The Enrollment/Retention Manager is responsible for establishing policies, procedures, and operational practices to encourage enrollment into the Cook County Health (CCH) sponsored managed care plans, and to devise and implement strategies to retain membership.
This position is exempt from Career Service under the CCH Personnel Rules.
Oversees and directs the activities of the contractors who interface with members.
Anticipates and identifies problems related to marketing and enrollment activities. Issues may include situations where policy or procedures are incompatible with System goals, ineffective or inefficient in building and maintaining member enrollment.
Closely monitors contractor duties to ensure contract compliance and contractor commitment to assuring all activities are performed in a manner to enhance the member experience and to assure member satisfaction consistent with CCH health plan policies and operational procedures and standards.
Monitors activity measures and performance indicator reports from contractors. Identify accomplishments and areas of concern. Meet regularly with contractor leadership to discuss successes, problem areas and contract compliance with an eye to continuous improvement.
Identifies and reports to CCH leadership patient and member satisfaction concerns.
Monitors and oversees CCH media and outreach activities.
Ensures the timely intervention of member issues in order to enhance customer satisfaction and retention.
Recommends and implements changes in guidelines, procedures, policies to comply with changes in federal and state regulatory requirements or to improve efficiencies and performance.
Performs other duties as assigned.
* Minimum Qualifications
Bachelor's degree from accredited college or university is required (Must provide official college/university transcripts at time of interview)
Three (3) years of total experience in a government organization or in a Managed Care health plan to include Medicaid and Medicare is required
Two (2) years or more experience related to Medicaid and/or Medicare eligibility policy, health plan marketing, or enrollment procedures is required
One (1) year of supervisory and/or management experience with responsibility for operations oversight and or policy establishment is required
Prior experience with planning and quality improvement practices in business operational areas is required
Experience with member services and or patient satisfaction quality and process improvement projects is preferred
Knowledge, Skills, Abilities and Other Characteristics
Strong interpersonal skills necessary for establishing and continuing contractor relations.
Strong verbal and written communication skills.
Strong project management skills, required
Formal training in quality and process improvement methods, preferred
Proficiency with Microsoft office (Word, Excel, Access, PowerPoint, etc.)
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service.
To take advantage of this preference a Veteran must :
Meet the minimum qualifications for the position.
Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11).
Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable
A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.
Medical, Dental, and Vision Coverage
Basic Term Life Insurance
Deferred Compensation Program
Paid Holidays, Vacation, and Sick Time
You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY GOVERNMENT IS AN EQUAL OPPORTUNITY EMPLOYER
Internal Number: 252761
About Cook County Health
ABOUT COOK COUNTY HEALTH (CCH)
The Cook County Health’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCH is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCH is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, ...collaborative health plan and enhancing the patient experience.
COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER