Supervisor, Eligibility/Enrollment

Job Description

Job Description

About Company:

The Southern California United Food & Commercial Workers Unions and Food Employers Pension Fund and the United Food & Commercial Workers Unions and Food Employers Benefit Fund (the “Funds”) were created more than 40 years ago, as a result of collective bargaining between the Southern California Retail Food Employers and the Southern California UFCW Union Locals. The Funds serve in excess of 100,000 Participants. There are two Funds – the Pension Fund and the Benefit Fund – through which member retirement and health and welfare benefits are provided.

Each Fund operates under the direction of its Joint Board of Trustees, consisting of Union and Employer representatives with equal voting rights. The Union and Employer Collective Bargaining parties generally determine the Funds’ benefits during contract negotiations.

Contributing Employers pay most of the cost of your health care, dental care, death benefits, scholarship and tuition assistance benefits, and your pension benefits through contributions to the Fund. Employers contribute to both Funds at a specified amount for each hour you work, and for your paid holidays, paid sick leave, paid jury duty, and paid vacation days. Benefits are paid from each Fund’s assets. Pension Fund assets consist of Employer contributions and investment earnings. Benefit Fund assets consist of Employer contributions, Participant contributions to premium, and investment earnings.

The Fund Office is located at 6425 Katella Avenue, Cypress, CA 90630-5246. The Trust Fund carries out the administration and day-to-day operations of the Funds. Satellite offices are also located in most of the Local Union offices.

About the Role:

The Supervisor of Eligibility/Enrollment plays a critical role in ensuring that all applicants and beneficiaries receive accurate and timely enrollment services. This position is responsible for overseeing the eligibility determination process, ensuring compliance with regulatory requirements, and managing a team of enrollment specialists. The supervisor will implement best practices to enhance operational efficiency and improve customer service outcomes. Additionally, this role involves analyzing enrollment data to identify trends and areas for improvement, ultimately contributing to the organization's mission of providing accessible healthcare services. By fostering a collaborative and supportive work environment, the supervisor will empower their team to deliver exceptional service to clients and stakeholders.

Minimum Qualifications:

• Bachelor's degree in a related field or equivalent experience.
• At least 3 years of experience in eligibility and enrollment processes, with a minimum of 3 year in a supervisory role.
• Strong knowledge of healthcare regulations and compliance standards.
• Prior experience working within a Taft-Hartley multi-employer benefit fund is highly preferred.

Preferred Qualifications:

• Master's degree in public health, social work, or a related field.
• Experience with data analysis and reporting tools.
• Familiarity with electronic health record (EHR) systems.

Responsibilities:

• Oversee the daily operations of the eligibility and enrollment team, ensuring compliance with all relevant regulations and policies.
• Train, mentor, and evaluate team members to enhance their skills and performance in processing applications and determining eligibility.
• Develop and implement strategies to improve enrollment processes and customer service delivery.
• Analyze enrollment data and metrics to identify trends, challenges, and opportunities for improvement.
• Collaborate with other departments to ensure seamless communication and coordination of services for clients.

Skills:

The required skills for this position include strong leadership and communication abilities, which are essential for guiding the enrollment team and ensuring effective collaboration. Analytical skills are crucial for interpreting enrollment data and making informed decisions to enhance processes. Attention to detail is necessary to maintain compliance with regulations and to ensure accuracy in eligibility determinations. Preferred skills, such as proficiency in data analysis tools, will be utilized to generate reports that inform strategic planning. Overall, a combination of interpersonal and technical skills will enable the supervisor to foster a productive work environment and drive continuous improvement in enrollment services.