• Lead day-to-day census, enrollment, eligibility, and Medicaid re-eligibility operations, ensuring all transactions are timely, accurate, and fully compliant. • Develop, maintain, and enforce department policies, procedures, workflows, and monitoring routines, ensuring adherence by internal teams and external vendors. • Produce and report operational metrics, audit findings, enrollment accuracy, and KPIs, identifying risks and driving timely remediation. • Supervise, mentor, and develop staff while setting clear expectations and maintaining accountability for performance and quality. • Serve as liaison with internal and external stakeholders to resolve escalated eligibility and enrollment discrepancies and ensure seamless coverage. • Oversee membership maintenance across systems, including reconciliations, CMS interactions, and Medicare/Medicaid coordination of benefits. • Own creation and maintenance of member correspondence and fulfillment materials in alignment with CMS guidance and plan policy. • Identify and drive continuous improvement initiatives to enhance efficiency, accuracy, and participant experience.