Hybrid Manager, Enrollment and Billing

at Delta Dental of Idaho

• Job title: Manager, Enrollment and Billing
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Boise, United States

About the role

• Manager overseeing enrollment and billing functions for individual, group, and state exchange dental plans. Leading team, ensuring compliance, and optimizing processes at Delta Dental of Idaho.

Responsibilities

• Provide effective leadership and supervision of Enrollment and Billing staff by managing performance, supporting professional development, ensuring appropriate staffing and coverage, and fostering a collaborative, accountable team environment that supports timely and accurate work outcomes.
• Oversee enrollment and eligibility operations across all product lines, including state exchange plans, to ensure the timely, accurate, and complete administration of enrollment data across operational systems.
• Evaluate and determine appropriate outcomes for customer exception requests.
• Review and validate employer group accounts for accuracy, timeliness, and compliance.
• Manage state exchange subscriber data, premium credits, and reporting responsibilities.
• Prepare and submit required reimbursement reports to CMS and ensure alignment with regulatory guidelines.
• Ensure compliance with HIPAA, ACA, CMS, and other applicable federal and state regulations.
• Analyze enrollment, billing, and related operational data to assess performance and inform management decisions.
• Demonstrate adaptability to evolving and emerging systems, tools, and workflows, and support the thoughtful adoption of new technologies that improve operational outcomes.
• Identify operational trends and underlying issues, including manual adjustments, and recommend or implement corrective actions to prevent recurrence.
• Partner with internal stakeholders, including IT and operational staff, to prioritize, implement, and validate process or system improvements.
• Maintain departmental policies and procedures to support consistent, accurate, and compliant operations.
• Build and maintain effective working relationships with internal partners such as IT, Finance, Claims, Customer Service, Sales, and Compliance.
• Demonstrate a commitment to the organization’s vision, mission, values, code of ethics, and compliance/security standards.
• Other duties as assigned.

Requirements

• Bachelor’s degree in accounting, finance, business administration, or equivalent experience.
• Proven management or supervisory experience in a billing, enrollment, healthcare, or insurance environment.
• Strong proficiency in Microsoft Office applications, especially Excel, Word, and Outlook.
• Excellent analytical, organizational, and problem-solving skills with the ability to manage multiple priorities.
• Strong verbal and written communication skills with the ability to collaborate effectively across diverse teams and stakeholders.
• Experience with state or government health exchanges (Idaho preferred).
• Prior experience in healthcare, insurance, or financial services strongly preferred.
• Ability to maintain confidentiality and work with sensitive information.

Benefits

• Medical, dental, and vision
• 401K with up to 6% company contribution
• Generous PTO and up to 9 paid holidays
• Community Service Time
• Flexible schedule and 1/2 day Fridays
• Tuition and continuing education reimbursement
• Casual dress code
• ...and more!