Manager, Eligibility/Enrollment

Job Description

Job Description

About Company:

The Southern California United Food & Commercial Workers Unions and Food Employers Pension Fund and the United Food & Commercial Workers Unions and Food Employers Benefit Fund (the “Funds”) were created more than 40 years ago, as a result of collective bargaining between the Southern California Retail Food Employers and the Southern California UFCW Union Locals. The Funds serve in excess of 100,000 Participants. There are two Funds – the Pension Fund and the Benefit Fund – through which member retirement and health and welfare benefits are provided.

Each Fund operates under the direction of its Joint Board of Trustees, consisting of Union and Employer representatives with equal voting rights. The Union and Employer Collective Bargaining parties generally determine the Funds’ benefits during contract negotiations.

Contributing Employers pay most of the cost of your health care, dental care, death benefits, scholarship and tuition assistance benefits, and your pension benefits through contributions to the Fund. Employers contribute to both Funds at a specified amount for each hour you work, and for your paid holidays, paid sick leave, paid jury duty, and paid vacation days. Benefits are paid from each Fund’s assets. Pension Fund assets consist of Employer contributions and investment earnings. Benefit Fund assets consist of Employer contributions, Participant contributions to premium, and investment earnings.

The Fund Office is located at 6425 Katella Avenue, Cypress, CA 90630-5246. The Trust Fund carries out the administration and day-to-day operations of the Funds. Satellite offices are also located in most of the Local Union offices.

About the Role:

The Manager of Eligibility/Enrollment plays a critical leadership role in overseeing the eligibility determination and enrollment processes within the organization. This position ensures that all procedures comply with regulatory requirements and organizational policies, facilitating seamless access to services for eligible individuals. The manager leads a team responsible for verifying documentation, processing applications, and maintaining accurate records to support timely and efficient enrollment. By collaborating with internal departments and external partners, the role drives continuous improvement initiatives to enhance customer experience and operational effectiveness. Ultimately, this position is pivotal in ensuring that eligible clients receive the benefits and services they are entitled to, supporting the organization's mission and goals.

Minimum Qualifications:

• Associate's or Bachelor’s degree in a related field or a combination of education and experience highly preferred.
• Minimum of 5 years of experience in eligibility determination, enrollment management, or a related area.
• Minimum of 5 years of experience in a managerial or supervisory position.
• Prior experience working within a Taft-Hartley multi-employer benefit fund is highly preferred.
• Strong knowledge of eligibility and enrollment regulations, including federal and state guidelines.
• Excellent communication and interpersonal skills to effectively interact with diverse stakeholders.

Responsibilities:

• Lead and manage the eligibility and enrollment team to ensure accurate and timely processing of applications.
• Develop, implement, and monitor policies and procedures to maintain compliance with federal, state, and local regulations.
• Collaborate with cross-functional teams to streamline enrollment workflows and improve service delivery.
• Analyze data and generate reports to track performance metrics and identify areas for process improvement.
• Provide training, coaching, and performance evaluations to staff to foster professional development and maintain high-quality standards.
• Serve as a primary point of contact for escalated issues related to eligibility and enrollment, resolving complex cases efficiently.
• Coordinate with external agencies and partners to verify eligibility criteria and maintain up-to-date knowledge of regulatory changes.

Skills:

The required and preferred skills are essential for managing the complex eligibility and enrollment processes effectively. Strong leadership and communication skills enable the manager to guide their team, resolve conflicts, and collaborate with various departments and external partners. Analytical skills are used daily to interpret data, monitor compliance, and identify opportunities for operational improvements. Proficiency with enrollment systems and technology supports accurate data management and reporting. Additionally, knowledge of regulatory frameworks ensures that all activities meet legal standards, safeguarding the organization and its clients.