CrawlJobs Logo

Manager of Enrollment & Reconciliation

https://www.roberthalf.com Logo

Robert Half

Location Icon

Location:
United States , Huntington Beach

Category Icon
Category:
Finance

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided
Save Job
Save Icon
Apply Position

Job Description:

We are seeking a skilled Manager of Enrollment & Reconciliation to lead the Enrollment Department, maximizing efficiency, productivity, and performance for Medicare Advantage Plan operations. This individual will guide departmental teams in capturing, exchanging, and reporting data elements critical to business decisions and compliance. As the organization’s subject matter expert, you will ensure adherence to all CMS enrollment and reconciliation regulations. The role emphasizes collaboration with leaders across the business to resolve issues and drive operational improvements.

Job Responsibility:

  • Provide expert interpretation and application of Medicare Advantage Enrollment and Reconciliation rules, including CMS eligibility policy, effective/termination dates, retroactive adjustments, low-income subsidies, and payment reconciliation
  • Oversee CMS MARx enrollment processing: manage transaction submissions, resolve rejections and retro adjustments, coordinate replacement transactions, and reconcile CMS response files to internal systems
  • Lead enrollment and payment reconciliation governance with alignment across internal systems, CMS MARx data, and downstream vendors (PBM, claims, finance), ensuring timely identification, correction, and reporting of discrepancies
  • Establish department priorities, strategies, and resource requirements to meet department goals
  • project staffing needs and budgetary resources
  • Mentor, train, and develop department staff, building subject-matter expertise and leveraging available data for optimal outcomes
  • Collaborate with cross-functional departments to identify and resolve complex issues involving internal/external systems, government data, and regulatory guidance. Lead analytical projects and implement best practices to improve data quality and efficiency
  • Oversee audits and reconciliation activities, ensuring regulatory compliance and using findings to drive continuous improvement
  • Maintain current knowledge of regulatory requirements and industry best practices
  • attend CMS training sessions and relevant industry meetings as needed
  • Manage key performance indicators, department output, and goal achievement for the Enrollment & Reconciliation function
  • Support brokers, IPA/PCPs, and other departments regarding eligibility, application processing, reporting, and data exchange troubleshooting

Requirements:

  • Bachelor’s degree in health administration, business, or related field
  • advanced degree preferred
  • 5+ years of experience in Medicare Advantage Enrollment & Reconciliation or CMS policy with demonstrated leadership experience
  • Deep understanding of CMS MARx, eligibility policy, enrollment operations, payment reconciliation, and audit processes
  • Strong analytical skills, results-driven mindset, and proven ability to mentor staff and coordinate cross-functional projects
  • Excellent communication, regulatory interpretation, and organizational skills
  • Must have experience with Medicare Advantage
What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
February 13, 2026

Work Type:
Hybrid work
Icon
Robert Half - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Manager of Enrollment & Reconciliation

HR and Payroll Project Support

HR and Payroll Project Support - 6-month contract. Are you experienced in both H...
Location
Location
United Kingdom , Leatherhead
Salary
Salary:
30000.00 - 35000.00 GBP / Year
https://www.office-angels.com Logo
Office Angels
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • HR-related education or equivalent is a plus
  • Strong experience in Payroll and HR generalist functions
  • M&A or integration experience is highly advantageous
  • Knowledge of UK employment law and global HR operations
  • Proficiency in HR systems (Workday preferred) and strong analytical skills
  • Ability to work confidentially, accurately, and efficiently
Job Responsibility
Job Responsibility
  • Drive the integration of payroll processes, systems, data, and policies
  • Collaborate with HRIS (Workday), ATS, LMS, and more to ensure seamless operations
  • Conduct data cleansing, deduplication, and migration testing
  • Resolve discrepancies and workflow blockers while coordinating with HR, Finance, and external payroll vendors
  • Manage the end-to-end payroll cycle, ensuring accuracy and compliance
  • Oversee payroll deadlines, approvals, and process enhancements
  • Map legacy benefits to new plans and assist with reconciliations and approvals
  • Prepare eligibility files, manage enrollments, and track exceptions
  • Maintain accurate employee data in Workday
  • Support recruitment, onboarding, and respond to employee queries with empathy and precision
What we offer
What we offer
  • Career development across multiple HR disciplines
  • Exposure to global teams and transformative projects
  • A collaborative, agile HR environment where your ideas and contributions truly matter
  • Fulltime
Read More
Arrow Right

HR and Payroll Support

HR and Payroll Project Support - 6-month contract big possibility of extension. ...
Location
Location
United Kingdom , Leatherhead
Salary
Salary:
35000.00 - 40000.00 GBP / Year
https://www.office-angels.com Logo
Office Angels
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • HR-related education or equivalent is a plus
  • Strong experience in Payroll and HR generalist functions
  • M&A or integration experience is highly advantageous
  • Knowledge of UK employment law and global HR operations
  • Proficiency in HR systems (Workday preferred) and strong analytical skills
  • Ability to work confidentially, accurately, and efficiently
Job Responsibility
Job Responsibility
  • Drive the integration of payroll processes, systems, data, and policies
  • Collaborate with HRIS (Workday), ATS, LMS, and more to ensure seamless operations
  • Conduct data cleansing, deduplication, and migration testing
  • Resolve discrepancies and workflow blockers while coordinating with HR, Finance, and external payroll vendors
  • Manage the end-to-end payroll cycle, ensuring accuracy and compliance
  • Oversee payroll deadlines, approvals, and process enhancements
  • Map legacy benefits to new plans and assist with reconciliations and approvals
  • Prepare eligibility files, manage enrollments, and track exceptions
  • Maintain accurate employee data in Workday
  • Support recruitment, onboarding, and respond to employee queries with empathy and precision
What we offer
What we offer
  • A unique opportunity to shape HR and Payroll integration during a significant acquisition
  • Career development across multiple HR disciplines
  • Exposure to global teams and transformative projects
  • A collaborative, agile HR environment where your ideas and contributions truly matter
  • Fulltime
Read More
Arrow Right

Payroll Professional

The Payroll Professional – Full Time reports to the Payroll Supervisor and assis...
Location
Location
United States , Salt Lake City
Salary
Salary:
46500.00 - 61000.00 USD / Year
palladyneai.com Logo
Palladyne AI
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2-3 years of payroll experience with proven track record of success in positions of increasing responsibility
  • Experience in assisting the processing of payroll for multiple states preferred
  • Understanding of accounts payable and general accounting processes preferred
  • Experience with defense contracting is a plus
  • Proficient with MS Office Suite, including advanced Excel skills
  • Demonstrated ability to quickly learn new systems, and extract and manipulate required data
  • Excellent analytical and reporting skills
  • Ability to maintain strict confidence when dealing with confidential information
  • Ability to multitask and prioritize
  • Strong analytical and interpersonal skills
Job Responsibility
Job Responsibility
  • Ensures Timesheets are complete, accurate, submitted and approved in accordance with defined policies and in a timely manner for multiple entities
  • Assists the supervisor to ensure that employee deductions, including benefits, are complete and accurate
  • Assists the supervisor to ensure that required tax filings are complete, accurate, and filed in a timely manner
  • Assist the supervisor in the preparation and submission of weekly and semi-monthly payrolls for multiple entities
  • Assist the supervisor in recording payroll journal entries for each pay period and reconciling payroll-related general ledger accounts on a monthly basis
  • Processes new hires and terminations
  • Assist with the preparation of materials required for internal and external auditors, including the Department of Workforce Services, DCAA, and DCMA
  • Works directly with the Human Resources team and benefits broker to help manage benefits administration, including annual open enrollment
  • Assist in the reconciliation of monthly benefits billings to internal records to ensure accuracy and completeness
  • Supports finance team by recording transactions, verifying proper approval, coding, and processing payments
What we offer
What we offer
  • Comprehensive medical, dental, and vision coverage
  • Competitive 401(k) with company match and immediate vesting
  • Company-paid life and disability insurance
  • Paid holidays and generous PTO
  • Employee assistance program
  • Suite of voluntary benefits for additional flexibility
Read More
Arrow Right

Benefits Analyst

We’re seeking a Benefits Analyst to own day-to-day benefits operations and help ...
Location
Location
United States , Boston
Salary
Salary:
83500.00 - 122500.00 USD / Year
simplisafe.com Logo
SimpliSafe
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 4+ years of progressive experience in benefits administration, with direct ownership of billing reconciliation, enrollments, and employee support
  • HRIS experience required
  • large enterprise HRIS platforms (reporting, approvals, audits, eligibility, and EDI monitoring)
  • Demonstrated experience with ACA reporting, LOA/accommodations (FMLA/ADA), and benefits compliance (ERISA, HIPAA, COBRA)
  • Proven ability to multitask with minimal supervision in a fast-paced environment while maintaining exceptional accuracy and confidentiality
  • Strong Excel/Google Sheets skills (v-lookups, pivot tables) and comfort learning new systems
  • Clear, empathetic communicator with a positive attitude and service mindset
  • skilled at explaining complex topics simply
Job Responsibility
Job Responsibility
  • Reconcile and audit monthly benefit invoices
  • research and resolve discrepancies
  • track credits and adjustments
  • Approve and audit benefit enrollments, life event changes, and terminations
  • ensure data integrity across HRIS, carrier portals, and EDI feeds
  • Conduct engaging new-hire benefit orientations and open enrollment sessions
  • create clear employee communications and job aids
  • Respond to employee benefit inquiries with timely and accurate guidance
  • escalate complex issues as needed
  • Maintain carrier relationships
What we offer
What we offer
  • A mission- and values-driven culture and a safe, inclusive environment where you can build, grow and thrive
  • A comprehensive total rewards package that supports your wellness and provides security for SimpliSafers and their families
  • Free SimpliSafe system and professional monitoring for your home
  • Employee Resource Groups (ERGs) that bring people together, give opportunities to network, mentor and develop, and advocate for change
  • Participation in our annual bonus program, equity, and other forms of compensation, in addition to a full range of medical, retirement, and lifestyle benefits
  • Fulltime
Read More
Arrow Right

HR Specialist

The HR Specialist is responsible for supporting the HR function through Benefits...
Location
Location
Canada , Montreal
Salary
Salary:
Not provided
credit-agricole.com Logo
Crédit Agricole
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree in Human Resources, Business administration or related field.
  • Experience with benefits administration (enrolments, changes, vendor relations, employee support).
  • Exposure to payroll processes and employee on-boarding
  • High attention to detail and accuracy
  • Autonomy and initiative
  • Strong organizational and administrative skills
  • ability to manage multiple priorities
  • Excellent communication and customer service mindset
  • Discretion and confidentiality in handling sensitive HR information
  • Problem-solving mindset and ability to follow processes with consistency and reliability
Job Responsibility
Job Responsibility
  • Benefits Administration: Enrollment & Employee Support
  • Disability Management
  • Vendor & Carrier Management
  • Invoice & Billing Management
  • Benefits Data & Documentation
  • Onboarding & Offboarding
  • Recruitment Support: Hiring Manager Support
  • Job Posting and Sourcing
  • Interview Coordination
  • Approval and Follow-up
  • Fulltime
Read More
Arrow Right

Study Delivery Senior Associate

The Study Delivery Senior Associate provides essential global study management s...
Location
Location
India , Hyderabad
Salary
Salary:
Not provided
amgen.com Logo
Amgen
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Master’s degree
  • Bachelor’s degree and 2 years of clinical execution experience
  • Associate’s degree and 6 years of clinical execution experience
  • High school diploma / GED and 8 years of clinical execution experience
  • 3 years’ work experience in life sciences or medically related field, including 1 year of biopharmaceutical clinical research experience obtained working on clinical trials in a biotech, pharmaceutical or CRO company
  • Experience working on global clinical trials
  • Strong collaborative and effective communication skills within a team environment
  • Understands importance of accuracy in documentation, data tracking, and compliance checks
  • Expertise in clinical trial processes, operations, and oversight in biotech, pharmaceutical, or Contract Research Organization environments
  • Strong skills in using MS Word, Excel, PowerPoint, and other relevant software for documentation, data management, and trial support
Job Responsibility
Job Responsibility
  • Lead the development and maintenance of study-level trackers, dashboards, timelines, and tools (e.g., vendor management, sample tracking, drug supply planning) to ensure accuracy and visibility
  • Coordinate logistics for investigator meetings, trial events, and site communications
  • Manage assigned start-up activities, including system setup, access management, and document readiness, ensuring completion to required standards
  • Use study dashboards and reports to monitor global enrollment, data flow, and quality indicators, taking proactive action to address deviations and risks
  • Lead delivery of assigned risk and quality management activities
  • Track and report study progress, coordinating with Study team and vendors to resolve operational issues and maintain compliance
  • Deliver assigned components of global recruitment and retention strategies to help ensure enrollment targets are achieved
  • Manage Study Training system activities and oversight
  • Build and maintain effective relationships with internal study team members, vendors and investigator sites
  • Act as a point of contact for routine study updates, ensuring stakeholders are informed and aligned
What we offer
What we offer
  • Reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment
Read More
Arrow Right

Study Delivery Senior Associate

The Study Delivery Senior Associate provides essential global study management s...
Location
Location
India , Hyderabad
Salary
Salary:
Not provided
amgen.com Logo
Amgen
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Master’s degree
  • Bachelor’s degree and 2 years of clinical execution experience
  • Associate’s degree and 6 years of clinical execution experience
  • High school diploma / GED and 8 years of clinical execution experience
  • 3 years’ work experience in life sciences or medically related field, including 1 year of biopharmaceutical clinical research experience obtained working on clinical trials in a biotech, pharmaceutical or CRO company
  • Experience working on global clinical trials
  • Strong collaborative and effective communication skills within a team environment
  • Understands importance of accuracy in documentation, data tracking, and compliance checks
  • Expertise in clinical trial processes, operations, and oversight in biotech, pharmaceutical, or Contract Research Organization environments
  • Strong skills in using MS Word, Excel, PowerPoint, and other relevant software for documentation, data management, and trial support
Job Responsibility
Job Responsibility
  • Lead the development and maintenance of study-level trackers, dashboards, timelines, and tools (e.g., vendor management, sample tracking, drug supply planning) to ensure accuracy and visibility
  • Coordinate logistics for investigator meetings, trial events, and site communications
  • Manage assigned start-up activities, including system setup, access management, and document readiness, ensuring completion to required standards
  • Use study dashboards and reports to monitor global enrollment, data flow, and quality indicators, taking proactive action to address deviations and risks
  • Lead delivery of assigned risk and quality management activities
  • Track and report study progress, coordinating with Study team and vendors to resolve operational issues and maintain compliance
  • Deliver assigned components of global recruitment and retention strategies to help ensure enrollment targets are achieved
  • Manage Study Training system activities and oversight
  • Build and maintain effective relationships with internal study team members, vendors and investigator sites
  • Act as a point of contact for routine study updates, ensuring stakeholders are informed and aligned
What we offer
What we offer
  • Reasonable accommodation for individuals with disabilities to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Read More
Arrow Right

Study Delivery Senior Associate

The Study Delivery Senior Associate provides essential global study management s...
Location
Location
India , Hyderabad
Salary
Salary:
Not provided
amgen.com Logo
Amgen
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Master’s degree
  • Bachelor’s degree and 2 years of clinical execution experience
  • Associate’s degree and 6 years of clinical execution experience
  • High school diploma / GED and 8 years of clinical execution experience
  • 3 years’ work experience in life sciences or medically related field, including 1 year of biopharmaceutical clinical research experience obtained working on clinical trials in a biotech, pharmaceutical or CRO company
  • Experience working on global clinical trials
  • Strong collaborative and effective communication skills within a team environment
  • Understands importance of accuracy in documentation, data tracking, and compliance checks
  • Expertise in clinical trial processes, operations, and oversight in biotech, pharmaceutical, or Contract Research Organization environments
  • Strong skills in using MS Word, Excel, PowerPoint, and other relevant software for documentation, data management, and trial support
Job Responsibility
Job Responsibility
  • Lead the development and maintenance of study-level trackers, dashboards, timelines, and tools (e.g., vendor management, sample tracking, drug supply planning) to ensure accuracy and visibility
  • Coordinate logistics for investigator meetings, trial events, and site communications
  • Manage assigned start-up activities, including system setup, access management, and document readiness, ensuring completion to required standards
  • Use study dashboards and reports to monitor global enrollment, data flow, and quality indicators, taking proactive action to address deviations and risks
  • Lead delivery of assigned risk and quality management activities
  • Track and report study progress, coordinating with Study team and vendors to resolve operational issues and maintain compliance
  • Deliver assigned components of global recruitment and retention strategies to help ensure enrollment targets are achieved
  • Manage Study Training system activities and oversight
  • Build and maintain effective relationships with internal study team members, vendors and investigator sites
  • Act as a point of contact for routine study updates, ensuring stakeholders are informed and aligned
What we offer
What we offer
  • Reasonable accommodation for individuals with disabilities to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment
Read More
Arrow Right
Jobs by Category
Art and Entertainment Jobs Banking Jobs Call Center Jobs Construction Jobs Consulting Jobs Customer Service Jobs Education Jobs Energy Jobs Finance Jobs Gastronomy Jobs Health and Beauty Jobs Hospitality and Tourism Jobs Human Resources Jobs Insurance Jobs IT - Administration Jobs IT - Software Development Jobs Legal Jobs Logistics Jobs Manufacturing Jobs Marketing, Digital Marketing, SEO, SEM Jobs Media Jobs Nursing Jobs Office Administration Jobs Pharmacy Jobs Physical Work Jobs Public Relations Jobs Public Sector Jobs Purchasing Jobs Quality Control Jobs Real Estate Jobs Research and Development Jobs Sales Jobs
Job Positions Jobs by Country
United States Jobs United Kingdom Jobs India Jobs Canada Jobs Australia Jobs Germany Jobs Ireland Jobs Poland Jobs
Company
Blog About Us Contact
Follow Us
Facebook
X (Twitter)
LinkedIn
Instagram
CrawlJobs Group
ITFlashcards AllDevBlogs
© 2026 CrawlJobs Ltd. All Rights Reserved
Terms & Conditions Privacy Policy