reputed company Eligibility Specialist

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