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Manager, Eligibility - Remote

Posted 5 days ago
All others
Full Time
CA, USA
$120,164 - $140,264/year

Overview

The Manager, Eligibility at WelbeHealth plays a crucial role in overseeing Medicaid and Medicare coverage maintenance, ensuring data accuracy and integrity, and leading the Eligibility team to provide comprehensive care for seniors.

In Short

  • Lead the Eligibility team to maintain participant eligibility for PACE services.
  • Utilize data analytics to identify and mitigate risks related to eligibility.
  • Oversee integrity of participant data across systems.
  • Monitor revenue impacts and communicate financial risks.
  • Engage with stakeholders to transform data into actionable insights.
  • Coordinate with local leaders to address discrepancies efficiently.
  • Liaise with governmental agencies for continuous eligibility verification.

Requirements

  • Bachelor’s Degree in relevant field preferred.
  • 5 years of experience in healthcare or social services administration.
  • 3 years of experience with local government Medicaid or Social Security agencies.
  • 1 year of experience with Medicare eligibility.
  • 2 years of supervisory experience.
  • Experience in a data-driven organization.
  • Experience in a larger scale company environment is a plus.

Benefits

  • Health Coverage on Day 1.
  • Paid Parental Leave.
  • 401K Match.
  • 17 days of paid time off in year one.
  • 12 company holidays & 6 sick days.
  • Career path advancement opportunities.
WelbeHealth logo

WelbeHealth

WelbeHealth is dedicated to transforming senior care by providing comprehensive healthcare solutions for vulnerable seniors. As both a care provider and care planner, WelbeHealth focuses on delivering high-quality clinical care within local communities. The company emphasizes the importance of building strong provider partnerships to meet the diverse needs of its participants, particularly through its Health Plan Services team. With a commitment to diversity, equity, and inclusion, WelbeHealth fosters a supportive work environment that encourages personal and professional growth.

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