Director, Census & Member Services
Habitat Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $130,000 - $165,000 per year
Job Level
About the role
- Own end-to-end census integrity and member coverage continuity for all PACE participants.
- Set the vision and operating standards for census, enrollment, eligibility, and member services.
- Provide oversight and accountability for day-to-day enrollment, eligibility, and Medicaid re-eligibility operations.
- Establish and govern departmental policies, workflows, and operational controls.
- Own operational performance management, including KPIs, audits, and risk identification.
- Lead and develop a high performing team responsible for enrollment and eligibility.
- Serve as a cross functional partner to resolve complex enrollment and eligibility issues.
- Oversee membership maintenance, data integrity, and member communications.
Requirements
- 8+ years of experience in health insurance operations, including at least 2 years of team leadership and direct supervisory experience.
- Demonstrated expertise in Medicaid and Medicare eligibility, with specific experience overseeing Medicaid re-eligibility processes.
- Background in capitated health plan financials; PACE experience strongly preferred.
- Strong customer service orientation and ability to handle confidential information.
- Excellent verbal and written communication skills.
- Bachelor’s degree in healthcare, finance, or related field required; Master’s degree preferred.
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
Benefits
- Health insurance
- Life insurance
- Participation in the company’s equity program
- Paid time off, including vacation and sick leave
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medicaid eligibilityMedicare eligibilityenrollment operationseligibility operationscensus integrityoperational performance managementKPI managementauditsrisk identificationdata integrity
Soft Skills
team leadershipcustomer service orientationconfidential information handlingverbal communicationwritten communication