Associate Director; AD of Enrollment

Overview

At Essen Health Care, we care for that!

As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management.

Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.

Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you.

Join our team today!

The Associate Director of Enrollment, Care Management will lead and oversee all enrollment operations for Essen Health Care’s Care Management and Health Home programs. This role is responsible for managing enrollment strategy, ensuring regulatory compliance, optimizing workflows, and supporting growth initiatives across partner organizations.

The ideal candidate is a results-driven operational leader with deep knowledge of NYS Health Home enrollment requirements and the ability to scale enrollment processes while maintaining accuracy, compliance, and high service standards.

• Enrollment Operations & Strategy:
  Oversee all enrollment and eligibility processes for Care Management and Health Home programs.
• Enrollment Operations & Strategy:
  Develop and implement enrollment strategies to support growth targets and program expansion.
• Enrollment Operations & Strategy:
  Ensure accurate and timely member enrollment in compliance with NYS DOH and Medicaid Managed Care requirements.
• Enrollment Operations & Strategy:
  Manage enrollment forecasting and volume planning.
• Compliance & Quality Assurance:
  Ensure enrollment processes meet regulatory and documentation standards.
• Compliance & Quality Assurance:
  Conduct regular audits of enrollment files and workflows.
• Compliance & Quality Assurance:
  Partner with Compliance and Quality teams to address gaps and corrective actions.
• Compliance & Quality Assurance:
  Maintain audit readiness for regulatory reviews.
• Team Leadership & Development:
  Build, manage, and mentor enrollment teams.
• Team Leadership & Development:
  Develop standardized training programs and operational procedures.
• Team Leadership & Development:
  Foster a culture of accountability, accuracy, and continuous improvement.
• Cross-Functional Collaboration:
  
  Partner with Care Management Operations, Compliance, IT, Billing, and Clinical teams.
• Cross-Functional Collaboration:
  
  Support onboarding of new Care Management partners and programs.
• Cross-Functional Collaboration:
  
  Collaborate with Growth & Strategy teams to align enrollment efforts with expansion initiatives.
• Process Improvement & Systems Optimization:
  Design scalable enrollment workflows and best practices.
• Process Improvement & Systems Optimization:
  Leverage data and metrics to improve turnaround times and member experience.
• Process Improvement & Systems Optimization:
  Partner with IT to optimize enrollment systems and reporting tools.
• Reporting & Performance Metrics:
  Track and report key enrollment KPIs including enrollment volume, processing turnaround time, error rates, and audit findings.
• Reporting & Performance Metrics:
  Provide regular performance reports to senior leadership.

• 5+ years of experience in healthcare enrollment, care management, or Health Home operations.
• Strong knowledge of NYS Health Home enrollment and…