Job Details

A company is looking for a Director, Census & Member Services.Key ResponsibilitiesSet vision and standards for census, enrollment, eligibility, and member servicesOversee day-to-day enrollment and eligibility operations, ensuring compliance and accuracyLead a high-performing team and manage operational performance, including KPIs and auditsRequired Qualifications8+ years of experience in health insurance operations with at least 2 years in a leadership roleExpertise in Medicaid and Medicare eligibility, including Medicaid re-eligibility processesBackground in capitated health plan financials; PACE experience preferredBachelor's degree in healthcare, finance, or related field required; Master's degree preferredProficiency in Microsoft Office Suite (Word, Excel, PowerPoint)