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Manager, Eligibility - Remote

Posted 4 days ago

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.

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