About The Role
The Director of Enrollment–Eligibility & Contribution Accounting is a senior operational leader responsible for hands-on, day-to-day oversight of eligibility and employer contribution operations within a complex Taft-Hartley environment. This role requires a strong on-site presence and active involvement in daily production, issue resolution, and operational oversight. The Director works directly with Managers, Supervisors, and staff to ensure accurate employer reporting, contribution reconciliation, eligibility processing, and regulatory compliance. The Director also serves as a primary operational liaison to the client/Fund, providing daily support, operational updates, and issue management to ensure performance meets client expectations and trust requirements.
Primary Responsibilities
Daily Operational Leadership
• Provide daily on-site leadership across Enrollment, Eligibility, and Contribution Accounting functions.
• Monitor production volumes, backlog, aging items, and quality metrics.
• Provide direct guidance on complex employer file issues, eligibility escalations, and contribution discrepancies. • Participate in transaction review and operational quality oversight as needed.
• Lead operational huddles and drive issue resolution.
Client & Fund Engagement
• Serve as a day-to-day operational contact for client/Fund representatives.
• Respond to client inquiries regarding eligibility, employer reporting, contributions, and operational performance. • Provide status updates, issue summaries, and resolution timelines.
• Participate in recurring client meetings and operational reviews.
• Support trustee and client reporting, including operational metrics and issue tracking.
• Identify operational risks or trends and recommend solutions.
Contribution Accounting (Primary Focus)
• Oversee employer hours processing, contribution posting, reconciliation, and delinquency tracking.
• Resolve complex variances impacting eligibility or financial reporting.
• Partner with Finance to ensure reconciliation accuracy and audit readiness.
• Ensure proper application of contribution rules, retroactive adjustments, work-unit conversions, and self-pay processes.
Enrollment & Eligibility Oversight
• Ensure timely and accurate eligibility determinations based on employer contributions and hours.
• Support complex cases including reinstatements, retroactive changes, and open enrollment.
• Ensure consistent application of plan rules and collective bargaining requirements.
Compliance & Controls
• Maintain strong internal controls and operational review processes.
• Ensure compliance with ERISA, DOL, HIPAA, ACA, and plan requirements.
• Support internal, external, and client audits.
Cross-Functional Leadership
• Partner with Finance, IT, Customer Service, and Client Services to resolve operational issues.
• Translate operational and client needs into process or system improvement requirements.
• Support new client implementations and operational stabilization efforts.
Qualifications
• Bachelor’s degree required; Master’s preferred.
• 10+ years of experience in TPA, health plan, or Taft-Hartley operations.
• 5+ years of leadership experience in eligibility and/or contribution accounting.
• Strong knowledge of employer hours reporting, contribution reconciliation, and hours-based eligibility. Experience working directly with clients, trustees, or Fund leadership.
• Demonstrated hands-on operational leadership.
• Ability to work on-site in Las Vegas daily.