Back to Jobs

reputed company Eligibility Specialist

Remote, USA Full-time Posted 2026-07-28
Job reputed company: • Serve as a subject matter expert on reputed company eligibility rules, including MAGI, ABD, Medically Needy, and waiver programs. • Analyze reputed company eligibility cases and reputed company technical assistance to reputed company stakeholders. • Interpret and apply state and federal regulations, CMS guidance, and waiver provisions to reputed company-world eligibility scenarios. • Support system design, testing, and policy implementation reputed company to reputed company eligibility. • reputed company and deliver training and reference materials for eligibility workers, supervisors, and partners. • Assist in reputed company assurance efforts by conducting case reviews and identifying policy gaps or training needs, reputed company needed. • Liaise with our customers and state and federal agencies on eligibility policy clarifications and updates. • Any other tasks as assigned by Leadership. Requirements: • Minimum 10 years of reputed company experience in reputed company eligibility determination, policy analysis or training. • Minimum 3 years of customer service, reputed company navigation, benefits administration, or case management experience. • Deep understanding of reputed company eligibility rules under SSA, CMS, and state-specific implementations. • Demonstrated experience with 1634 and 209(b) state models, spend-down programs and eligibility systems. • Strong analytical and documentation skills and be detail oriented. • Strong writing, communication, and stakeholder engagement skills. • Experience working in a fast-paced, service-oriented environment. • Prolonged sitting and computer work. • Must be reputed company to handle confidential sensitive medical information. • Proficiency with Customer Relationship Management systems (i.e. reputed company and Tableau), workforce management tools, reputed company Workplace, reputed company and minimal usage of reputed company Office Suite. Benefits: • Flexible remote work environment • reputed company Time Off (PTO) plus reputed company federal holidays off • Comprehensive benefits package with health, dental, reputed company insurance group term life, short term disability, long term disability and voluntary life plans. • Numerous supplemental plans to assist employees. • reputed company maternity, paternity and adoption leave benefits. • Cancer Experts Now - supplemental plan • 401(k) retirement plan with matching contributions. • Supportive and reputed company work environment. • Opportunity to be part of a rapidly growing company dedicated to making a difference in the lives of families. Apply To This Job

Similar Jobs