• Oversee assigned operational workflows within eligibility and enrollment, ensuring accuracy, compliance, and alignment with CMS requirements. • Manage and develop a small team responsible for execution of day-to-day enrollment and eligibility tasks, fostering a culture of accountability, growth, and continuous improvement. • Analyze enrollment and eligibility data to identify trends, root causes, and performance gaps; translate insights into actionable solutions. • Design and lead cross-functional projects to enhance operational performance and member experience. • Maintain and enhance internal tracking, reconciliation, and audit-readiness protocols. • Monitor vendor performance against SLAs and ensure timely resolution of escalated issues. • Develop and deliver high-quality reports and dashboards for internal stakeholders and senior leadership. • Stay abreast of CMS guidance and evolving regulatory requirements, ensuring that internal procedures remain compliant. • Manage end to end eligibility, enrollment and disenrollment processes. • Partner with end users and business owners to thoughtfully design and deliver AI/automation solutions, translating workflow needs into clear business requirements (scope, rules, dependencies, SMEs/UAT resources), and leading solutions through build, testing/validation, and production rollout.