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Supervisor, Member Outreach and Enrollment

Company: CalOptima
Location: Orange
Posted on: June 9, 2021

Job Description:

Department(s): PACE

Reports to: Manager, Marketing and Enrollment (PACE)

FLSA status: Non-Exempt

Salary Grade: K - $70,000 - $98,000

Job Summary

The Supervisor of Member Outreach and Enrollment (Education) will be responsible for daily operation of PACE (Program of All-Inclusive Care for the Elderly) enrollment activities and supervision of program enrollment coordinators. The Supervisor will work under the direction of the Manager to support department goals and program implementation. The Supervisor will provide guidance to staff, monitor staff goals and productivity, ensure compliance with PACE marketing and enrollment requirements and processes, organizational policies, and contractual requirements. The Supervisor will serve as a resource for CalOptima providers, health networks and community partners requesting enrollment services.

Position Responsibilities:

  • Assists in the hiring, training and managing the performance of program enrollment staff.
  • Administers and coordinates outreach and enrollment activities, including coordination with PACE staff, and other CalOptima departments who may come into contact with PACE-eligible participants, such as One Care Connect and Multipurpose Senior Services Program staff.
  • Oversees the process, manage, and track program enrollments.
  • Ensures positive experience for potential enrollees and their families who interact with the Marketing and Enrollment staff.
  • Analyzes and evaluates outreach and enrollment activities to maximize enrollment, including the development and maintenance of reports, enrollment workflows, desktop procedures and policies.
  • Evaluates process improvement strategies to enhance the effectiveness of the enrollment process.
  • Ensures compliance with all applicable CMS and DHCS policies, rules, and regulations.
  • Provides guidance to staff on or directly manage a program enrollment caseload, as needed.
  • Participates and manages enrollment coordinator's participation in community networking meetings, and events such as health fairs.
  • Provides staff guidance and support on the implementation of special projects and pilots.
  • Acts as a resource for CalOptima providers, health networks and community partners.
  • Represents the department in internal and external meetings.
  • Other projects and duties as assigned.

Knowledge & Abilities:

  • Responsibly and ethically train, lead, and supervise program enrollment staff.
  • Work independently and as part of a team to effectively manage/lead multiple projects with minimal supervision.
  • Establish and maintain effective interpersonal relationships with staff at all levels, providers, other program or agency representatives, and the general public.
  • Communicate clearly and concisely, both verbally and in writing with personnel at all organizational levels both internally and externally and with diverse social, cultural, and ethnic populations.
  • Plan, organize, and assist with program enrollment events and activities, including outreach educational events.
  • Oversee the maintenance of records and reports, including using information gathered to improve processes to achieve program enrollment goals.
  • Think critically to solve problems effectively.
  • Provide excellent customer service.
  • Successfully pass the State administered marketing exam within first 90 days of being hired.
  • Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Experience & Education:

  • High School degree or equivalent required.
  • 3+ years of experience in marketing and member enrollment required.
  • Must take and pass applicable State PACE marketing exam.
  • Valid driver's license and vehicle, or other approved means of transportation, an acceptable driving record, and current auto insurance will be required for work away from the primary office 50% of the time or more.

Preferred Qualification:

  • Bachelor's degree in Healthcare Administration or other related field preferred.
  • 2+ years of supervisory/lead experience in a Managed Care setting preferred.
  • Bilingual in English and in one of CalOptima's defined threshold language (Spanish, Vietnamese, Farsi, Arabic, Korean, and Chinese) is preferred.
  • PACE experience strongly preferred; hospice sales/marketing experience will be considered.

Knowledge of:

  • Techniques and methods to organize and manage a staff.
  • Principles and techniques of effective supervision, including training and evaluation of subordinates.
  • Principles and practices of health care service delivery, managed care, health care systems, and medical administration.
  • Appropriate marketing techniques to outreach to diverse social and ethnic groups and to communicate effectively with them.
  • Systems and procedures to efficiently track and trend program enrollment activity.
  • Senior care market, including competitors, regulations, and available resources.
  • Appropriate techniques, practices, and cultural sensitivities to serve social and ethnic groups.

EEO Statement: CalOptima is an equal employment opportunity employer and makes all employment decisions on the basis of merit. CalOptima wants to have qualified employees in every job position. CalOptima prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.

ADA/Accommodation Statement: If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations with 72-hour notice by contacting Human Resources Disability Management at 657-900-1134.

Keywords: CalOptima, Orange , Supervisor, Member Outreach and Enrollment, Other , Orange, California

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