Manager, Enrollment and Billing

Culture rules at Delta Dental. It's key to our becoming the leading dental benefits carrier in the state, reaching over 500,000 Idahoans with our dental plans and community outreach programs. We're small on ego and big on grins. You'll see us involved in community events and "Did you make someone smile today?" on our To-Do lists. Our employees have the opportunity to make a difference in people's lives while working in an environment full of challenge, collaboration, flexibility, and industry-leading growth potential. Join our team committed to better oral health for all Idahoans. The Manager, Enrollment and Billing is responsible for overseeing all enrollment and billing functions for individual, group, and state exchange benefit plans. This role provides leadership and direct supervision to Enrollment and Billing staff, ensuring efficient operations, high-quality customer service, and adherence to regulatory and organizational requirements. The Manager drives process optimization, collaborates cross‑functionally with internal departments, and serves as a subject-matter expert for enrollment, billing, and reconciliation processes. ESSENTIAL FUNCTIONS

• 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.

This position is open to current Delta Dental of Idaho employees only. KNOWLEDGE, SKILLS, AND ABILITIES

• 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.

PHYSICAL AND MENTAL REQUIREMENTS

• Sitting/Standing (alternatively) continuously
• Keyboard Use/Repetitive Hand motion continuously
• Skill/ability related to comprehension, organization, reasoning/decision-making and communication appropriate to position/level

Delta Dental of Idaho offers a competitive benefits plan including:

• 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!

OUR CULTURE DDID seeks to provide a positive workplace where employees are treated with respect and all are accountable for living our values and Code of Ethics while empowered to help the organization succeed in achieving its mission and vision. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Individuals that may need assistance with the applicant or interview process may contact human resources at [email protected] or by phone: 208-488-7741. Apply tot his job Apply To this Job