ZING. Enamel Whitening. Toothpaste, but magic.

Manager

• Oversee assigned operational workflows within eligibility and enrollment, ensuring accuracy, compliance, and alignment with CMS requirements.
• Manage and develop a small team responsible for execution of day-to-day enrollment and eligibility tasks, fostering a culture of accountability, growth, and continuous improvement.
• Analyze enrollment and eligibility data to identify trends, root causes, and performance gaps; translate insights into actionable solutions.
• Design and lead cross-functional projects to enhance operational performance and member experience.
• Maintain and enhance internal tracking, reconciliation, and audit-readiness protocols.
• Monitor vendor performance against SLAs and ensure timely resolution of escalated issues.
• Develop and deliver high-quality reports and dashboards for internal stakeholders and senior leadership.
• Stay abreast of CMS guidance and evolving regulatory requirements, ensuring that internal procedures remain compliant.
• Manage end to end eligibility, enrollment and disenrollment processes.
• Partner with end users and business owners to thoughtfully design and deliver AI/automation solutions, translating workflow needs into clear business requirements (scope, rules, dependencies, SMEs/UAT resources), and leading solutions through build, testing/validation, and production rollout.

Enrollment Manager

• Conducting health risk assessments, coordination of care, and care management for MAPD, C-SNP, and D-SNP members.
• Performs assessments of members, including Health Risk assessments per CMS regulation
• Follows the patient through various transitions of care to ensure that any gaps in treatment plans are identified and remedied, and promote efficient health care delivery.
• Participates in assessment activities to develop individualized care plans in coordination with the patient, family, and providers.
• Applies case management standards of practice to focus on effective care of high-need members.
• Serves as a member advocate and resource, and provides critical information and recommendations to the rest of the care team.
• Maintains strong knowledge of Case management, community resources, and plan benefits to promote improved member experience and health outcomes.
• Works collaboratively with the member (and caregivers), primary care physicians, specialists, and other care providers to ensure member compliance and adherence to the medical plan of care.
• Assists the Health Services Team in implementing best practices for chronic care and disease management.
• Follows standard protocols, processes, and policies.
• Provides member education to assist with self-management and encourages members to make healthy lifestyle changes.
• Makes referrals to outside sources.
• Documents and tracks clinical reviews, member care plans, referrals, and findings.
• Performs other duties, projects, and actions as assigned.

Integrated Care Manager

Project Manager

• Support strategic program and project design, execution, and performance management of initiatives supporting Quality Improvement and the Star Rating measurement system established by the Centers for Medicare and Medicaid Services (CMS)
• Collaborate across a matrixed organization and coordinate efforts across multiple domains and functional workgroups that impact Zing Health’s Medicare Star ratings
• Leverage project management skills and discipline across a strategic playbook of interventions, campaigns, and initiatives
• Participate in market research, competitive analysis, content review and development, partnership with third-party print and engagement solutions, vendor engagement and management, reporting, and presentation development
• Effectively manage projects from inception to performance management
• Demonstrate an understanding of the Medicare Star Rating program
• Manage project plan development, maintenance, and management
• Perform risk management and escalation
• Conduct Star measure data analysis and intervention recommendations
• Log, track, and ensure completion of all key project milestones
• Communicate effectively across departments and manage expectations and priorities
• Participate in or lead cross-departmental workgroups and committees
• Meet with key stakeholders to gather, document, track, and update specific requirements of each project/intervention
• Track project / intervention performance to analyze successful completions and continually improve execution for subsequent measurement periods
• Perform quality control on projects throughout the lifecycle
• Serve as a liaison for Provider Network department for shared projects, ensuring appropriate routing through compliance and CMS workflows
• Perform other related duties as assigned

Project Manager, Provider Quality

• Own and manage end-to-end project execution for supplemental vendor implementations and enhancements, including planning, coordination, testing, go-live, and post implementation stabilization.
• Provide ongoing vendor oversight to ensure performance, compliance, and service quality across all assigned supplemental vendors.
• Partner closely with Operations, Compliance, IT, Finance, and Member Experience teams.
• Act as a single point of accountability for assigned vendors and implementations.
• Translate operational and regulatory requirements into actionable vendor expectations.

Manager, Vendor Programs – Implementation

Accountant

• Primary responsibility is to assist in preparation of financial journal entries and supporting schedules according to monthly close schedule
• Prepare and record asset, liability, and expenses entries by compiling and analyzing account information
• Reconcile accounts monthly to ensure accurate reporting and ledger maintenance
• Prepare documentation for external auditors
• Analyze financial data and explain variances to management
• Improve accounting processes and internal controls
• Collaborate closely with departments across the organization

Senior Accountant

Compliance

• Ensure the effectiveness of the organization’s Medicare compliance program across Medicare Advantage (MA) and Part D lines of business.
• Provide oversight of Third-Party Marketing Organizations (TPMOs) and First-Tier, Downstream, and Related Entities (FDRs).
• Drive compliance risk management, monitoring, remediation, and continuous improvement.
• Assist with annual and ongoing Medicare compliance risk assessments.
• Develop and deliver targeted training for sales, marketing, operations, customer service, enrollment, and pharmacy teams; track completion and measure effectiveness.
• Prepare clear, accurate compliance dashboards and reports for leadership, Compliance Committee, and Board-level governance.

Enrollment Manager

Integrated Care Manager

Project Manager, Provider Quality

Manager, Vendor Programs – Implementation

Senior Accountant

Senior Medicare Compliance Specialist