Associate Director (AD) of Enrollment
Overview
Essen Health Care is a large, privately owned multispecialty medical group serving vulnerable and underserved New York residents since 1999. With over 50 locations, we offer urgent care, primary care, and specialty services, including women's health, endocrinology, and psychiatry. Our Essen House Calls program provides in-home care. Guided by a Population Health model, our team of 500+ providers delivers care in-person, at home, or via telehealth.
Responsibilities
Oversee all enrollment and eligibility processes for Care Management and Health Home programs.
Develop and implement enrollment strategies to support growth targets and program expansion.
Ensure accurate and timely member enrollment in compliance with NYS DOH and Medicaid Managed Care requirements.
Manage enrollment forecasting and volume planning.
Ensure enrollment processes meet regulatory and documentation standards.
Conduct regular audits of enrollment files and workflows.
Partner with Compliance and Quality teams to address gaps and corrective actions.
Maintain audit readiness for regulatory reviews.
Build, manage, and mentor enrollment teams.
Develop standardized training programs and operational procedures.
Foster a culture of accountability, accuracy, and continuous improvement.
Partner with Care Management Operations, Compliance, IT, Billing, and Clinical teams.
Support onboarding of new Care Management partners and programs.
Collaborate with Growth & Strategy teams to align enrollment efforts with expansion initiatives.
Design scalable enrollment workflows and best practices.
Leverage data and metrics to improve turnaround times and member experience.
Partner with IT to optimize enrollment systems and reporting tools.
Track and report key enrollment KPIs including Enrollment volume, Processing turnaround time, Error rates, Audit findings.
Provide regular performance reports to senior leadership.
Requirements
5+ years of experience in healthcare enrollment, care management, or Health Home operations.
Proven experience leading teams and managing operational workflows.
Experience with enrollment systems, EMRs, and reporting platforms.
Excellent organizational, analytical, and communication skills.
Qualifications
Bachelor’s degree required; Master’s degree (MHA, MPH, MBA) preferred.
Knowledge of NYS Health Home enrollment and Medicaid Managed Care requirements.
Experience supporting population health or value-based care programs.
Experience scaling enrollment operations across multiple partners or sites.
Familiarity with regulatory audits and quality improvement initiatives.
Skills
Enrollment Operations Leadership
Regulatory Compliance
Process Optimization
Data-Driven Decision Making
Cross-Functional Collaboration
Team Development
Benefits
Essen Health Care is committed to creating a diverse and inclusive workplace. We are an equal opportunity employer and welcome applications from candidates of all backgrounds.
Pay
Competitive salary commensurate with experience.
Schedule
Full-time position with flexible working hours to accommodate patient needs.