Associate Director (AD) of Enrollment
Essen Medical Associates, New York, New York, us, 10261
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!
Job Summary
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.
Responsibilities
Enrollment Operations & Strategy
• Oversee all enrollment and eligibility processes for Care Management and Health Home programs
• Develop and implement enrollment strategies to support growth targets and program expansion
• Ensure accurate and timely member enrollment in compliance with NYS DOH and Medicaid Managed Care requirements
• Manage enrollment forecasting and volume planning
Compliance & Quality Assurance
• Ensure enrollment processes meet regulatory and documentation standards
• Conduct regular audits of enrollment files and workflows
• Partner with Compliance and Quality teams to address gaps and corrective actions
• Maintain audit readiness for regulatory reviews
Team Leadership & Development
• Build, manage, and mentor enrollment teams
• Develop standardized training programs and operational procedures
• Foster a culture of accountability, accuracy, and continuous improvement
Cross-Functional Collaboration
• Partner with Care Management Operations, Compliance, IT, Billing, and Clinical teams
• Support onboarding of new Care Management partners and programs
• Collaborate with Growth & Strategy teams to align enrollment efforts with expansion initiatives
Process Improvement & Systems Optimization
• Design scalable enrollment workflows and best practices
• Leverage data and metrics to improve turnaround times and member experience
• Partner with IT to optimize enrollment systems and reporting tools
Reporting & Performance Metrics
• Track and report key enrollment KPIs including:
o Enrollment volume
o Processing turnaround time
o Error rates
o Audit findings
• Provide regular performance reports to senior leadership Qualifications
5+ years of experience in healthcare enrollment, care management, or Health Home operations
• Strong knowledge of NYS Health Home enrollment and Medicaid Managed Care requirements
• Proven experience leading teams and managing operational workflows
• Experience with enrollment systems, EMRs, and reporting platforms
• Excellent organizational, analytical, and communication skills
• Bachelor's degree required; Master's degree (MHA, MPH, MBA) preferred
Preferred Qualifications
• Experience supporting population health or value-based care programs
• Knowledge of NYC/Bronx healthcare market
• Experience scaling enrollment operations across multiple partners or sites
• Familiarity with regulatory audits and quality improvement initiatives
Core Competencies
• Enrollment Operations Leadership
• Regulatory Compliance
• Process Optimization
• Data-Driven Decision Making
• Cross-Functional Collaboration
• Team Development
Equal Opportunity Employer
Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.
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!
Job Summary
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.
Responsibilities
Enrollment Operations & Strategy
• Oversee all enrollment and eligibility processes for Care Management and Health Home programs
• Develop and implement enrollment strategies to support growth targets and program expansion
• Ensure accurate and timely member enrollment in compliance with NYS DOH and Medicaid Managed Care requirements
• Manage enrollment forecasting and volume planning
Compliance & Quality Assurance
• Ensure enrollment processes meet regulatory and documentation standards
• Conduct regular audits of enrollment files and workflows
• Partner with Compliance and Quality teams to address gaps and corrective actions
• Maintain audit readiness for regulatory reviews
Team Leadership & Development
• Build, manage, and mentor enrollment teams
• Develop standardized training programs and operational procedures
• Foster a culture of accountability, accuracy, and continuous improvement
Cross-Functional Collaboration
• Partner with Care Management Operations, Compliance, IT, Billing, and Clinical teams
• Support onboarding of new Care Management partners and programs
• Collaborate with Growth & Strategy teams to align enrollment efforts with expansion initiatives
Process Improvement & Systems Optimization
• Design scalable enrollment workflows and best practices
• Leverage data and metrics to improve turnaround times and member experience
• Partner with IT to optimize enrollment systems and reporting tools
Reporting & Performance Metrics
• Track and report key enrollment KPIs including:
o Enrollment volume
o Processing turnaround time
o Error rates
o Audit findings
• Provide regular performance reports to senior leadership Qualifications
5+ years of experience in healthcare enrollment, care management, or Health Home operations
• Strong knowledge of NYS Health Home enrollment and Medicaid Managed Care requirements
• Proven experience leading teams and managing operational workflows
• Experience with enrollment systems, EMRs, and reporting platforms
• Excellent organizational, analytical, and communication skills
• Bachelor's degree required; Master's degree (MHA, MPH, MBA) preferred
Preferred Qualifications
• Experience supporting population health or value-based care programs
• Knowledge of NYC/Bronx healthcare market
• Experience scaling enrollment operations across multiple partners or sites
• Familiarity with regulatory audits and quality improvement initiatives
Core Competencies
• Enrollment Operations Leadership
• Regulatory Compliance
• Process Optimization
• Data-Driven Decision Making
• Cross-Functional Collaboration
• Team Development
Equal Opportunity Employer
Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.