Enrollment Resume Samples

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Guide the recruiter to the conclusion that you are the best candidate for the enrollment job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

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P Davis
51760 Goldner Trail
+1 (555) 674 9844
51760 Goldner Trail
p +1 (555) 674 9844
Experience Experience
Houston, TX
Manager Enrollment
Houston, TX
Lindgren, Altenwerth and Johnson
Houston, TX
Manager Enrollment
  • Conduct daily direction of work processes and prioritization with assigned staff monitoring as necessary to ensure accurate & timely updates to membership records, such as: DPW Alerts and weekly enrollment/dis-enrollment reconciliation; daily 834 and Legacy reconciliation including error resolution, member updates, status updates; demographic changes; PCP transfers
  • Serve as the subject matter expert for related work processes and systems used to maintain enrollment and membership information for the assigned product
  • Provide on-going coaching and motivation of enrollment representatives to achieve objectives by providing tools and creating motivation to encourage individual and team development as well as revenue and profit growth. Meet and exceed enrollment goals as set by company objectives
  • Manage daily attendance, time off, ESS, performance appraisals, coaching, counseling
  • Manage daily functions for team of Enrollment Advisors through coaching opportunities, mentor identified leaders on the team and provide guidance for new hires
  • Collaborate with peers to identify and develop best practices to contribute to the growth of the business
  • Support the development of new strategies for success for enrollment department
Los Angeles, CA
Enrollment Advising Manager
Los Angeles, CA
Thompson Inc
Los Angeles, CA
Enrollment Advising Manager
  • Lead and manage an enrollment advising team
  • Provide outstanding customer service and advisement to customers through face-to-face, telephone, and electronic media in a mobile environment
  • Provide information to technical college applicants and enrolled students concerning admissions, records, academic advisement, as well as state and federal financial aid assistance
  • Assist with registration and graduation activities
  • Display a high level of effort and commitment to performing work; operate effectively within the organizational structure; demonstrate trustworthiness and responsible behavior
  • Assist with the design and execution of special events, projects and activities as requested
  • Utilize database software and statistical programs for tracking purposes and assessment of services provided
Chicago, IL
Director, Enrollment Management
Chicago, IL
Gaylord, Lockman and Osinski
Chicago, IL
Director, Enrollment Management
  • Oversee a team of 8 enrollment staff to develop and convert qualified leads and to increase student enrollment
  • Assist with strategic planning of enrollment cycles, events, and recruitment workshops/ programs
  • Ensure accurate forecasting of qualified students progressing through the enrollment, admissions, and registration stages
  • Develop a culture of responsibility to student success as well as the Institution’s growth goals
  • Work collaboratively with the Marketing department to execute the institutional strategic goals related to marketing and enrollment targets
  • Manage and create strategic initiatives for the International channel to develop and grow
  • Assess, monitor, and evaluate all enrollment staff’s performance through weekly meetings and reporting
Education Education
Bachelor’s Degree in Related Field
Bachelor’s Degree in Related Field
University of California, Santa Barbara
Bachelor’s Degree in Related Field
Skills Skills
  • Ability to work cooperatively within a team, quickly identifying and resolving conflict ina professional manner
  • Ability to take initiative and work independently, exercise good judgement with attention to details
  • Ability to initiate, build and maintain strong professional relationships and partnerships
  • Detail oriented, excellent organization skills
  • Ability to develop strong relationships with colleagues, faculty and students
  • Intermediate knowledge and proficiency utilizing MS Office and student information systems and web-based communication
  • Ability to maintain a strong work ethic in a performance-driven and results-oriented environment
  • Experience with admission for post-baccalaureate professional development programs; particularly professional health
  • Ability to research and consolidate information into executive reports
  • Information technology aptitude, a demonstrated ability to learn and leverage software systems
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15 Enrollment resume templates


Open Enrollment Limited Term Specialist Resume Examples & Samples

  • Understand the importance of each customer interaction
  • Reconcile membership files
  • Proficiency in Microsoft Word and Excel, and experience using multiple computer applications simultaneously
  • Ability to show empathy
  • Previous Customer service experience

Enrollment Member Associates Resume Examples & Samples

  • Recent Call Center or Administrative experience
  • Microsoft Office/Suite proficient (Excel, Word, Access, etc.)
  • Working knowledge of Lotus Notes
  • Working knowledge of Managed Care/Health Insurance concepts and regulations
  • Business analysis knowledge
  • 1+ year of previous Customer Service experience
  • Experience working in a Managed Care/Health Insurance call center

Senior Director, Enrollment Management Resume Examples & Samples

  • Oversee and manage the Enrollment Management function within Blackboard Student Services with responsibility for sales growth, expense management, vendor management, successful project delivery, client satisfaction, and product innovation
  • Serve as a senior-level expert with in-depth knowledge of the enrollment services offered and benefits to education market
  • Oversee team/functional budget along with resource allocation and vendor oversight
  • Manage a team of up to 5 individuals responsible for project implementation and execution
  • Develop and nurture a unique value proposition for Blackboard Enrollment Services for the Higher Education market
  • Establish and implement Customer Relations Management (CRM) strategies related to achieving the goals for each client in enrollment services with particular focus on SalesForce.com
  • Interface with technical vendors and groups such as Product Development on system requirements, processes, and specifications
  • Provide business analysis to identify risks and opportunities for enrollment clients related to leads, conversion rates, application yield rates, and stop-out reasons
  • Identify and track reporting metrics and KPIs to ensure effectiveness of service and disseminate best practices across clients
  • Conduct quarterly performance reviews for clients and act as a senior-level client point of contact at all times
  • Minimum of 8 years experience in Higher Education sector required. Prior experience as Enrollment or Admissions Director within the Higher Education highly preferred
  • 3 to 5 years of management experience required
  • Call center or related experience required
  • Fluency and understanding of CRM capabilities, particularly with Hobsons Radius, SalesForce.com, and TargetX
  • Strong analytical skills with a proven record of strategic data-driven process improvements
  • Excellent customer service and client-facing skills
  • Ability to travel up to 40% of the time making trips to client locations, Blackboard offices and enrollment center locations in Kentucky, Texas, North Carolina and Phoenix
  • Ability to thrive in a fast-paced, results-oriented, collaborative, flexible environment

Benefit Enrollment Assistant Resume Examples & Samples

  • Maintain all enrollment files (filing enrollment forms, court orders, beneficiary designations etc.)
  • Mail enrollment forms and confirmations notices to eligible Associates
  • Review and distribute incoming Benefit/HR mail
  • Make recommendations to Department Manager for changes in mailing and filing processes/procedures
  • Distribute Group Benefit, Stock Purchase, FSA booklets, brochures, and enrollment forms/applications upon request
  • Mail annual billing coupons to participants
  • Review daily bank envelopes for any correspondence that needs attention
  • Research bad addresses and re-distribute mail after correct address is found
  • Procurement and administration of confidential Associate information
  • Must adhere to HIPAA policies and procedures
  • May be required to perform additional duties as assigned by management
  • High school diploma or general education degree (GED) is required
  • Proficient in computer skills
  • Must be able to work for a number of managers
  • Must be flexible to continual changes in work routines
  • Ability to work overtime hours as required
  • Working knowledge of Microsoft office (word, excel, powerpoint)

Enrollment Management Administrator Resume Examples & Samples

  • Communicate with prospective students via call campaigns, emails, and faxes regarding the Program
  • Effectively follow departmental lead management guidelines for all leads
  • Achieve lead volume managed around 225 leads per month, achieve targets of 3 starts per program, makes approximately 60 calls per day with 2 hours average daily talk time
  • Monitor application process to ensure effective communication in tandem with application deadlines
  • Implement an email cultivation strategy designed to re-engage leads that have fallen to inactive statuses
  • Exemplary verbal and written communication skills
  • Ability to work evenings until 9:00 PM

VP, Enrollment Management Resume Examples & Samples

  • Provide leadership for the Admissions function including strategic planning, production, hiring, staffing, performance management, recognition, and leadership
  • Directly manage the Recruitment Services Directors working on key high volume partnerships including but not limited to, Enterprise Partnerships and High Access Partnerships
  • Execute strategy and tactics for effective student recruitment in online programs to maximize enrollments and optimize efficiency while operating within our culture and service themes
  • Effectively partner with VP of Marketing and VP of Educational Services to ensure alignment of student outreach through matriculation
  • Develop and maintain productive communication with Pearson’s current and prospective Academic Partners
  • Create a culture of fun and performance
  • Support the consulting and business development functions by acting as a subject matter expert as needed
  • Build the value for shareholders, employees, Academic Partners and students
  • 4-year degree from an accredited institution in Business, Management, Education or equivalent discipline OR appropriate combination of experience and education (Master’s degree desired)
  • Minimum 8 years’ experience managing and leading large, various inside sales teams performing in a high-relationship consultative sales process, with experience as department head
  • Significant experience with distance education, in-college admission, and third-party recruitment assistance with highly-regarded non-profit institutions
  • Demonstrated capability in cross-functional project management
  • Ability to diagnose and address opportunities to improve and drive positive change though the organization effectively handling conflict
  • Ability to lead growth across several sites located in multiple cities
  • Demonstrated ability to conceive and communicate a compelling vision for the department and company
  • Must possess a passion for driving performance against goals while creating a positive, fun and productive environment
  • Demonstrated ability to formulate strategy and lead the implementation of operational initiatives and meet them
  • Strong organizational, analytical and motivational skills
  • Collaborative communication style, builds relationships with other departments, removes barriers
  • Must understand the culture of high education and must provide high-quality, professional interactions on behalf of the company with current and potential academic partners

Benefit Enrollment Representatives Resume Examples & Samples

  • Play a key role in responding to inbound calls regarding Annual Open Enrollment Questions
  • Educate the member on components, differences and costs of PPO and Consumer Driven Medical Plans (CDHP)
  • Educate Members on Pharmacy Benefits, Dental, Vision, Supplemental Life and other Company provided Benefits and Wellness Plans
  • Refer member to appropriate supplier to assist with questions outside of the plan details
  • Assist member in using online tools to make an educated decision on what benefit plan best fits their personal needs
  • Enroll Member using Annual Enrollment on line tool
  • Handle incoming Annual Enrollment calls in a professional manner
  • Ability to navigate internal and external software applications
  • Maintains privacy/confidentiality of participants and employee information following HIPAA and company guidelines
  • Documents call information in software application
  • Work in a 24/7 Call Center Environment
  • Previous Enrollment or Insurance experience
  • Flexible and Dependable (ability to work weekends and evenings and overtime as needed)
  • Ability to continually display a positive attitude and follow directions
  • Bi-Lingual in Spanish is a plus
  • Experience with a high paced Call Center Environment

VP for Enrollment Management Resume Examples & Samples

  • Enrollment character
  • Affordability
  • Retention and success
  • Berklee Online integration
  • Enrollment initiatives and partnerships
  • The Boston Conservatory at Berklee

Enrollment Center Knowledge Base Administrator Resume Examples & Samples

  • Research, gather and organize data, and prepare and disseminate communication and interaction with appropriate Subject Matter Experts from various departments and schools to obtain and refine content for the Knowledge Base & product set-up
  • Develop appropriate style guidelines for Knowledge Base content and article creation & product set-up
  • Liaise between Knowledge Base and the Salesforce CRM team to identify and leverage existing tools within Salesforce, and integrate such tools to effectively display and share Knowledge Base content & product set-up
  • Apply an expert understanding of the Knowledge Base & product set-up structure to create, implement, and organize content so that information is located and is presented to the end user in a logical format
  • Coordinate and provide all technical troubleshooting and issue analysis, and escalate as needed with Salesforce CRM team members
  • Enhance, maintain, and update current Knowledge Base articles and links & product set-up details
  • Use coding methodology to enhance or initiate efficient Knowledge Base & product set-up, system execution, performance and optimum utilization
  • Facilitate cross-training on the Knowledge Base & product set-up tools for other departments and stakeholders, as appropriate
  • Bachelor’s degree OR
  • One (1) years of experience in a related role OR
  • Bachelor’s degree in Computer Science or Information Management a plus OR

Internship Direct Enrollment Resume Examples & Samples

  • Support for the promotion of Undergraduate, Postgraduate, Summer and Semester courses at international scale through different communication channels and support for inserting their application into CRM system
  • Support for the preparation and delivery of promotional material to the enrollment network
  • Support for the scheduling and organization of international promotional events in Campus and welcome of international potential students
  • Support for organization and monitoring of storage of promotional material, in order to have them available when necessary

Director, Enrollment Management Resume Examples & Samples

  • Oversee a team of 8 enrollment staff to develop and convert qualified leads and to increase student enrollment
  • Interview and hire new enrollment staff, as needed
  • Assist with strategic planning of enrollment cycles, events, and recruitment workshops/ programs
  • Ensure accurate forecasting of qualified students progressing through the enrollment, admissions, and registration stages
  • Develop a culture of responsibility to student success as well as the Institution’s growth goals
  • Work collaboratively with the Marketing department to execute the institutional strategic goals related to marketing and enrollment targets
  • Create a collaborative strategy that demonstrates consistency and addresses the strengths of the collective team revolving around accountability
  • Manage and create strategic initiatives for the International channel to develop and grow
  • Create sales tools that adhere to regulatory and Title IV, which assists in identifying the appropriate students for NewSchool of Architecture + Design’s programs
  • Assess, monitor, and evaluate all enrollment staff’s performance through weekly meetings and reporting
  • Create a team environment of transparency in both enrollment practices and daily accountability
  • Foster growth within the individual roles as well as within the department and organization to promote upward mobility
  • Provide timely and consistent reporting to the President as well as Executive Committee members, when necessary
  • Maintain consistent development and delivery of information session and lead generation activities for the prescribed region
  • Communicate effectively with a wide range of constituents about the performance and activities of the inside enrollment team
  • Deliver important and time-sensitive market information to the Recruitment, Research and Analytics and Product Management teams
  • Bachelor's degree; Master's degree strongly preferred
  • Must have at least 7 years of successful industry experience; At least 3 years of demonstrated achievement in a management capacity; experience in a higher education strongly preferred
  • Must have a collaborative, communicative, and empowering leadership style
  • Position requires very strong organizational and time management skills, as well as the ability to motivate and energize a results-oriented team
  • Prior experience with strategic planning, process improvement, and guiding teams to exceed a goal is strongly preferred
  • Prior training and/or coaching experience also desired
  • Must be an excellent communicator, organized, results-oriented, and able to work independently and toward aggressive goals
  • Minimal travel may be required

Enrollment Campaign Specialist Resume Examples & Samples

  • Successful candidate’s profiles include
  • Excellent understanding of marketing operations
  • Thrives in structured environment supporting multiple operational functions
  • Excellent critical thinking skills
  • Solid knowledge of managing budget and billing procedures
  • Excellent persistency and follow-up skills
  • Ability to manage multiple tasks and priorities
  • Enthusiastic, creative and professional
  • Proficient use of Microsoft tools (Word, Excel, Power Point)
  • Prior insurance background a plus
  • College Degree Required
  • 3-5 years’ experience in operational capacity position
  • Knowledge of financial services or insurance a plus

Senior Enrollment Quality Resume Examples & Samples

  • Execute audits on enrollment forms submitted by customers
  • Analyze, identify trends, and provide reports as necessary
  • Create, maintain and track reports in relation to performance
  • Complete quality review of new and changed benefit plans and set-up for accuracy
  • Document work performed and audit results based on pre-determined standards and guidelines
  • Please change job responsibilities to the attached description
  • This position is required to support the Risk Based Integrated Audit (RBIA) team and will be responsible for auditing Part D projects. Specifically, the position will perform visual audits and claims testing, which determines OptumRx support of contractual performance guarantees
  • Additionally, this position supports development of data analytics and reporting for the entire Quality Management organization. The Quality team is required to perform audits and provide feedback to diminish errors and advance processes and performance. They also analyze, identify trends, and provide reports as necessary. Quality Audit analysts assist with internal audits of the Implementation Department to ensure accuracy of benefit standards are consistently adhered to by the Implementation staff. The Enrollment Quality Audit Representative will be responsible for high level audit reporting and analysis which requires a maximum level of expertise. This position, but not limited to, requires analyst to be a subject matter expert and able to facilitate trainings
  • Work does not usually require established procedures
  • Acts as a resource for others

Enrollment CSR Hngs Resume Examples & Samples

  • One year experience as an Enrollment Representative ll or a Fee Representative l or equivalent experience
  • Three to four years call center experience
  • Three to four years in a related field or production environment
  • Health care experience preferred

Enrollment Specialists Resume Examples & Samples

  • Requires an energetic, flexible, eager individual with Eligibility experience
  • Knowledge of managed care processes and insurance coverage
  • Requires outstanding communications skills and the ability to deal tactfully and empathetically with co-workers and customers
  • Perform reading, writing and speaking at an intermediate level, demonstrating good oral and written communication skills
  • Requires the ability to understand complex situations to effectively handle escalated customer needs
  • Requires analytical skills and the ability to read and interpret data
  • Ability to establish and maintain effective working relationships with physician office staff and peers
  • Knowledge of and the ability to read, comprehend and verbalize processes and procedures of the organization and of insurance coverage
  • Ability to recognize and recommend process improvements
  • Requires problem-solving abilities
  • Must be able to multi-task and pay close attention to detail
  • Requires a well-organized individual with an excellent capacity for effective time management
  • Demonstrated ability to operate computer programs – Microsoft Word, Microsoft Excel, Microsoft PowerPoint
  • Ability to complete other duties as requested by Manager
  • Bi-lingual in Spanish and English is a plus

Enrollment Processors Resume Examples & Samples

  • We have opportunities for work-at-home, local and travel assignments
  • During travel, a weekly per-diem is provided but not while on rotations home
  • Local positions would be considered within 50 miles of where you live

Senior Enrollment Quality Resume Examples & Samples

  • Work includes established procedures but does not always include established procedures
  • Works independently once training has been completed
  • Mentors others in areas of related experience
  • Acts as a resource for others where knowledge and experience is strong
  • Coordinates others’ activities when appropriate for team work efforts
  • Applies knowledge/skills to complex activities
  • Demonstrates a depth and breadth of knowledge/skills in own area and is often able to apply these outside of own function
  • Often acts as a technical resource to others in own function where knowledge and experience is strong
  • Anticipates customer needs and proactively identifies solutions
  • Applies learned experiences to solves complex problems on own; proactively identifies new solutions to problems
  • Plans, prioritizes, organizes and completes work to meet established objectives
  • 4+ years of Customer Service experience analyzing and solving customer problems
  • Experience working in the Healthcare Industry
  • Experience using Microsoft Excel for data entry
  • Proficiency with computers and Windows PC applications (this includes the ability to learn new and complex systems)
  • Undergraduate Degree or Higher
  • Previous RxClaim experience
  • Previous QA experience

Enrollment Team Lead Resume Examples & Samples

  • Assist the team in obtaining and maximizing accuracy and productivity
  • Direct associates using established guidelines, procedures, and policies
  • Act as a resource for questions and/or issues
  • Research and resolve the more complex issues
  • Mentor and train associates
  • Perform special projects and other duties as assigned

Heath Plan Enrollment Rep Resume Examples & Samples

  • Strong written and verbal communication skills to effectively interact with patients, hospital staff personnel and individual healthcare consumers
  • Ability to develop strong relationships with key stakeholders, including but not limited to patients, hospital administration/staff and the general public
  • Provide outstanding customer service to all patients, hospital staff, co-workers and all other healthcare consumers
  • Knowledge of government programs eligibility and hospital registration processes
  • Knowledge of rules and regulations pertaining to Federal, State and County programs
  • Knowledge of and adherence to all privacy and security rules in accordance with 45 C.F.R. §155.260 regarding patient or healthcare consumer information
  • Strong PC skills, including Microsoft Office experience
  • Must be motivated, a self-starter, reliable and team player
  • Ability to prioritize and manage multiple tasks with efficiency
  • Must embrace company vision, mission & values and demonstrate understanding of Conifer culture
  • Bilingual (Spanish) a plus
  • Some college with or equivalent of at least 2 years of professional experience in patient advocacy, social work, government program eligibility, healthcare customer service or related discipline preferred
  • Working knowledge of healthcare plan products (E.G. Aetna, BC/BS, Coventry, Anthem, etc)
  • Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
  • Ability to lift and/or move up to 25 pounds
  • Specific vision abilities required by this job include close vision
  • Ability to travel within assigned market, as required
  • Position will be located in a hospital, hospital business office or medical office environment, in direct contact with patients and hospital staff

Assistant Director, Enrollment Management Resume Examples & Samples

  • Assists in the formulation and execution of the recruitment plan; and works closely with the Program Directors and 2U, our online vendor, to coordinate admissions planning and processes
  • Manages and analyzes admissions/enrollment data to ensure accuracy of the data and consistency of reporting data analysis to 2U, NHS and University stakeholders
  • Supports yield efforts, including online webinars, online chats, and other targeted messaging campaigns
  • Interfaces closely with faculty to ensure full understanding of the admissions review to ensure the yield of the most qualified applicant
  • Communicates effectively with external and internal stakeholders, including prospective students, NHS faculty and staff, and 2U personnel
  • Works directly with vendor Admissions leadership in developing materials and oversight of external vendor Admissions team training, ongoing messaging accuracy, and troubleshooting of any prospect inquiries or data challenges
  • Performs online graduate nursing admissions oversight - recruitment, application, admissions, and yield process for online programs
  • Manages and trains the Vendor Admissions team to ensure that the Georgetown NHS admissions policies, processes, standards are optimized, and conducts consistent accuracy and quality control review of Admissions Counselor messaging
  • Communicates with faculty admissions reviewers and Program Directors regularly, engaging in conversation around admissions decisions, evaluating the admissions process three times per year, upgrading parts of the process that can be improved, and follows up with faculty regularly
  • Gathers rubric data promptly, analyze it for trends, margins, averages, and scrutinizes specific faculty disparities in review of applications; and consistently revisits upgrades to the review process
  • Analyzes admissions data throughout the admissions process and at each term completion ensuring that all data is accurate; reviews admissions data for those who not retained in the program in order to evaluate the optimal MS in Nursing student; and maintains knowledge of data systems such as Banner and Cognos in order to work through necessary improvements or troubleshooting
  • Serves as expert on all MS in Nursing specialties NHS offers, with the knowledge of what makes a successful student at Georgetown University, and ability to articulate what a “good fit” looks like for NHS programs

Ab-enrollment Partner Dev-senior Cons Resume Examples & Samples

  • Senior individual contributor who assists leadership with establishment of process, procedures, service policy and deployment of resources based on complexity and competency of staff members
  • Support training and mentoring program for department, peers and cross functional teams
  • Identify and suggest process and technology opportunities which will improve the business model, service offering to customers and drive internal efficiencies
  • Communicate product specifications to platform vendor supporting the Employer and assume responsibility for issue resolution throughout the life cycle of the client
  • Manage key enrollment technology distribution partner relationships
  • Develop and implement plans that proactively enhance these partnerships, facilitate discussions around strategic alignment and remove barriers that do not support sales growth
  • Facilitate strategy sessions designed to identify, develop and deploy capabilities that drive sales growth, persistency and operational effectiveness while moving the relationship from a partnership to an alliance
  • Assess gaps in current partnership performance and determine systematic solutions to drive growth and achieve operational effectiveness
  • Based on field distribution feedback and partner assessment, develop and implement scalable programs to help drive sales growth through technology channels
  • Leveraging internal partners, develop and execute on training opportunities with technology partners focused on delivering the Allstate Benefits strategy, new products and services to enhance relationships at the national and local level
  • Facilitate and advocate issue resolution with technology partners by establishing partnership with key leaders and assisting with the navigation of home office functional areas
  • Establish processes to monitor partner performance in key sales, persistency and operating expense metrics and develop actions to ensure results are on track
  • Support implementation of an effective, consistent, and repeatable partner development program
  • Demonstrated ability to lead, motivate and hold peers accountable for delivering results
  • Exceptional interpersonal, verbal and written communication skills required to communicate, negotiate and influence customers and internal business partners
  • 5 to 7 years’ experience in case set up for enrollment of employee benefits
  • Project management skills – 5 to 7 years’ experience managing multiple projects
  • Knowledge and understanding of the voluntary benefit enrollment process
  • Advance Knowledge of Microsoft SQL and Excel in order to manage data in the enrollment process
  • Bachelors preferred in the Computer Science or business related fields
  • Creative problem solving and critical thinking skills with ability to think outside of the box to generate appropriate technical solutions to clients and distribution partners

Director, Enrollment Resume Examples & Samples

  • Oversee the Eligibility and Enrollment department staff
  • Establish working relationships with external sources with Health & Human Services Commission (HHSC), state enrollment broker and other local state offices
  • Collaborate with internal operations teams to identify efficient solutions to meet business needs related to enrollment and facilitate continued process improvement
  • Establish and maintain liaison relationships with corporate IT to support and facilitate the common goals and objectives related to enrollment and eligibility services
  • Design and test new codes sets and processes for new product implementation to include business rule integration and state contract compliance
  • Manage and establish file interchanges with external vendors and affiliates including the mailhouse
  • Direct resolution to state complaint trends related to enrollment and eligibility
  • Represent the health plan in state MIS meetings
  • Develop and implement a reconciliation process of enrollment and financial records
  • Direct the eligibility load process while coordinating with corporate IS department to resolve issues that arise during the process
  • Coordinate monthly reconciliation process of remittance files by resolving discrepancies in the report
  • Bachelor's’ degree in related field or equivalent experience
  • 7+ years of managed care or government programs preferred
  • Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff

Medicaid Enrollment Resume Examples & Samples

  • Interact and meet with eligible individuals at their homes and / or various sites throughout the community / service area to enroll them into UnitedHealthcare government programs (NY State Medicaid and Child Health Plus)
  • Maintain high level of collaboration between UnitedHealth Group and community-based partners and other state and government agencies in the New York five borough area
  • Perform community marketing and outreach to promote UnitedHealthcare government programs
  • Offer ongoing member education and member servicing
  • Maintain accurate records for reporting purposes
  • Meet monthly targets for applications received
  • 1+ years experience in a direct sales, social service, community or customer service position
  • Travel locally up to 100% of time within assigned sales territory
  • Familiar with enrollment and eligibility in New York's public health insurance programs
  • Proficient in MS Office (Outlook, Word, Excel, Power Point)
  • Live within a commutable distance of one of the locations listed for this specific career opportunity
  • Experience with enrollment in Medicaid / Child Health Plus products
  • Certified Application Counselor certification
  • Have established professional relationships with non-profits, community sources, religious / faith based organizations in designated sales territory
  • Experience working with communities of all different ethnicities, cultural backgrounds, diverse populations and / or underserved communities

Mgr Enrollment Resume Examples & Samples

  • Interacts with TMA, MTF commanders and Optimization Management to establish Enrollment Goals assures operational adherence to MOU requirements and achievement of Enrollment Plan Goals
  • Interfaces with TMA and coordinates specific program requirements. Coordinates with Subcontractor (PGBA) to ensure adequacy of enrollment-system and enrollment support approves enrollment system changes and enhancements
  • Ensures operations meet policy and procedure performance metrics, quality assurance program standards, and the requirements of laws and regulations and (TNEX) contractual requirements
  • Manages departmental workflow procedures and service levels. Conducts ongoing analyses/assessments of operational performance for continuous process improvements, improved efficiency, and improved customer satisfaction
  • Monitors operational policies and procedures including setting goals, standards and benchmarks to evaluate staff performance, and employee and customer satisfaction
  • Manages operational resources and correlates to production activity and budget-to-actual results
  • Develops and mentors staff - fosters an environment where customer needs (Beneficiary, MTF Commanders, etc.) are the primary focus of the entire staff
  • Five years supervising/managing back-office operations in a high volume transaction production environment with 50 or more employees, including supervisory/management experience in healthcare industry in membership and/or customer service
  • One to two years experience with government healthcare delivery program (TRICARE, Medicaid, Medicare, etc.)
  • Government contractor experience
  • Military Health System experience
  • Experience with ISO 9000 certification or similar Quality Assurance/ Quality Improvement Programs

B-enrollment Management Administrator Resume Examples & Samples

  • Advise prospective students using a consultative process
  • Guide them through the admissions process with the goal of determining if the program is a fit for their educational needs
  • Achieve daily efficiency metrics pertaining to Speed to Lead, Call Volume, Talk Time, 1st Time Contacts, and New Applications as established by the Director of Recruitment Services and/or the AD of Recruitment Services
  • Actively participate in weekly meeting rhythms being prepared to discuss performance data, prospective applicant concerns, and creative solutions to enhance team performance
  • Conduct a self-audit to ensure efficiency and consistency of data base
  • Review previous term’s conversion metrics to forecast future enrollment metrics
  • Requires the ability to work a flexible schedule, weekends, evenings to accommodate student, departmental and company’s needs. This may include working more than 40 hours a week
  • One to 3 years sales experience (in an outbound calling environment preferred)
  • General knowledge of higher education and/or college admissions and recruitment preferred

Internship Domestic Enrollment Resume Examples & Samples

  • Support for the promotion of Short courses and Undergraduate courses at national scale through different communication channels
  • Support for the guidance and orientation phase for the Italian students on the Undergraduate courses
  • Support for the organization of the interviews of the potential students from Italy in order to evaluate their motivation, their academic background and their technical and linguistic knowledge
  • Support for the bureaucratic and administrative phase of the potential students for the processes of admission and enrollment

Senior Manager Enrollment Quality Resume Examples & Samples

  • This position reports to the Director/Functional Lead - Benefits Quality
  • Serve in a face out role to represent Benefits Quality / BPQM to Sr. Leaders, clients, audit firms and internal business partners. This includes regularly interacting with & presenting to Sales Executives, Client Managers, and Sr. Directors & Vice Presidents of various operations teams
  • Create strategy for both BPQM & business operation teams to proactively identify opportunities and gaps impacting the operation
  • Lead the flawless execution of strategy to improve NPS, reduce claim / administrative rework by initiating improvements to address gaps. Effectively communicate team direction/vision & provide guidance to staff & business partners
  • Direct Case Installation QA Team(s) and provide mentoring and support to front-line leaders. Has responsibility for various cross-functional QA teams
  • Lead efforts to transform the business and quality operations. Consistently ensure that all teams meet or exceed Management By Objectives and goals. Manage and be accountable for the daily activities of business support, technical, and/or production teams
  • Responsible for end to end business process activities - creating, controlling and improving business processes using data and analytics
  • Develop solutions based on client needs, business requirements and/or internal operational process gaps. There is responsibility for working independently on complex issues / projects, including those that require complex integrations or new processes
  • Create and implement solutions to mitigate risks and support improved quality and efficiency
  • Act as a liaison with internal / external business partners. Prioritize and negotiate deliverables for team
  • Lead, initiate and support various BPQM and Operational Excellence projects to improve quality and / or efficiency
  • Direct the design, implementation, facilitation, training & evaluation of QA or Total Quality Management incentive programs and may oversee quality improvement initiatives and teams
  • Proactively identify opportunities and gaps impacting the operation & initiate improvements to address
  • Manage performance of 3+ Supervisors (supervisors lead 15+ FTE’s)
  • 5+ years of experience managing staff / teams of 20+ FTE’s & meeting performance goal
  • 2+ years of experience in health care / insurance industry
  • 5+ years strategy development experience
  • 3+ years of experience working with Global Business partners desired
  • 2+years of experience in process improvement, workflow, benchmarking and / or evaluation of business processes
  • Intermediate level of proficiency with Excel, Word, Access and PowerPoint
  • 3+ years of experience interacting with & reporting out to Sr. Leadership

Director, Enrollment Solutions Resume Examples & Samples

  • Designs customized enrollment solutions that require analysis of multiple variables including protocol challenges, the specific patient profile required, both the sponsor and business needs, and any financial constraints. Evaluates intangible variables and designs a complete solution that will best meet all variables’ constraints
  • Directs clinical experts, patient research experts and statisticians on intangible variables that need to be considered in developing customized enrollment solutions
  • Guides Acurian business development team on best solution that will meet customer’s needs
  • Leads bid defense presentations ensuring the bid defense content and presenters adequately address sponsor’s specific concerns
  • Presents enrollment solutions to customer and provides support to necessary business development meetings for select opportunities
  • Serves as the subject matter expert on enrollment solution, patient identification process and operations
  • Directs the customization and development of proposal content for select opportunities. Drives multiple groups internally to provide appropriate, custom content as necessary
  • Collaborates with Market Intelligence to prospectively identify appropriate studies for Business Development to pursue
  • Bachelor’s Degree in the Health/Sciences field
  • 12+ years’ experience in the clinical research space in a position that required exposure to sites through either the PI’s or study coordinators
  • Expertise in reading and identifying enrollment challenges in clinical protocols
  • An analytical mind with attention to details and the desire to work within clinical trials
  • Demonstrated ability to explain complex concepts to customers
  • Ability to liaise effectively across departments, with senior management, clinical project teams, clients and experts

Director of Enrollment Resume Examples & Samples

  • Support the division and Specialists in facilitating the enrollment of the Practitioners with the various third party billing entities that require provider numbers
  • Interpret complex payor rules and regulations and resolve payor issues
  • Maintain Emtrac Database and knowledge of RTI Edison database
  • Communicate with internal departments at EmCare, RTI and MedTrust to resolve managed care issues, electronic filing, ownership and practice administrator issues
  • Act as a liaison with billing companies to oversee provider enrollment
  • Preparation and audit of monthly Hold Report
  • Interpret guidelines established by JCAHO, HCQA, and HFCA
  • Reinforcement of EmCare’s credentialing standards
  • Develop and maintain credentialing training program and manual
  • Identify and monitor potential credentialing coordinators and follow up for further development
  • Interpret client’s credentialing expectations and incorporate into EmCare credentialing process
  • Responsible for developing and implementing educational programs that will promote development of credentialing personnel
  • Work with Operations to assist in the overall credentialing process and be a resource for all individuals to promote growth within the company
  • Mentor employees, conduct performance evaluations, counsel and provide disciplinary actions to assigned personnel, and works to facilitate individual and team development that drives positive results
  • Ten years of related experience and/or knowledge of healthcare credentialing
  • Five years of management experience
  • Must possess excellent oral and written communication skills
  • Strong analytical abilities
  • Exercise performance and independent judgment in performance of duties
  • Proven leadership skills and extensive knowledge of organizational structure, flow of work and inter-relationships between departments
  • 2 weeks paid vacation

Vice Chancellor for Enrollment Management Resume Examples & Samples

  • Ability to align institutional strategic plan with broad enrollment targets and desired mix of students
  • Serve as an active member of the senior administrative team at the University of Michigan–Flint campus providing counsel to the Chancellor on all aspects of enrollment management
  • Master’s degree required, doctoral degree preferred. Minimum of ten years professional experience in higher education (preferably in academic and enrollment management)

Enrollment Assistant Resume Examples & Samples

  • Support seamless and flawless processing of applications for all undergraduate, graduate and select non-credit and summer programs at Northwestern SPS
  • Responsible for the ongoing monitoring and tracking of incoming and received application materials
  • Ensure that all applicants adhere to appropriate University policies for application and admission
  • Maintain and be the expert in technology associated with the application and admission process (including Radius, Apply Yourself and CAESAR) and provide recruiters with the appropriate information to support applicants and newly admitted students
  • Responsible for reporting ongoing metrics and providing data in a clear and concise way for analysis by the Operations Manager and Director of Enrollment Management
  • Support Enrollment Operations team with any special projects or tasks when required
  • Please note: Occasional weekend and/or evening events may require attendance
  • Minimum 1 year work experience in a university admission, recruiting, human resources, registrar and/or marketing office
  • Detail oriented, excellent organization skills
  • Information technology aptitude, a demonstrated ability to learn and leverage software systems
  • Exceptional verbal and written communications skills
  • Previous experience working in continuing education, for-profit education, admissions, or distance education
  • Ability to develop strong relationships with colleagues, faculty and students
  • Ability to work occasional evenings and weekends, participation may be expected at evening and weekend information sessions and other events
  • Willingness to align with the mission of SPS as a partner of adult learners who seek a superior educational experience at Northwestern University
  • Demonstrated ability to work with a wide range of people and commitment to diversity
  • Excellent analytical, decision-making and problem solving skills
  • Strong verbal and written communication skills for large group presentations, one-on-one phone interaction, in-person and electronic communication
  • Strong organization and time management skills; ability to multi-task, coordinate tasks and responsibilities with colleagues effective, recognize, set and respond to priorities appropriately and independently
  • Ability to research and consolidate information into executive reports
  • Ability to initiate, build and maintain strong professional relationships and partnerships
  • Ability to take initiative and work independently, exercise good judgement with attention to details
  • Ability to document and organize workflows and business processes
  • Ability to collaborate effectively and collegially with others
  • Ability to work cooperatively within a team, quickly identifying and resolving conflict ina professional manner
  • Ability to succeed in a fast-paced environment, meet deadlines and demonstrate eagerness to learn new things while maintaining a positive and flexible demeanor
  • Ability to maintain a strong work ethic in a performance-driven and results-oriented environment
  • Open to coaching and constructive feedback toward enhancing job and team performance
  • Intermediate knowledge and proficiency utilizing MS Office and student information systems and web-based communication
  • Three (3) or more years combined worked experience in university admissions and marketing
  • Knowledge of enrollment planning strategies, recruitment/admission policies and procedures, budget processes
  • Experience leading and managing a selective application review process
  • Experience working with university financial aid staff to identify financial aid options for prospective students
  • Experience with admission for post-baccalaureate professional development programs; particularly professional health
  • Experience with part-time professional master’s programs; particularly programs offered online or in a blended online and on-ground setting
  • Demonstrated credibility in terms of possessing theoretical insight, practical knowledge and demonstrated skills grounded by and emerging through trustworthy communications and actions
  • Demonstrated commitment in terms of maintain focus, and persisting toward an articulated vision with tenacity and authenticity that is aligned with the SPS mission and values
  • Demonstrated collegiality in terms of demonstrating respect for other’s abilities and commitment toward the achievement of a common purpose and public good
  • Demonstrated understanding of enrollment management practices toward successful recruitment, admission and enrollment of adult students
  • Familiarity with growth industries, including, but not limited to: STEM, management and business, analytics and tech

Senior Enrollment Quality Resume Examples & Samples

  • Execute audits on COB forms submitted from leads
  • Analyze, identify trends, and provide Audit feedback as necessary
  • Create, maintain and track audits in Quality Insight audit tool
  • Complete quality review of new and changed SOP instructions for accuracy
  • Work does usually require established procedures to be followed
  • Works independently to reach metric goals
  • 1+ years of experience in processing C&S Enrollment or COB Work
  • Ability to create and edit spreadsheets in Microsoft Excel
  • Start time between 6:00 am and 9:00 am Monday through Friday 40 hours a week
  • Undergraduate Degree or higher
  • 1+ years of prior Quality Auditing experience
  • Quality Insight experience
  • C&S COB, Enrollment, or DSNP Processing experience
  • Experience in Coaching and SME support
  • Knowledge of FACETS and/or Cosmos
  • Ability to create and edit slides in Microsoft PowerPoint
  • Exceeds rating reached on last annual review

Manager Enrollment Resume Examples & Samples

  • Support the Director Enrollment with proposing policy and procedural changes to improve student retention and degree attainment. Manage the day to day processes and point of contact for Admissions, Registrar, RPI, etc. on a regular basis. Point of contact in absence of Director Enrollment availability
  • Manage daily functions for team of Enrollment Advisors through coaching opportunities, mentor identified leaders on the team and provide guidance for new hires
  • Provide on-going coaching and motivation of enrollment representatives to achieve objectives by providing tools and creating motivation to encourage individual and team development as well as revenue and profit growth. Meet and exceed enrollment goals as set by company objectives
  • Collaborate with peers to identify and develop best practices to contribute to the growth of the business
  • Responsible for submitting annual reviews for approval with subsequent delivery of reviews to Enrollment Advisors
  • Participate with interviewing and selection of new enrollment staff
  • Minimum four years of relevant experience, or combination of education and relevant experience in higher education administration or related environment
  • Demonstrate ability to motive others
  • Demonstrated successful organizational and communication skills (verbal, written and interpersonal)
  • Working knowledge of Microsoft Office (Word, Excel, Power Point)
  • Demonstrate ability to coach and develop to consultative skills
  • Must maintain confidential student data in line with the Laureate Code of Conduct and Business Ethics policies
  • Must comply with Laureate code of business conduct and ethics policy in all professional activities

Senior Enrollment Quality Resume Examples & Samples

  • Familiarity with Patient Assistance Foundations and charitable grants and how they pay for prescriptions
  • Demonstrated ability in process improvement
  • Ability to work in an independent setting that could be ambiguous at times
  • 4+ years of customer service experience analyzing and solving customer problems
  • 2+ years of healthcare enrollment experience
  • Experience working in the healthcare industry
  • Intermediate Microsoft Excel skills (pivot tables, v-lookups, graphs for presentation)
  • Proficiency with computer and Windows PC applications
  • Quality auditing experience

Enrollment Lead Resume Examples & Samples

  • Oversight of staff in resolution of errors identified during the eligibility loads, ID card generation, PCP Auto Assignments and Eligibility export processes. QA of daily submission files to CMS. 60%
  • Review Special Requests and work with Enrollment Manager and internal and external customers to approve such requests timely and in a satisfactory manner. (Reed & Assoc. audits, PDE). Prepare narrative and submit unresolved eligibility discrepancies and retro changes to CMS RO for review and approval. 60%
  • Take a lead role is System Testing, implementation and training. Become a Subject Matter Expert for Enrollment team
  • Assist Enrollment Manager with new staff training in area of procedures, workflow and systems. Develops job aids and policies/procedures
  • Assume responsibility for related duties as required or assigned
  • Auditing and Monitoring experience preferred
  • CMS reporting knowledge preferred

Director of Enrollment Optimization Resume Examples & Samples

  • Manage the implementation of the Enrollment strategy including Employer categories, recommended tactics, modifications and expected impact
  • Partner with Underwriting and Distribution to oversee the Enrollment investment process
  • Lead a team of 6 Managers (Enrollment Managers, 1st Sale Manager and Benefit Counselor Program Manager) that are responsible for optimizing our Enrollment efforts
  • Define and manage escalation and exception processes
  • Partner with Marketing, Digital Sites/Tools, and 3rd Party Enrollment Platform teams to ensure we have a broad and fresh suite of supporting omni-channel materials to boost enrollment performance
  • Design and execute on Enrollment education/communication plan, etc
  • Ability to manage a budget and calculate the impact of test and learn efforts
  • Bachelor’s degree in Business, Marketing, a related field or relevant work experience required
  • 7+ years in CX, Marketing and/or other Customer facing roles required
  • Experience in Group Insurance, Insurance, Financial Services, Health Care or other highly regulated industry desired
  • Experience in B2B and B2C environments required
  • Experience in Direct Marketing a plus
  • Experience with Test & Learn strategy, execution and reporting required
  • Experience leading a team that delivers impactful results
  • Strong interpersonal skills with a collaborative mindset and ability to work across functional teams and with all levels of the organization

Enrollment Agent Resume Examples & Samples

  • Provide superior customer service to internal and external customers
  • Perform basic maintenance and troubleshoot issues with fingerprinting and retail equipment, including computer hardware and software
  • Obtain successful customer fingerprint images and capture biometric information to meet or exceed program standards
  • Identify win-win opportunities to provide more products and services to customers
  • Create opportunities to add value for customers through the upselling of retail products and services (if applicable)
  • Perform at or above Enrollment Agent performance benchmarks. Adhere to all company and departmental employment policies regarding security and confidentiality
  • Adhere to all company and departmental policies relating to Enrollment Center standards, including adherence to signage, branding, and employee attire policies
  • Performs Enrollment Center Sustainment responsibilities on a daily basis
  • Perform administrative duties such as time keeping, shift schedules, daily activity reports, card inventory, equipment inventory, and requisitioning supplies
  • Represents the company and the program(s) that are supported in a professional and customer oriented manner
  • Support Customer Service Registration and Reservation activities, as necessary
  • Technology – Knowledge of electronic equipment, computer hardware, and computer software, including applications and data entry
  • Monitoring – Monitoring/Assessing performance of self, other individuals, and/or outside organizations to make improvements or take corrective action

Provider Enrollment Assoc Resume Examples & Samples

  • Critical thinking and compliance to workflows policies and procedures a must
  • Good aptitude with learning different systems and navigating between different systems
  • Request and complete all necessary and appropriate forms for submission to the proper healthplan entities
  • Review all applications completed by the Assistant
  • Prepare check requests for required application fees
  • Maintain and update database with both enrollment status and necessary data elements
  • Communicate with all necessary internal departments
  • Prepare updates upon completion of enrollment and forward with pin and/or group numbers to the Supervisor to review
  • Monitor and update expired licenses, as requested
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public

Spec, Provider Enrollment Resume Examples & Samples

  • Validates up-to-date plan enrollment forms, completes applications, submits them to plans and follows up until enrollment is complete. Verifies accuracy and coordinates entry of new and revised provider information into IntelliCred and Master Database
  • Contacts health plans to determine enrollment requirements periodically and verify health plan requirements based on the specialty and confirm the most up to date enrollment application forms are readily available in Provider Enrollment Tracking Software (IntelliCred)
  • Knowledgeable with Group Entity health plan enrollments, state regulations and appeal processes. Prepares/reviews group applications based on information provided during acquisitions, Tax ID mergers, and Organic Growth Initiatives (OGI)
  • Communicates with Business Development, Business Integration and Credentialing to acquire prospective new provider group’s required documents and/or signatures as needed
  • Knowledgeable in reporting system functionality, mapping forms utilizing Provider Enrollment tracking software and IC system Q/A delegate
  • Maintain provider’s profile in PE Tracking system (IC) with up to date with information on active or pending providers by completing all data fields in the Demographics, Appointments and Applications screen for the provider and group practice
  • Maintain provider’s profile in CAQH with up to date with information on active or pending providers by completing all data fields pertaining to demographics, service locations, group entity information, required documents and expirables
  • Monitors all assigned delegated agreement health plan enrollments reports utilized to provide oversight to ensure enrollments currently assigned are being processed timely. i.e.: To Do List in IC, IntelliReports, IC Weekly aging, and IC End of Month
  • Validates status of on boarding provider’s enrollments to ensure Target Start Date is met. Escalates to PE management when necessary in order to meet desired Target Start Date
  • Performs other job-related duties within the job scope as requested by Provider Enrollment Management
  • Associate's degree (A. A.) or equivalent from two-year college or technical school; or three or more years related experience and/or training; or equivalent combination of education and experience
  • Ability to read, analyze, and interpret common and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conforms to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors
  • Understanding of medical terminology and protocols

Director, Provider Enrollment Resume Examples & Samples

  • Consistently exhibits behavior and communication skills that demonstrate DaVita Medical Group’s commitment to superior customer service, including quality, care and concern with each and every internal and external customer
  • Reports to the Director of Clinician Recruitment and Credentialing and participates in frequent meetings to provide updates and reports to key stakeholders
  • Assures that DMGs credentialing program is compliant with health plan, state and federal regulations including Medicare, Medicaid and NCQA and other accrediting bodies
  • Manages quality control of content and completeness of clinician data within the credentialing/provider enrollment arena
  • Oversees element verifications for credentialing files including license, DEA, board certification, training, malpractice insurance, FSMB and NPDB queries. Manages contracts with these entities to perform primary source verifications
  • Oversees Hospital Privileging process for employed clinicians
  • Participates and supports the various external accreditation programs (IMQ, AAAHC) with standards that apply to Credentialing
  • Performs regular communication with health plans including quarterly credentialing status reports, frequent calls, weekly communication to stakeholders etc
  • Works with various departments in the oversight of Medicare and other health plan applications for clinicians
  • Works with multiple departments to ensure that incoming and outgoing information is accurate and appropriate
  • Oversees and updates the credentialing process manual
  • Coordinates and oversees Credentialing Committees/meetings including managing agendas, attendees and minutes
  • Acts as administrator for SyMed (credentialing software system) which includes assigning user names and passwords, setting up access security, working with IT for upgrades to system and managing contract with vendor
  • Writes reports in SyMed for use on an ad hoc and regular basis
  • Trains staff on use of SyMed and assists staff with technical training and resolution of issues
  • Creates and manages department budget
  • Trains, supervises and evaluates performance of credentialing staff
  • Uses, protects, and discloses DMG patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Performs additional duties as assigned
  • Ability to read, write, speak and understand the English language fluently
  • Knowledge of provider enrollment, health plans, credentialing and medical terminology
  • Knowledge of MCR and MCD
  • Leadership experience a must
  • Knowledge of data entry, word processing, database management and other menu-driven computer applications
  • Ability to interact with physicians and employees at all levels of the organization
  • Ability to adapt to organizational changes and work within an environment of constant evolution and change
  • LEAN experience a plus
  • Excellent organizational and multi-talking skills

Enrollment Management Specialist Resume Examples & Samples

  • Running analytics on prospective students and applicants; taking those analytics and adjusting communication, recruitment, and marketing methods accordingly
  • Tracking applicants from prospects through the application & enrollment process
  • Identifying the communication needs of prospective students and applicants and implementing a new CRM system in such a way to address those needs

Senior Enrollment Quality Resume Examples & Samples

  • Experience using MS Excel to develop a spreadsheet, enter information, and save spreadsheets
  • Proficiency with computer and Windows PC applications which includes the ability to learn new and complex systems
  • Flexible and amenable to changing processes and requests
  • Supportive of team through cross training, procedure documentation, and process beta testing

Senior Enrollment Resume Examples & Samples

  • Loading new member or group data into the enrollment database & update the database with changes
  • Responding to member eligibility or group questions & verify enrollment status
  • Working with various types of member correspondence
  • Reconciling eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changes
  • Inventory control of member and group transactions
  • Working with underwriters and brokers and do the full enrollment process from inquiries to quotes
  • May act as a resource for others
  • May coordinate others activities
  • Working closely with teammates to ensure timely and accurate member notification of terminating providers, and timely member moves to a new PCP
  • Reconciling membership and researching and/or resolving issues with our delegated population
  • Assisting with PCP-Member linkage initiatives
  • Correct PCP Information
  • Correct Group information
  • Analyze membership to determine root causes
  • Research and resolve PCP issues
  • Pull reports, create reconciliations
  • Research and resolve PCP related claims issues
  • Collaborate with other teams to help resolve provider issues
  • Coordinate member/PCP and Group changes
  • Review Network Disruption Requests to determine delegation impact
  • Work shift Monday - Friday 8:00 am - 4:30 pm
  • 2+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
  • GPS, NDB, and/or COSMOS experience
  • Microsoft Excel experience including pivot tables, v-lookup, sum, trim, and average functions
  • Microsoft Outlook experience including the ability to send and receive emails, set "out of office", schedule meetings, and update calendar
  • Excellent Communication Skills

Supv, Enrollment Resume Examples & Samples

  • Supervises enrollment and billing specialists, assuring performance standards are met and staffing is adequate to meet overall company needs
  • Manages the monthly enrollment process within operating standards
  • Works with staff to resolve exceptions and takes appropriate action to ensure members are properly enrolled
  • Manages billing processes and premium reconciliation to enrollment within the standards established for the group
  • Reconciling the eligibility file in system to the State's roster and resolving all discrepancies by submitting the discrepancies to State Agency
  • Liaison between all other departments within the organization related to enrollment

Nat, Dir, Enrollment Ops Resume Examples & Samples

  • Collaborate with leadership, peers, and business partners to establish enrollment improvement objectives and execute business priorities based on strategic goals operational plan
  • Work with senior leadership from the health plans and enterprise organization structure to create, standardize and implement enterprise wide effective and efficient enrollment operational strategies and solutions to serve the business needs and requirements
  • Establish systematic approach to improve member and provider experiences through increased operational efficiency and effectiveness, and meet the enrollment operational needs and expectations
  • Identify, develop, monitor and evaluate enrollment, premium billing and eligibility operational performance objectives and metrics; design and re-design processes, systems and functions; define tools and key performance indicators to measure progress and to ensure consistent achievement of business objectives
  • Identify root cause, function and process improvement opportunities that are critical to effective outcome
  • Plan, develop, implement and maintain operational resolution for process and outcome improvements, including but not limited to process changes, standardized documentation and training materials, knowledge management, and enhancements to tools and control measures
  • Build and foster collaborative business relationships within organizational structure, between business partners and stakeholders to: proactively resolve issues; drive standardization of effective and efficient business processes; ensure compliance to State and Federal regulations and contractual requirements; and meet operational needs and expectations
  • Foster a culture that emphasizes people and performance management, coaching and development, develop efficient staffing structure, and implement workflow patterns and performance standards
  • 10 plus years of enrollment, eligibility, billing or operational experience with Managed Care or related fields
  • 7 plus year of management experience in Managed Care or related fields

Senior Rep, Enrollment Resume Examples & Samples

  • Defines, monitors and reports to management performance and productivity standards specific to those systems that must be in place to meet regulatory requirements, serve Molina's provider network and its enrolled population
  • Process,create and analyze eligibility lists and exports. Validates membership enrollment extracts for all vendors including ID card vendor processing
  • Performs processes to resolve the following eligibility exceptions within the required State/Regulatory timeframes: enrollment file errors, ID card generation errors, PCP assignments and 834 enrollment files to vendor/thrid party administrators
  • Provides daily support to the newborn enrollment functions, to include call center request for verification and updates, PCP assignment activity, enrollment record error reports, enrollment/disenrollment activity, COB verification, claims pended for enrollment or COB verification, member merge functions and Mass Member Moves including letter distribution
  • Participate as a team player by demonstrating support to peers, management and the department's goals.Train new staff on departmental responsibilities

Lead Enrollment Agent Resume Examples & Samples

  • Exemplary understanding and demonstration of all essential Enrollment Agent I (EA I) job functions
  • Clerical – Knowledge of administrative and clerical duties, such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures
  • Self-Control – Job requires composure, ability to keep emotions in check, control anger, and avoiding aggressive behavior, even in difficult situations
  • Active Listening – Able to provide full attention to what other people are saying, understand the points being made, ask questions as appropriate, and avoid interrupting at inappropriate times
  • Must be patient, thorough, and understanding of different learning styles
  • Leadership skills including the ability to positively influence and motivate team members to accomplish mutual goals and objectives
  • Self-motivation and independent thinking to proactively identify issues and establish corrective action plans
  • Ability to work independently in a virtual environment and with limited direct supervision
  • Previous experience processing credential required
  • Evening and weekend work may be required
  • Must be at least eighteen (18) years old
  • Reliable transportation and valid driver’s license required

Enrollment Agent Resume Examples & Samples

  • Perform at or above Enrollment Agent performance benchmarks
  • Adhere to all company and departmental employment policies regarding security and confidentiality
  • Minimum one (1) year applicable experience
  • Previous experience processing credentials preferred

Member Enrollment Rep Resume Examples & Samples

  • The analysis, data entry, and conversion of new or revised member and provider data into the claims processing system
  • Retrieve provider/member data from multiple sources (emails, spreadsheets, electronic downloads), review for understanding, prepare or format the data, and use utilities to upload into the system
  • Test and verify the accuracy of peers' benefit and fee configuration data entry and setup to ensure quality and adherence to the client's documented policies, procedures, and system requirements

Director of Enrollment Resume Examples & Samples

  • Bachelors' degree required. MBA or graduate level education desirable, but not necessary for success
  • Minimum 5-10 years admissions management experience in a proprietary higher education institution required with a minimum of 3 years at the Director level (depending upon scope of previous positions)
  • Brand management experience with educational institution , preferred
  • Co-marketing, advertising, membership marketing, direct and/or web marketing experience is a plus
  • Stakeholder collaboration experience, with the ability to quickly develop and manage both internal and external relationships across cultural and geographical boundaries; the ability to use a collaborative model to leverage resources effectively
  • Demonstrated ability to communicate issues and recommendations persuasively and effectively to key stakeholders
  • Must have demonstrated research and analytic skills, as well as the ability to take disparate information (research data, brain storming ideas, etc.) and make strategic recommendations quickly

VP for Enrollment Resume Examples & Samples

  • Proven effectiveness and expertise in enrollment and enrollment change management: significant professional experience managing the complex interplay of marketing and recruiting strategies, enrollment goals, yield, and financial aid; experience in the use of a range of marketing strategies and data analytics
  • Institutional and divisional leadership: ability to lead the creation of Rice’s future student body with vision and creativity as well as serve as a university leader with an institutional perspective; an entrepreneurial outlook and eye to new possibilities and emerging challenges; an appreciation for the unique aspects of Rice University, including its renowned programs at the Shepherd School of Music and School of Architecture; ability to build and motivate a team, and to inspire joy in one’s work
  • Demonstrated ability to creatively market a selective institution to achieve superior levels of enrollment performance: proven success in innovative thinking and risk-taking combined with excellent execution of both complex and routine marketing strategies; a record of taking programs to new levels of success; ability to think “outside the box” and to leverage technology with a sensitivity to and understanding of the human/cultural impact
  • An ability to keep both the big picture and operational details at the forefront: evidence of ability to focus and lead an organization to achieve the elements of a strategic plan, and to continuously refine the organizational plan, structure and operations as the plan evolves; comfort with delegating day-to-day management and decision making to senior managers; sophisticated understanding of the laws and regulations that significantly impact enrollment operations
  • Strong analytical skills: proven capacity to produce forward-looking, transparent strategic plans and budgets that link expenditures to outcomes; assess the effectiveness of how recruitment and financial aid funds are employed to achieve enrollment goals; produce regular and systematic comparative reports that detail month-to-month as well as annual progress toward enrollment goals
  • Personal qualities: honesty, integrity, candor and a strong internal moral compass; a sense of urgency and engagement; ability to communicate effectively with all audiences and in various media and formats; hard work; optimistic, confident, and excited about change; inclusive and collaborative; proven skill dealing with complex and diverse cultures, backgrounds, and perspectives

Director, Enrollment Resume Examples & Samples

  • Monitors and enforces compliance with company-wide reconciliation processes
  • Ensures that delivery of enrollment / premium related data is accurate for defined region
  • Oversees maintenance of policies and standard operating procedures

Manager of Student Enrollment Resume Examples & Samples

  • Research and evaluate recruitment strategies and develop, alongside school leadership, a comprehensive plan for student recruitment and enrollment
  • Progress monitor recruitment plan and partner with school leadership to execute on all strategies
  • Track, analyze, and report student recruitment and enrollment data and problem-solve with school leadership to ensure benchmarks and goals are met
  • Lead ongoing student recruitment meetings with key stakeholders (school leaders, operations staff, marketing, etc.)
  • Collaborate with school leadership on how to motivate, train, and ensure accountability for school-based staff for recruitment and enrollment activities
  • Plan and attend local events to reach prospective families; ensuring there is a comprehensive plan for coverage and clear directions to stakeholders for any events that they are unable to attend
  • Plan and execute all internal student enrollment events (student registration, open houses, tours, etc.)
  • Develop partnerships with current and prospective student pipelines (community organizations, daycares, schools, etc.)
  • Collaborate with staff members hosting events for current families to identify opportunities for re-enrollment or student recruitment activities
  • Communicate with prospective families to engage them in KIPP Indy’s mission and provide clarity and consistency throughout the enrollment process
  • Develop strong re-enrollment systems for current families
  • Manage the student enrollment interface
  • Collaborate with the Regional Initiatives Team to plan and execute the communications and marketing components within the student recruitment plan
  • Develop and ensure all student recruitment marketing materials are consistent and aligned to KIPP Indy’s brand and messaging
  • Minimum of 2 years of professional experience
  • Track record of producing exceptional results
  • Experience within student/staff recruitment, and/or community/grassroots organizing (preferred)
  • Willingness to have a flexible schedule with some evening and weekend hours
  • Exemplary written and verbal communication, organizational, and project management skills
  • Strong attention to detail with an ability to produce high quality work in a dynamic environment
  • Proficiency with marketing design program (PowerPoint, Publisher, Illustrator, etc.) (preferred)
  • Conversational in Spanish (preferred)

Special Enrollment Service Rep Internship Resume Examples & Samples

  • Internships will be out of Cincinnati, OH
  • Interpret qualifying event and special enrollment policies
  • Accurate data entry and record maintenance
  • Responds to incoming calls and initiate outgoing calls
  • Maintains positive customer/broker relations
  • Current student enrolled at an accredited college/university studying health administration/information/management/communication or similar area of study
  • Individual should possess strong problem solving, interpersonal, written and oral communication skills

Manager, Provider Enrollment Resume Examples & Samples

  • Responsible for supervising, training, directing, prioritizing, monitoring, auditing, and measuring activity Provider Enrollment team members
  • Ensuring individual and team member adherence to all TeamHealth policies and procedures
  • Serve as primary point of contact for provider enrollment staff and billing representatives to share information, record and prioritize issues, and ensure issues are escalated, resolved, and evaluated for continuous improvement
  • Develop and maintain professional, collaborative relationships with providers, payers and colleagues
  • Support continuous improvement and automation of provider enrollment processes by collaborating with various stakeholders to develop new or enhance existing techniques, policies and procedures
  • Direct and supervise special projects
  • Lead team huddles and participate in cross-functional meetings
  • Serve as member and/or advisor to National Provider Enrollment Task Force
  • Serve as back up to any/all functional areas within Provider Enrollment
  • Degree in business or management related field, preferred
  • Three-five years working knowledge of management and provider enrollment process, preferably with multiple states
  • High degree of judgement and independent decision-making, analytical evaluation, critical thinking, managerial and problem solving skills
  • Ability to maintain composure and professionalism
  • Ability to multi task and priorities workload in a fast paced, evolving environment
  • Ability to work independently and exercise sound judgement related to when to act independently and when to escalate
  • Complete monthly rounding
  • Ability to work with a database
  • Manages Provider Enrollment Assistants, Coordinators, Representatives and Specialists

Enrollment Processing Manager Resume Examples & Samples

  • Responsible for managing staff and day to day operations for routine enrollment processing
  • Collaborates with State clients and external stakeholders to integrate Texas Medicaid provider enrollment processes and guidelines in the Provider Management and Enrollment System
  • Facilitates and coordinates meetings with stakeholder to discuss state regulations and guidelines
  • Contribute to requirements gathering and requirements management process
  • Work with internal and external teams to gather input for key contract deliverables and requirements. Track and manage contract deliverables applicable to assigned tasks
  • Track and manage contract risks and issues
  • Apply PMBOK project management principals to all aspects of the contract
  • Work collaboratively with business teams, technical teams, and project stakeholders to ensure the system implementation is completed according to defined milestones and status is adequately communicated
  • Provide detailed status reports displaying implementation status for key components
  • Works with the Program Manager and Transition Manager to ensure technical and personnel resources provide project results that conform to quality, time, and budgetary stipulations
  • Maintains an appropriate relationship with Texas customers, and vendor contractors, and ensure that project results are visible to internal and client management and appropriate stakeholders
  • Bachelor’s Degree (advanced degree preferred)
  • Minimum of (6) years of general expereince required
  • Minimum of (2) years of healthcare systems management and provider enrollment/network management
  • Minimum of two (2) years managing teams in the healthcare IT industry
  • Knowledge of Medicaid provider enrollment systems and processes, preferably in Texas for HHSC and the Texas Medicaid & Healthcare Partnership (TMHP)
  • Proven record of accomplishment in the use of MS Project, Excel, Word, and PowerPoint, as well as SharePoint
  • Strong communicator (written and verbal) with ability to present to small and large groups
  • Knowledge of managed care organizations
  • Skills in working collaboratively and cooperatively with diverse groups. Skill in communicating effectively both orally and in writing
  • Proven ability to interact effectively with diverse stakeholders
  • Excellent active listening skills a must
  • Strong organizational and planning skills, along with attention to detail and ability to effectively manage multiple complex technical activities
  • Ability to provide leadership and direction in a team environment. Ability to manage projects. Ability to manage activities, establish goals and objectives, and devise solutions to administrative problems
  • Strong problem analysis and solution expertise
  • Ability to identify conflict and facilitate resolution
  • General understanding of methods and tools for software development, and engineering processes
  • Ability to demonstrate presence, quickly build trust and gain credibility within the organization
  • Competent computer skills
  • Ability to manage large or multiple projects, handle multiple tasks simultaneously, and to switch between tasks quickly
  • Ability to work at both a strategic and operational level
  • Ability to assess potential problems and make sound judgments around issues that may have an adverse effect on the business
  • Demonstrated success in managing complex program task prioritization, planning, staffing, scheduling, and conflict resolution
  • Strong leadership and negotiation skills to manage programs and develop new business
  • Strong interpersonal, leadership and presentation skills for interacting with team members and clients
  • Strong people management skills, gained through managing and developing teams

Assistant Vice Chancellor for Enrollment & Student Access Resume Examples & Samples

  • Direct responsibility for student services and student recruitment and/or related services in higher education
  • Experience in supervising professional and administrative staff
  • Experience in managing and working with a department budget
  • A terminal degree with preference in educational leadership or higher education
  • Student affairs and enrollment experience at an institution at a comprehensive urban campus
  • Documented experience in developing, implementing and evaluating unit budgets, goals and strategic planning
  • Strong understanding of university admissions process, K-12 outreach, pre-collegiate outreach development programs policies and practices and financial aid
  • Ability to work effectively with many individuals and units on and off campus
  • Exceptional leadership, budget management and interpersonal skills
  • A leadership style that promotes collaboration and cooperation
  • Commitment to excellence, creativity and innovation
  • Demonstrated ability to communicate and maintain interpersonal relationships within an ethnically and culturally diverse urban learning environment with a commitment to inclusion, diversity and respect
  • Documented experience in developing, implementing and evaluating unit goals and strategic planning
  • Computer proficiency including MS Office, social media and CRM experience
  • Ability to prioritize and perform multiple projects simultaneously
  • Eagerness to acquire new skills
  • Dependable, team-oriented and a self-starter
  • Ability to manage and coach team members and develop staff
  • Skilled track record leading, supervising, evaluating, hiring and resolving staff performance problems
  • Ability to think strategically and aptitude for managing multiple tasks and priorities
  • Experience collaborating with multiple stakeholders

Director of Provider Enrollment Resume Examples & Samples

  • Administers assignments and monitors goals and objectives of Provider Enrollment Teams
  • Monitors work and implements change management as needed
  • Provides onboarding, orientation, on-going training, development and coaching
  • Utilizes critical thinking to proactively identify and resolve issues
  • Participates in
  • Contributes to organizational strategic planning as it pertains to achieving provider enrollment goals
  • Lead and participate in department and cross functional team meetings

Director Enrollment Resume Examples & Samples

  • Manage daily functions of a team of Enrollment advising professionals in addition to general site leadership for the department
  • Responsible for assisting in the managerial development plans to meet and exceed departmental budgets, assist in accurately forecasting team goals and targets as well as managing the team to forecasted results
  • Provide strategic thinking to the Executive Director and upper management on new initiatives as well as improvements to current processes and policies
  • Assist in coaching, mentoring and development of Managers and representatives. Initiate disciplinary action for non-performers as well as rewards for those who perform by executing performance reviews for each manager and approving reviews for Enrollment advisors
  • Work with other brand Directors to develop best practices for Enrollment strategies and implementation
  • Assist with interviewing and selection of new Enrollment staff
  • Establish and monitor workforce and business process service level standards
  • Calculate and analyze business operations including the management of the Enrollment pipeline to accurately predict future Enrollments of qualified students
  • Develop a culture of team and individual accountability to ensure high quality consultative relationship building with potential students
  • Contribute to performance reviews for each manager and approve reviews for Enrolment Advisors as well as assisting with hiring, coaching, training and counseling team members
  • Metrics: reviewing and analyzing data to identify trends and potential interventions
  • Bachelor’s Degree required; Master’s highly preferred
  • Minimum of 3-5 years of experience in a management level position and 7 years of experience in a consultative customer service, relationship building environment
  • Proven successful experience leading and developing consultative sales teams/talent
  • Prior experience with strategic planning, process improvement, and guiding teams to exceed goals a must
  • Strong leadership, organizational ability and communication skills required
  • Strong consultative skills and the ability to achieve corporate business objectives across functional boundaries; ability to influence within and across sites
  • Experience in project management, defining business requirements (for systems/applications), process reengineering, and change management highly desired; Salesforce.com experience highly desired
  • Need Sales DNA – has had targets, can demonstrate ability to achieve targets through others

Specialist, Intake & Enrollment Resume Examples & Samples

  • Associates Degree in related field, required
  • Minimum of one (1) year related healthcare administration or managed care experience, required
  • Demonstrated knowledge of health insurance plan administration, including Medicare and Medicaid, required
  • Proficiency in Microsoft Office applications, required
  • Excellent interpersonal, oral and written communications skills and problem resolution skills, required. Bilingual skills, preferred

Director of International Enrollment Partnerships Resume Examples & Samples

  • A master’s degree in a related field
  • Experience working with international students (minimum of five years is preferred)
  • Experience with program management and understanding of business principles
  • Extensive experience developing and implementing plans and tactics to increase enrollment of students from other countries; and
  • Familiarity with contracts or agreements
  • Experience with the creation of partnership agreements or the execution of existing agreements
  • A portfolio of demonstrated and sustained international engagements and partnerships
  • Project management experience to manage work flow processes and project delivery methods; and
  • Experience working in a research university environment

Electronic Enrollment Case Specialist Resume Examples & Samples

  • Act as a primary resource for policy level issues and procedures for the electronic enrollments
  • Review pending or rejected electronic applications to determine cause of error or file discrepancy
  • Determine whether application needs to be reviewed by Underwriting or moved to a finalized status
  • Review accuracy of case set up to ensure setup is complete from the application level (including coverage types, issue limits, rates and search keys etc). Coordinate necessary corrections with Client Relationship Manager or Account Implementation Specialist
  • Ability to support and execute complex research tasks on a daily basis and communicate the results effectively
  • Continuously look for and suggest process improvements to electronic processes to ensure a quality product is produced
  • Assist with application level testing/implementation of new products and builds as well as any enhancements to existing electronic enrollment systems
  • Coordinate and Report any identified system problems or needed changes to management and department BA
  • Work with the Electronic enrollment BA to assist with running and analyzing EE file emulation results and EE01 set up review
  • Receive IT reports (Jetpols and other EE reports) regarding pending, issued or rejected policies/certificates. Work to resolve the outstanding issues ensuring pending policies are processed within the department standards
  • Establish and maintain excellent communication with Client Relationship managers, Account Implementation Specialist, underwriting and Electronic enrollment BA, as well as other related business units
  • Accountable for the accuracy, completeness and timeliness of all assigned duties. Must meet established work performances and completeness requirements
  • Maintain a weekly quality average of 98% or better
  • Maintains compliance with all standards, controls, policies and practices as an active participant in the Company’s Information Privacy and Security Program
  • Minimum 5 years experience in insurance
  • An in-depth knowledge of basic underwriting concepts, rules and guidelines
  • Experience working with general insurance business/company processes
  • Must have very strong PC experience including MS Word and Excel
  • Demonstrated, extensive knowledge of voluntary life and health insurance products sold on a voluntary basis to include insurance systems
  • 3 years Account Management/New Business processing or equivalent experience
  • Knowledge of Access

Director of Access & Enrollment Resume Examples & Samples

  • Set the vision, strategic priorities and objectives for OAE and manage OAE towards these goals
  • Manage, develop, and set the priorities for the full time staff of 8 (4 direct reports) and a seasonal staff of 25+ to introduce new innovations, process applications, build databases, perform quality control, administer testing, run selections, answer parent inquires and handle education and outreach
  • Address ongoing policy questions that affect school placement and choice. Work with Networks, schools, and parents in conjunction with the Law Department to ensure clarity in the creation of new schools, resolving individual student issues, and ongoing evaluation of the policies governing student selection. Serve as the primary liaison with the Inspector General and Law department for investigations into tier and residency fraud, preforming audits and testifying as necessary
  • Implement a centralized high school application and enrollment process for both district and charter schools, creating a single application process that is transparent, equitable, and efficient for potential launch in 2017. Own relationship with outside vendor tasked with the creation of the algorithm, work with key stakeholders on identifying best practices, building consensus, creating a communication plan, launch plan and appropriate timing
  • Coordinate media request and information
  • Address escalated parent concerns, working with parents to solve problems or find alternative solutions
  • Serve on Cross-functional teams to address CPS initiatives
  • Act as primary liaison with law and the inspector general for tier and residency fraud investigations
  • Approve Selective Enrollment High School Transfers for 10-12 grades
  • Serve as key contact for IGA to address questions from Elected Officials
  • Manage budget and BAP process for OAE
  • Exemplary leadership qualities, with expertise in leadership improvement, building effective teams, coaching, and ensuring professional growth for all team members
  • Has a proven track record of leading and executing large-scale projects
  • Is a strong communicator; possess excellent speaking, listening and writing skills
  • Possesses excellent analytical and organizational skills
  • Is astute, keenly aware of the interests and motivations of others, and acts with integrity in a politically-­charged environment
  • Have considerable skill in the application of the principles and practices of management
  • Have demonstrated skill in the development and maintenance of effective working relationships with all levels of executive and managerial personnel, various governmental agencies, labor unions, and professional associations which will impact the operations of the Chicago Public Schools
  • Have a proven track record leading large­ scale programs and projects
  • Demonstrates a sense of urgency in accomplishing goals and objectives to ensure success
  • Unfailingly discrete, trustworthy, collaborative, and professional in all situations

Voluntary Enrollment Solutions Manager Resume Examples & Samples

  • Proactively working with sales and brokers to advocate the value of a Cigna Managed Enrollment
  • Driving clients to adopt an enrollment strategy that increases participation
  • Ownership of the client enrollment process, including implementation of the enrollment strategy to event, collaboration with internal partners and third party enrollment vendor resources
  • Obtains final sign off of sold plans and rates, client information, prepares marketing collaterals and enrollment materials for client event
  • Ensure accuracy of all communication materials, data file requirements/system setup, review TPA enrollment portal and prepare call center
  • Coordinate onsite event (Communications, scheduling and training vendor enrollers, presentations, materials, etc.)
  • Lead all client discussion focused on the clients enrollment event including enrollment strategies, enrollment checklist, product implementation, execution of onsite enrollment activities and will serve as the point of contract to address client issues throughout the enrollment
  • A Bachelor’s degree strongly preferred
  • Superior knowledge of group employee benefits, including subject matter expertise in the areas of Voluntary products that include life, accident and disability policies, as well as accidental injury and critical illness insurance
  • Experience servicing voluntary or contributory lines, as well as conducting and leading enrollment events is strongly preferred with a solid understanding of the sales, implementation, and enrollment processes
  • Aptitude to effectively build and maintain partnerships with internal and external partners
  • Solid analytical skills with the ability to drive execution, initiate action and follow-ups to successful completion
  • Proven track record of managing administrative functions to ensure quality and consistency
  • Exceptional verbal, written and communication skills
  • Ability to travel within assigned territory, including periodic overnight travel is required
  • Bilingual (English/Spanish) preferred but not required
  • Life and Health license (Must be obtained with 90 days of employment)

Provider Enrollment Team Lead Resume Examples & Samples

  • Assists the Corporate Manager by ensuring timely, accurate enrollment of Company practitioners in health plans
  • A. Enters new enrollments in Intellicred and appropriately assigns them to Associates
  • B. Reviews completed applications for Quality Assurance / accuracy prior to their submission and provides feedback to Associates on any errors. Reviews and tracks returned applications in order to identify and correct errors and identify underlying issues that may have contributed to the return. The Team Lead monitors and tracks all apps that are out for signature
  • C. Monitors department reports to ensure enrollments are completed within health plans’ expected time frames
  • Assists the Corporate Manager by ensuring consistent and timely follow-up on outstanding provider enrollments
  • A. Monitors reports and audits assignments to ensure standard operating procedures are being consistently followed
  • B. Escalates concerns or unresolved issues to Manager
  • Assists the Corporate Manager by ensuring pending and completed provider enrollments are communicated to the affected departments and correctly updated in systems
  • A. Monitors e-mailed notifications to the affected departments to ensure timeliness and appropriateness
  • B. Attends monthly Provider Enrollment meetings to review open issues, coordinate handling and compare strategies to assure the most efficient resolution
  • C. Ensures regional “issues logs” are maintained up-to-date
  • D. Ensures effective quality assurance processes are implemented to verify accuracy of MasterDatabase entries and prevent incorrect information from being communicated
  • Provides ongoing training in Provider Enrollment systems and policies and procedures, and participates in periodic audits to ensure compliance and appropriate training levels
  • A. Provides training in Provider Enrollment policies and systems to new Associates
  • B. Provides corrective training or training in new Provider Enrollment initiatives
  • C. Reviews periodic audits of Provider Enrollment policies and procedures and addresses insufficiencies in training or processes with effective corrective action plans
  • Performs duties necessary to ensure the team's projects/goals are completed
  • 8a. Takes ownership of special projects, researches data and follows through with detailed action plans
  • Maintains strict confidentiality in accordance with HIPAA regulations and Company policy
  • A. Any patient private health information (PHI) must not be divulged on any account except to payers that need the information in order to process the claim for payment
  • B. Any confidential provider information must not be divulged on any assignment except to payers that need the information in order to process enrollment applications
  • Performs other job-related duties within the job scope as assigned
  • Embodies the principles of the corporate Mission Statement and Philosophy at all times
  • A. Represents the corporation in a positive fashion and makes all individuals feel as comfortable as possible
  • B. Conducts all business in a professional manner maintaining respect for individuals at all times
  • A. Maintains constant awareness of potential safety hazards insuring necessary safety precautions
  • B. Reads and complies with established policies and procedures
  • C. Completes annual Compliance training requirements
  • Associate's degree (A. A.) or equivalent from two-year College or technical school; or three or more years related experience and/or training; or equivalent combination of education and experience
  • Ability to define issues, collects data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables

Director of Selection & Enrollment, TRQ Resume Examples & Samples

  • Serve as the primary marketing agent and source of information to individuals seeking to become DOE public school teachers, to recruit a large, high-quality and diverse pool of candidates
  • Design and manage recruitment initiatives, programs, and pathways for individuals to become DOE teachers, especially to address subject and geographic shortage areas
  • Select a high-quality pool of candidates to become teachers through rigorous, research-driven, screening processes
  • Provide strategic assistance to schools to help them to make optimal, local hiring decisions
  • Lead teacher portfolio initiatives, including incentives, to promote an equitable distribution of teachers across all schools, and especially to ensure that students with the greatest need are served by highly effective educators.The Director of Selection and Enrollment plays a critical role in the TRQ by overseeing the design and implementation of an application and screening process for both traditional teachers and alternative certification program participants, yielding a pool of roughly 16,000 teacher candidates a year. This pool serves as a primary source of our 6,500 new teachers hires and supports the system’s ability to meet the needs of DOE schools. The Director oversees the efforts at the “front door” of a teacher’s career in our system. The Director of Selection and Enrollment leads the Applicant Pre-screening team in the content design of the application and manages the “screeners” who review the applications of both traditional candidates and applicants to our alternative certification programs for quality. This team is responsible for ensuring that all of the applicants are eligible to teach in New York City through coordination of work with the State Education Department (SED). The Director also oversees the selection design, process, and team for selecting candidates into our alternative certification programs. Once an individual is admitted into the pool, the Director oversees the cultivation, communication, and overall management of the applicant pool to ensure that teacher candidates are equipped with the right information to seek teaching positions within the DOE. Each year the Director is tasked with reviewing the outcomes of the application process to ensure that we are screening for the most accurate characteristics indicating potential to be a successful teacher and that the process was implemented without biases or operational roadblocks. Performs related work
  • Serve as the primary marketing agent and source of information to individuals seeking to become NYC public school teachers to recruit a large, high-quality and diverse pool of candidates
  • Design and manage recruitment initiatives, programs, and pathways for individuals to become NYC teachers, especially to address subject and geographic shortage areas
  • Direct the selection of a high-quality pool of candidates to become NYC teachers through rigorous, research-driven screening processes
  • Lead teacher portfolio initiatives, including incentives to promote an equitable distribution of teachers across all schools, and especially to ensure that the students with the greatest need are served by highly effective educators
  • Oversee the development and continuous improvement of standard screening model(s) for the DOE based on research and data regarding predictors of teacher effectiveness
  • Manage the design and implementation of a screening process for roughly 20,000 teacher applicants annually, for at least 4 recruitment programs
  • Oversee the communications strategy with candidates at different stages of the process and coordinates a cross-office cultivation strategy
  • Recruit, select, train, and manage a team of part-time Teacher Application Screeners who evaluate applications for inclusion in the pool of teacher candidates for principals
  • Manage the Applicant Screening and Selection Team that is responsible for making sure that all applications move through the process in an efficient and accurate manner, and for meeting all deadlines and target numbers
  • Support the professional development and training of internal DHR, and principals on teacher selection model(s)
  • Partner closely with the Teacher Recruitment Team and the Early Career Success Team to ensure that recruitment targets are set and met, and criteria for selection matches the desired qualities of applicants for various programs
  • Coordinate efforts across the Office of Teacher Recruitment and Quality to ensure the application targets are met and monitor benchmarks for success regarding teacher screening
  • Work with internal and external partners to develop tools that capture critical information needed to evaluate the model
  • Serve as the in-house expert on best practices relative to teacher applicant screening and selection from DHR and other industries
  • Provide high-level guidance to the Executive Director, Teacher Recruitment and Quality on policy issues related to teacher quality and recruitment

Enrollment Navigator Resume Examples & Samples

  • A bachelor’s degree in education, psychology, business, public administration, health care, educational technology, social science, liberal arts, communications, accounting, finance, library science, or a directly related field from an accredited institution
  • Two years’ experience working in higher education in a student services professional position
  • Knowledge of admissions, recruitment, advising, career development and financial aid practices in higher education
  • Working knowledge of advising and counseling techniques
  • Knowledge of the sales cycle
  • Master’s degree from an accredited college or university in student affairs, counseling, or learning technologies
  • Experience working in higher education in either admissions, advising, financial aid, or career services
  • Demonstrated ability to build and foster relationships with key campus student services
  • Experience working with online students

Enrollment Agent, / RV Resume Examples & Samples

  • Perform basic maintenance and troubleshoot issues with fingerprinting equipment, including computer hardware and software
  • Verify customer identity and scan required documents into database system
  • Successfully complete required biometric and data capture processes and paperwork on each customer
  • Must be able to perform basic RV maintenance and troubleshoot issues
  • Customer and Personal Service – Knowledge of principals and processes for providing customer and personal services, including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction
  • Previous sales experience preferred

Manager Enrollment Resume Examples & Samples

  • Display effective communication skills while performing the functions of this job
  • Communicate effectively with staff, internal department management and external vendors and regulatory entities, thereby requiring good interpersonal skills, excellent problem solving skills, sound judgment, decisiveness, initiative, and a teamwork approach
  • Conduct daily direction of work processes and prioritization with assigned staff monitoring as necessary to ensure accurate & timely updates to membership records, such as: DPW Alerts and weekly enrollment/dis-enrollment reconciliation; daily 834 and Legacy reconciliation including error resolution, member updates, status updates; demographic changes; PCP transfers
  • Process all returned mail and mailing member correspondence within federal/state timeliness standards
  • Track out of area members and requesting member dis-enrollment
  • Reconcile provider capitation errors and PCP terminations
  • Research and respond to regulatory agency or legislative requests, audits or complaints related to member data
  • Reconcile membership data in third party systems including Pharmacy, Dental & Vision
  • Interact with Third Party entities such as CMS or DPW, or vendors, such as UCCI or Davis Vision, to ensure accurate and timely membership information in Gateway’s system and its subcontractors’ systems
  • Assist Director with oversight of software vendors (DST and PDM) and third party vendors (Argus, UCCI & Dais) and regulatory agencies for enrollment related issues and system modifications
  • Participate in testing system upgrades and system setup for new lines of business
  • Work with software vendor’s customer support staff to troubleshoot membership issues and implement quick resolution
  • Interpret HIPAA transaction sets as they relate to membership and capitation files
  • Identify system software changes necessary to comply with changes to these files and work with software vendor to ensure timely implementation
  • Work with subcontractors as necessary to test and implement new enrollment processes and benefit groups
  • Serve as the subject matter expert for related work processes and systems used to maintain enrollment and membership information for the assigned product
  • Document processes and requirements and establish operational policies and procedures and ensure accurate implementation
  • Review existing Gateway policies and procedures on an annual basis, including management of updates and development of new policies, as needed
  • Participate in interdepartmental and intradepartmental problem solving and quality initiatives
  • Prepare and represent the department during internal and external audits, including preparation of records and input on the rebuttal of any findings
  • Prepare recommendations for management on process flow, improvements, and system modifications
  • Develop training for new department staff and related department staff and corporate overviews as necessary to ensure the appropriate level of knowledge to support the department’s objectives and the accuracy of member data
  • Prepare required membership reporting for DPW, DOH, CMS and internal monitoring
  • Participate in internal and external audit activities including onsite audits and reporting requests
  • Ensure reconciliation of membership data
  • Oversee reconciliation process with staff including member discrepancies and suspect generation
  • Monitor accuracy and timeliness with Quality Assurance Auditor
  • Oversee the Involuntary dis-enrollment process due to Out of Area and State and County Code changes to ensure compliance with CMS monitoring elements
  • Prepare various oversight and monitoring reports for the department on a daily, weekly, monthly or quarterly basis as needed for quality, production and backlog monitoring
  • Human Resources and Administration and Budgeting
  • Manage daily attendance, time off, ESS, performance appraisals, coaching, counseling
  • Participate in the interviewing and hiring process
  • Provide input regarding operational budget and staffing needs
  • Excellent interpersonal skills with emphasis on ability to effectively communicate both verbally and in writing
  • Detail oriented individual who is able to work in a fast paced environment with competing and changing priorities
  • This job must be able to read, comprehend, and decipher complex notices from regulatory entities, such as CMS and DPW, to ensure that work processes are compliant and be able to document work processes or changes required to ensure compliance
  • May be required to assist other product lines to ensure corporate compliance with all deadlines

Admission & Enrollment Management Professional Student Services Resume Examples & Samples

  • Knowledge of and ability to apply fundamental concepts
  • Working knowledge of the practices, procedures and activities of the program to which assigned
  • General knowledge of the methods and problems of organizational and program management
  • General knowledge of research and interview techniques; and of the principles of individual and group behavior
  • Ability to interpret and apply program rules and regulations
  • Ability to use initiative and resourcefulness in planning work assignments and in implementing long-range program improvements
  • Ability to obtain factual and interpretive information through interviews
  • Ability to reason logically; ability to collect, compile, analyze and evaluate data and make verbal or written presentation based on these data
  • Ability to advise students individually and in groups on routine matters where required
  • Ability to recognize multicultural, multi-sexed and multi-aged value systems and work accordingly
  • Ability to establish and maintain cooperative working relationships with faculty, CSU administrators, student organizations, private and public agencies and others in committee work, and student advising and community contacts
  • Ability to rapidly acquire a general knowledge of the overall operation, functions and programs of the campus to which assigned
  • Demonstrated ability to make decisions and carry through actions having implications with regard to other program or service areas Services Office
  • Knowledge of extended learning and international students policies and procedures
  • Experience in providing support and trouble-shooting services
  • Experience using PeopleSoft and Campus Solutions
  • Experience using SalesForce or other CRM systems
  • Experience working with Extended Learning students or programs
  • Experience preparing purchase requisitions
  • Experience with Veteran's Programs or Students
  • Experience generating financial reports
  • Experience with student advising

Asst Director, Graduate Enrollment Management Resume Examples & Samples

  • Demonstrated ability to effectively work with individuals from diverse backgrounds, both in the US and internationally on a daily basis
  • Ability to speak in front of large and small groups, as in delivering information sessions, lectures, or speaking at industry-specific conferences
  • Demonstrated success with the achievement of enrollment/sales/recruitment goals and objectives
  • Ability to track progress towards enrollment goals and undertake activities that support the achievement of those goals
  • Ability to travel to locations that may not be accessible via public transportation as well as international and national travel, as necessary
  • A valid passport or the ability to obtain one

Assistant Director of Enrollment Resume Examples & Samples

  • Complete and assess applicant files for review
  • Conduct all written and verbal communication with applicants including personal interviews
  • Coordinate other outreach efforts deemed necessary to ensure matriculation
  • Limited travel possible
  • This position is expected to work 2 Saturdays per month

VP for Enrollment & Student Services Resume Examples & Samples

  • Enrollment Services Functions: The vice president provides leadership in enrollment planning including the size and composition of the student body, and coordination with the vice presidents and faculty leaders under the University’s strategic plan. Overall services in the Division support and shape the enrollment and persistence of students. Departments most actively involved in the shaping of enrollment include: Office of Admissions, Financial Aid, and the Registrar’s Office. The vice president provides guidance for over $140 million in financial aid packaging including the strategic use of tuition waiver discounting of $15 million to shape incoming classes of students
  • Student Services Functions: The vice president provides leadership for the combination of extracurricular and student support services which contribute to student retention and completion of degree. All departments in the Division work collaboratively to create a campus culture focused on student centered services that enhance the student’s overall integration of their curricular and extracurricular experiences. Areas that particularly focused on these aspects include University Residences, Dean of Students/Student Life, Academic and Career Development Services, Viking Union Student Activities, Prevention and Wellness Services, Counseling Center, New Student Services and Family Outreach, disAbility Resources for Students, Student Outreach Services, Intercollegiate Athletics, the Ethnic Student Center, Western LEADS, and Veteran Services. In addition, the major auxiliary services provide key support especially in areas of healthy living, integrating the living and learning aspects of the student experience
  • Business and Capital Planning Functions: The vice president has responsibility for the Division’s operating and capital budgets, and provides leadership for the long range capital planning of auxiliary operations within the Division. Operating budget totals nearly $69 million, of which 17% or $12 million is state allocated and tuition dollars, and 83% or $58 million is self-supporting. Those areas which have primarily self-supporting operating budgets include University Residences and Dining Services, Associated Students (AS) Bookstore, Campus Recreation/Wade King Student Recreation Center, Student Health Services, and Student Activities and Viking Union Facilities. Almost all student service areas have some self-supported functions
  • Strategic Initiatives and Institutional Support Functions: The vice president works with the other vice presidents on strategic initiatives identified by the university’s leadership team that involve multiple divisions. This includes working with Deans and the Provost on faculty issues, enrollment planning functions, alignment of academic affairs and student affairs activities, emergency crisis functions, and special projects assigned by the president
  • Enhancing the Division’s and the University’s commitment to diversity, inclusion, and multiculturalism
  • Leading the development of a coherent enrollment plan that advances the University’s goals around undergraduate and graduate education, diversity, and internationalization
  • Creating and implementing a compelling vision for the Division in the context of the University’s aspirations to be a leader in student success and access which diminishes student achievement gaps, and in advancing the learning-centered culture of the University
  • Creating and sustaining an environment of student services and student life excellence to ensure success for students
  • Developing and enhancing partnerships with internal and external constituents, including fundraising to support divisional and intuitional needs
  • Building and sustaining a team and organization that advances student success
  • Oversight of budgetary planning and fiscal management of the Division
  • Communicating with diverse internal and external audiences, and representing the University at the state level, including at committees of the Council of Presidents and testifying before the State Legislature where appropriate; and
  • Sustaining the success of Western’s athletics programs and the academic achievement of student-athletes
  • Earned doctorate or terminal degree
  • Substantial responsible executive management experience in relevant leadership positions in higher education administration
  • Passion for and commitment to student success, engagement, diversity, achievement and excellence
  • Demonstrated experience in adv