Medicaid Eligibility & Enrollment Manager

Job Description:

• Manage or support eligibility, enrollment, renewal, and redetermination initiatives
• Review workflows and identify opportunities to improve accuracy and timeliness
• Coordinate teams, vendors, and agency stakeholders
• Monitor workloads, backlogs, service levels, and operational performance
• Support implementation of policy and procedural changes
• Develop training materials, operating procedures, and beneficiary communications
• Support eligibility system improvements, testing, and implementation
• Improve coordination between eligibility determination and health plan enrollment
• Prepare operational reports and practical recommendations
• Work may involve agency processes, beneficiary communications, staff training, systems implementation, or performance improvement

Requirements:

• Experience with U.S. Medicaid eligibility, enrollment, or related program operations
• Experience managing teams, projects, workflows, or service delivery
• Understanding of eligibility and enrollment processes and their effect on beneficiaries
• Strong organizational, communication, and problem-solving skills
• Ability to use operational data to identify issues and guide improvements
• Relevant supervisory or project leadership experience welcome, even without a Manager title
• Preferred: State or county eligibility operations
• Preferred: Medicaid renewals, redeterminations, or integrated benefits programs
• Preferred: MAGI or non-MAGI eligibility processes
• Preferred: Quality assurance, staff training, or beneficiary assistance
• Preferred: Eligibility systems implementation or business process improvement
• Submit a résumé or professional profile highlighting relevant datasets, analytical projects, and tools
• Do not include confidential client information or protected health information

Benefits:

• Opportunity for full-time employment or project-based engagements
• Responsibilities, compensation, employment arrangement, and start date discussed based on the opportunity and skills
• Current and anticipated opportunities considered
• Immediate placement is not guaranteed