at Cedars-Sinai
We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve – because that’s what our patients, colleagues and communities deserve Quality Care and Research—For All, By All.
Our compensation philosophy
We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above takes into account the wide range of factors that are considered in making compensation decisions, including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role. Pay Transparency Non-Discrimination Provision (PDF).
Cedars-Sinai is an Equal Employment Opportunity employer.
Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy.
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