Director

• Lead the strategic design and execution of a scalable Eligibility Center of Excellence (CoE), including policy oversight, program segmentation, and end-to-end operational workflows across WelbeHealth’s national footprint
• Direct all day-to-day eligibility operations and performance, including redetermination processing, share of cost oversight and reporting, financial assistance consulting, reconciliation, and participant communications - all with direct accountability for timeliness, accuracy, and compliance
• Establish and manage KPIs, dashboards, and audit routines to track performance, monitor regulatory risk, and drive improvement across eligibility operations
• Build and lead a high-performing team, including managers and front-line staff responsible for hiring, training, coaching, and developing talent to consistently meet organizational goals
• Serve as the executive escalation point for complex eligibility cases and barriers, collaborating with cross-functional leaders to resolve risks and maintain access for participants, while building strong relationships with regulatory partners and advocacy agencies
• Manage cross-functional partnerships with internal teams such as Enrollment, Finance, Operations, and Compliance, to resolve barriers and ensure participants can access and sustain coverage in a timely, compliant, and seamless manner
• Drive enterprise-wide enablement, including internal training, SOPs, and knowledge base management

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