Manager, Eligibility - Remote

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.