Manager of Member Services and Enrollment

Manager of Member Services and Enrollment  AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!

Does the idea of doing something that really makes a difference in people?s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS Healthcare Foundation is the place for you!

Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

STILL INTERESTED? Please continue!

AHF is searching for a Manager of Member Services and Enrollment to join our Managed Care Division. This position is to work on a fulltime regular basis. The hours are Monday-Friday, from 8:30 a.m. to 5:30 p.m. and the job is based out of our Linn House Administrative Office:

1001 N Martel Avenue
Los Angeles, CA 90046

JOB DESCRIPTION

Essential Duties & Responsibilities
Includes but not limited to the following:

- Supervises Managed Care Sales, Eligibility and Member Services Staff.

- Maintains AHF/Managed Care Sales Database and ensures leads generation and follow-up.

- Oversees Managed Care Division?s Customer Service Call Center & Reporting measures.

- Leads team in processing of monthly enrollments, disenrollments for State & Federal Plans.

- Works with Data and Financial Dept. to ensure proper processing of monthly Invoicing.

- Develops and maintains Managed Care State & Fed-Approved Marketing Materials.

- Ensures Federal & State Compliance and expertise in assigned Managed Care areas.

- Trains and monitors Sales/Member Services staff to ensure compliance with State & Fed regulations.

- Generates AHF/Managed Care sales growth and retention opportunities in coordination with other department managers and ensures implementation and operation.

- Prepares goals with staff and assists with implementation and team building.

- Reports monthly sales, retention and disenrollment data to Executive Managers and Staff.

- Works closely with Provider Relations dept. to ensure Customer Relations and Sales growth.

- Processes monthly staff and AHF Pharmacy sales bonuses and maintains data.

- Ensures that all Call Center personnel are properly trained per Medicare Call Center Performance standards.

- Oversees Community Outreach efforts with staff and other departments.

- Communicates with Medicare & Medi-Cal regarding assigned areas and maintains good vendor relations.

- Oversees maintenance, distribution of sales and enrollment materials.

- Supervises the logging of customer service issues, including grievances, to the appropriate Managed Care databases. Assures that grievance files are maintained per Medi-Cal and Medicare guidelines. Refers grievance matters for appropriate follow-up by Quality Management Department or Plan Administration.

- Ensures that Client requests/inquiries/concerns are resolved in a timely fashion.

- Works with AHF Marketing department to develop and maintain website and paper marketing collateral materials.

- Works with Provider Relations staff to assure that AHF Healthcare Centers and outside Primary Care Providers receive managed care department guidelines/updates and are communicated effectively to staff.

- Spearheads growth, retention and incentive efforts for clients and staff including ?Gift of Life? referral program, ?Health & Wellness Program?, Annual Thanksgiving/Client Appreciation Luncheons, and HCC ?Lunch & Learn? Presentations.

- In concert with Enrollment & Eligibility Specialist, assists in many of the enrollee notifications/mailings.

- Assists Executive Team in implementing Foundation goals and selling measures to staff and clients.

- Handles vendors (outside and inside AHF) with diplomacy, professionalism and leadership.

- Team Leader for monthly Managed Care Division staff meetings.

Participation in AHF Meetings/Committees
- Managed Care Executive
- Managed Care Staff Meetings
- Office Administrator & Benefit Counselor Meetings
- Client Advisory Board
- Other meetings/committees as assigned.

Supervisory Responsibilities
Supervises all Sales and Marketing, Eligibility, Member Services and Outreach Representatives.

Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience
Two years minimum experience in a managed care organization. Familiarity with Medicaid and/or Medicare sponsored programs. Healthcare Management Background preferred.

Computer/Software Skills & Abilities
To perform this job successfully, an individual should have knowledge of standard business software, including but not limited to, Microsoft office products.

Other Skills & Abilities/Qualifications
- Ability to summarize analytical results graphically and numerically in Crystal Reports, MS Excel, PowerPoint, etc.
- Prior experience with health-related databases preferred.

Are you intrigued by this amazing opportunity? Are you eager to learn more? If so, please send your resume via e-mail to: Careers@aidshealth.org or fax it to: (323) 417-5030. To apply in person please come to our Administrative Office: 6255 Sunset Blvd., 21st. Floor, Los Angeles, CA 90028.

Additional Information
Salary: Based on Experience
Position Type: Full Time, Employee
Reference Code: 0705 DM 07/25/06 Manager of Member Services/Enrollment

Contact Information
David Marin, HR Senior Recruiter
AIDS Healthcare Foundation
6255 W. Sunset Blvd., 21st. Floor
Los Angeles, CA 90028
Fax Number: (323) 417-5030
Email: Careers@aidshealth.org

We look forward to hearing from you!