Manager, Enrollment Assistance

Date: Jun 16, 2022

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 7346 

 

Position Summary/Position

 

Under the general supervision of the Director of Government Products & Enrollment, the Enrollment Assistance manager will be responsible for overseeing the performance of an existing Enrollment Assistance team to help all contacted uninsured individuals complete a Medi-Cal application and help prospect Medi-Cal Members choose a Medi-Cal health plan. In addition, the manager will work across the organization and partner with key governmental agencies such as county Medi-Cal and the Health Care Options offices. The Manager will also support a range of community partners who educate and enroll the uninsured into Medi-Cal and Covered California.
The manager will ensure that training, materials and operational processes are in place and updated, as appropriate. The manager will also analyze operational reports, review statistical data and make operational recommendations. The Enrollment Assistance Manager is responsible to ensure that calls received by the Team are answered in a timely, efficient, friendly and knowledgeable manner.

Major Functions (Duties and Responsibilities)

 

1. Be an extraordinary example and a champion in living and practicing IEHP’s Mission, Vision and Values (MVV) every day, and strongly commit to advance the organization’s strategic plan.
2. Responsible for the oversight and operations of the EA team that provides contacted individuals with: information and referral services, program eligibility determination, application assistance for Medi-Cal, Medi-Cal Health Plan selection, and Covered California.
3. Responsible for leading all day-to-day functions. Ensure team members are appropriately trained, supervised and provided guidance, related to call handling procedures, departmental goals, and expectations. Lead the teams and ensure the delivery of outstanding service to IEHP potential Members.
4. Promote professional growth, development and learning of the team members through offering new challenges, developmental assignments, offering timely feedback, regular 1:1 discussions and mentoring.
5. Develop, review, analyze and interpret department and individual performance reports to ensure that the team is continually performing at optimum levels, and review for trend or results that require intervention or re-direction of Department activities or processes.
6. Manage department operations including, hiring, training, performance objectives, team member evaluations   and disciplinary actions to ensure compliance with IEHP goals and policy and procedures.
7. Drive performance, engagement, retention and play a key role in maximizing team members’ contribution to the company. Through demonstrated individual performance, the Enrollment Assistance Manager shall promote the highest standards of ethical and professional conduct to lead team members by example.
8. Continuously identify opportunities for training, quality control, process improvement, service opportunities and member retention.
9. Interfaces with internal IEHP departments to ensure all teams activities are delivered in a service-oriented manner and according to IEHP benefits, policies and procedures.
10. Build partnership and collaborate with external government agencies, including the county Medi-Cal offices, the State’s Health Care Options offices, and community partners to support enrollment goals.
11. Participate in internal Call Center Consistency (CCC) Committee monthly meetings to help guide the IEHP’s policies for call centers throughout the company.
12. Flexible to call activities that may require non-traditional unit hours and may require some managerial oversight during these extended operations, such as after hours and weekends.

Supervisory Responsibilities

Leader: Administers Hires, Terminations, and Performance Reviews

Experience Qualifications

 

Five (5) years of experience with Medi-Cal or Covered California programs eligibility criteria, enrollment processes, and program administration. Five (5) years of management, and supervisory experience required. 

Preferred Experience

 

Experience in a health plan preferred. 

Education Qualifications

 

Bachelor’s degree from an accredited institution required.

Drivers License Required

Yes, must have a valid California Driver's License.

Knowledge Requirement

 

Knowledge of Medi-Cal or Covered California program eligibility criteria, application processes, and administration. Knowledgeable in building partnership with governmental agencies such as the county Medicaid offices, State’s Medi-Cal offices and community partners. Knowledgeable in call center software applications and reporting preferred.

Skills Requirement

 

Excellent written and verbal communication. Strong external partnership building skills, organizational skills. Strong coaching, motivational and interpersonal skills are required with an emphasis on service. Ability to supervise and train team members. Strong organizational skills and sound decision making skills required.

Abilities Requirement

 

Ability to balance multiple projects and meet deadlines. Detail oriented. Ability to establish and maintain effective working relationships with others. High level of professionalism required.

Commitment to Team Culture

 

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Working Conditions

 

Using computer keyboard and screens. Travel within California and other states if needed. 

Work Model Location

Telecommute

Physical Requirements

Driving - FREQUENTLY
Gross Manipulation - FREQUENTLY
Keyboarding: Traditional - CONSTANTLY
Keyboarding: 10-Key - FREQUENTLY
Use of computer mouse - CONSTANTLY
Reaching (at shoulder level) - CONSTANTLY
Stooping - CONSTANTLY
Bending - CONSTANTLY
Hearing: In a group - FREQUENTLY
Hearing: One-on-One - FREQUENTLY
Hearing: Over the Telephone/Cell Phone - FREQUENTLY
Communicate: Information/ideas verbally - FREQUENTLY
Near Visual Acuity - FREQUENTLY
Sitting - CONSTANTLY
Indoors - CONSTANTLY
Lighting - CONSTANTLY
Develop and maintain positive work relationships - FREQUENTLY
Regular contacts: co-workers, supervisor - CONSTANTLY
Decision-making - FREQUENTLY
Lead/Influence Others - FREQUENTLY
Work review - FREQUENTLY
Rapid Pace of work - FREQUENTLY
Control of work pace - FREQUENTLY
Pace of work with faster/slower work periods - FREQUENTLY
Problem Solving - FREQUENTLY
Memory - FREQUENTLY
Understand and follow direction - FREQUENTLY
Regular and reliable attendance - CONSTANTLY

 

Starting Salary: $103,708.80  - $132,225.60  

Pay rate will commensurate with experience

 

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 7,000 and a team of more than 2,500 employees, IEHP provides quality, accessible healthcare services to more than 1.5 million members. And our Mission, Vision, and Values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and make a difference with us! IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan.

 


Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles