Manager of Retention and Enrollment

Amida Care, the largest Medicaid HIV Special Needs Plan in NY, delivers a uniquely effective care model that has become a true benchmark for innovation, engagement and member health outcomes. Our mission is to provide access to comprehensive care and coordinated services that facilitate positive health outcomes and general well-being for our members. This true integrative care model addresses psychosocial, housing, behavioral and medical services directly evolving around the needs of each member.

We are a community of individuals from diverse peoples who work together to actively foster a fair, equitable, inclusive environment where all employees receive an invitation to belong. Visit www.amidacareny.org for more information about the Amida Care culture.

We are actively seeking a highly motivated, innovative and experienced leader to join our team as the Manager of Retention and Enrollment. Compensation will be commensurate with experience.

Position Summary:

The Manager of Enrollment and Retention is responsible managing the day-to day activities needed to retain Amida Care’s membership through the member recertification and new member enrollment process. Works cross-functionally to support retention of members and new member enrollment. The position will manage staff activities related to recertification, enrollment and disenrollment as part of Amida Care’s retention efforts.

Responsibilities:

• Responsible for the day-to-day actives of the Member Recertification, Enrollment Specialist and Community Engagement and Enrollment Liaison internal and external activities
• Conduct periodic field observations to ensure consistency of adherence to professionalism, standard policies, procedures, practices, company protocols and state regulations.
• Perform audits to ensure the accuracy and quality of enrollments and all tasks performed by staff. Including New York State of Health (NYSOH) Assistors dashboards.
• Manage enrollment Leads to ensure they are handled based on established protocols, and state regulations.
• Partner with management on staff collaboration for internal and external activities and events.
• Responsible for training and the creation of training materials, workflows, and processes to ensure staff have the tools needed to perform their daily tasks.
• Create and periodically review policies and procedures related to member recertification and enrollment activities
• Responsible for on-boarding hired staff, mentoring, and coaching them to ensure they are meeting performance standards and goals.
Amida Care is Diversity, Equity and Inclusion employer committed to full inclusion and elimination of discrimination in all its forms. We strive to develop, promote and sustain a culture that values equity and leverages diversity and inclusiveness in all that we do.

Amida Care requires that all candidates selected for employment must provide proof of full Covid-19 Vaccination upon acceptance of an offer of employment.

EDUCATION REQUIRED

• High School Diploma or GED required with related work experience as outlined below.

EXPERIENCES AND/OR SKILLS REQUIRED

• Two (2) years of management experience working in a health plan or healthcare environment, or on the job training as an Amida Care manager for two (2) years.
• Two (2) years’ experience managing staff, including coaching, mentoring and development.
• Knowledge of Medicaid, Medicaid Managed Care or other state/federal funded insurance plans required.
• Experience managing field staff a plus, but not required.
• Completion of Certified Application Counselor Training (CAC) (within two months of hire) with New York State of Health Marketplace and subsequent completion of annual CAC Training; Certified CAC’s required.
• Effective communication (verbal and written) with the ability to communicate to a variety of levels management. Including executive leadership, clinicians and vendors.
• Computer proficiency in Microsoft Office (Word, Excel, PowerPoint).
• Demonstrates an understanding and sensitivity to multi-cultural values, beliefs, and attitudes of both internal and external contacts.
• Demonstrate appropriate behaviors in accordance with the organization’s vision, mission, and values.

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