We are currently looking for a Manager of Enrollment and Reconciliation.
Key responsibilities includes working to maximize the efficiency, productivity, and performance of the Enrollment Department's processes to support operations and business decisions related to the capture, exchange, and reporting of various data elements for Medicare Advantage Plan operations. This role provides guidance to direct reports, provides clarity on department priorities and goals for the Enrollment and Reconciliation function area. Serves as the organization’s expert authority on Medicare Advantage Enrollment and Reconciliation rules and regulations, including CMS eligibility policy, MARx transactions, retroactive adjustments, payment reconciliation, and audit resolution requirements.

This position is based out of the City of Huntington Beach and offers.
Work/life Balance / HYBRID (1 day a week in office)
Full Employee Benefits
Starting base at $110K Client is looking to interview and start immediately.

Requirements include: Bachelor’s degree or equivalent combination of education and experience. Master’s degree a plus. Minimum two (2) years of enrollment and reconciliation supervisory experience. Minimum four (4) years of Medicare Enrollment experience at the health plan level. Apply today for consideration.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.