Supervisor, Medicare Advantage Enrollment & Billing

Residency in or relocation to Louisiana is preferred for all positions.

About the role

The Supervisor in the Enrollment and Billing department is responsible for the end-to-end process for their assigned team, including organizing workflow, ensuring employees understand their duties or delegated tasks, monitoring employee productivity, and providing constructive feedback and coaching. The ideal candidate will manage, guide, and train employees, be well-versed in department processes, and be result-driven to ensure operations are carried out productively for profitability and sustainable growth. This role also oversees compliance mandates from federal and state regulatory agencies.

Nature and scope

This role directly manages Medicare Enrollment Specialist, Medicare Enrollment Specialist II, and Senior Medicare Enrollment Specialist positions and reports to departmental leadership. The incumbent will engage with various internal departments (e.g., Account Managers, Accounting, Actuarial, Claims, Compliance, Customer Service, IT, Legal, Marketing, Underwriting) and external entities (e.g., Agents, Brokers, Department of Insurance, Department of Health and Human Services, vendors, subscribers).

Qualifications

• High School Diploma or equivalent (required)
• Bachelor’s degree (preferred)
• 3 years of operational experience (required)
• 1 year of demonstrated leadership experience (required; may run concurrently with operational experience)
• Enrollment & Billing experience (preferred)
• For Medicare LOB: Knowledge of CMS regulations, Medicare enrollment requirements, reporting processes, and experience with systems such as Facets/EAM, ESI, and other Medicare-related platforms

Skills and abilities

• Strong verbal and written communication skills with the ability to interpret and convey information tactfully and professionally
• Excellent organizational, analytical, and interpersonal skills
• Ability to recognize inconsistencies and gaps in business processes and take appropriate action
• Ability to prioritize multiple responsibilities, make decisions, find solutions, and work independently under aggressive deadlines in a fast-paced environment
• Experience coaching and developing front-line staff
• Ability to work cohesively in a team environment
• Proficiency in MS Office (Word, Excel, Outlook) and ability to learn new systems
• Thorough insurance knowledge to apply company policies, guidelines, and state/federal laws
• Must complete the BCBSLA Leadership Development Program within 6 months of start date

Responsibilities

• Administer HR functions, including hiring, terminating, performance reviews, setting performance standards, approving work schedules, assigning workload, training, and coaching staff
• For Medicare LOB: Follow CMS standards, oversee enrollment/eligibility processes, ensure data accuracy/compliance, resolve discrepancies, and support system improvements
• Serve as a subject-matter expert for end-to-end processes, maintain knowledge of LOB, regulatory changes, HIPAA, and company policies to provide on-the-job training
• Log daily inventories in the tracking dashboard to monitor levels and ensure management awareness
• Identify system/process gaps, report issues, test programming changes, and approve fixes for accurate/timely resolution
• Provide dedicated customer service to assigned areas, establish strong cross-departmental relationships, and facilitate enrollment/billing training as needed
• Monitor, track, and assign team tasks daily
• Participate in corporate projects, attend/facilitate meetings, and monitor vendor relationships to ensure quality and service-level agreements are met
• Perform other job-related duties within the scope of responsibilities

Work environment

• Job duties are performed in a normal, clean office environment with standard noise levels
• Work is predominately done while standing or sitting
• Requires comprehension, documentation, calculation, visualization, and analytical skills