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Cognizant · 8 hours ago

TL-Enrollment & Billing

United States

Full-time

Remote

Mid, Senior Level

$50K/yr - $60K/yr

2+ years exp

Cognizant is a leading provider in the healthcare sector, and they are seeking an Enrollment Team Lead to oversee all aspects of the enrollment processes. The role involves managing team performance, ensuring compliance, and providing excellent customer service while leading a high-performing team to achieve business objectives.

ConsultingIndustrial AutomationInformation TechnologySoftwareSoftware Engineering

H1B Sponsor Likely

Responsibilities

Lead membership business and oversee all aspects of Enrollment processes

Monitor performance and work with other members of the management team to achieve business goals

Motivate team through open communication, transparency, coaching and developing

Provide excellent custom service to the client through written and verbal communications

Manage and monitor daily workflow and preparation of daily, weekly, monthly production and inventory reports to ensure business objectives are maintained within State and Federal compliance mandates

Serve as the primary point of contact for addressing and resolving day-to-day operational issues related to membership functions, including but no limited to investigating and resolving questionable membership and eligibility issues reported by internal and external stakeholders

Collaborate with Subject Matter Experts (SMEs) and other functional teams as needed to ensure accurate and timely resolution

Ability to problem solve and apply existing knowledge of membership principles to any changes in the business

Identify and coordinate training and tools to ensure staff members are operating at desired skill levels

Inventory oversight and management

Host meetings with the client as well as with the team to ensure seamless communication and transparency internally as well as externally

Lead and inspire team through open communication and delegation of authority

Develop, evaluate and manage enrollment personnel to ensure high quality and maximize the customer experience

Assess individual and team performance on a regular basis and provide developmental feedback

Collaborate with the Quality Assurance team to monitor and address quality issues within the membership operations team

Assist in implementing corrective action plans for areas under direct and indirect control, and support continuous improvement by providing coaching, conducting process reviews, and ensuring adherence to established quality standards

Identify and escalate opportunities for efficiencies intended to reduce rework

Evaluate business processes and perform high level analysis to leverage opportunities for operational improvements

Perform initial root-cause analysis for workflow or data load break-fixes

Champion communication and collaboration within areas of oversight and between key areas including but not limited to Robotic Process Automation (RPA) team, Process Excellence team, Claims team, Information Technology, and Human Resources to effectively develop and implement business solutions

Assist with the implementation and operational readiness of new technologies and/or software interfaces across multiple platforms in support of corporate and departmental objects to improve efficiencies, accuracy and medical expense ratio (MER) /administrative expense ratio (AER)

Assign work based on inventory and SLA guidelines

Coordinate cross-training on several enrollment processes

Managing inventory of multiple work streams daily

Receive research and respond to Operation Quality Audits, including providing individual and departmental feedback to enrollment staff; handle resolution of system or procedural issues identified by quality reviews and assume leadership role for developmental and implementation of quality initiatives

Perform other duties as assigned and required by leadership

Excellent communication (written and verbal) and interpersonal skills

Ability to lead and motivate a high performing team to achieve desired results

Ability to take the lead on projects, and assure that all requirements are met

Ability to conduct research and effectively analyze data

Ability to develop appropriate reports to Senior Management, categorize and report findings and determine trends

Innovative: ability to identify and develop improved processes and procedures

Detailed oriented, organized with strong analytical skills, problem solving and negotiating skills

Ability to multi-task, and work in a fast-paced environment

Proven skills in staff development and the ability to meet deadlines under pressure

Qualification

Enrollment ProcessesMicrosoft ExcelTeam LeadershipHealthcare RegulationsData AnalysisStaff DevelopmentProcess ImprovementCommunication SkillsProblem Solving

Required