Medicaid Eligibility Manager

🔥 3 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $0 - $65k / year

⏰ Full Time

🟢 Junior

👔 Manager

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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One Senior Care

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

📦 Logistics

💼 Consulting

Healthcare • Logistics • Consulting

One Senior Care is dedicated to enhancing the quality of life for seniors, particularly those in rural and underserved areas, by providing comprehensive, person-centered healthcare and social services. Their mission focuses on supporting PACE programs through innovative solutions and exceptional service, allowing caregivers to concentrate on offering quality care while minimizing administrative burdens. One Senior Care fosters partnerships among PACE community leaders to collaborate on best practices, share resources, and improve care outcomes for seniors, ultimately enabling them to live independently in their homes.

📋 Description

• Manage the transition of Medicaid applications from intake teams to establish eligibility for newly enrolled Participants • Monitor eligibility for pending and presumptive enrollees and respond to county requests for information • Track and manage Medicaid renewals and revalidations using established workflows and timelines • Support the appeals process on behalf of Participants when needed • Coordinate with county offices and internal teams to ensure required documentation is received and submitted accurately • Respond timely to changes in participant Medicaid Status • Conduct ongoing monitoring of eligibility, including annual and situational redeterminations • Communicate with internal teams regarding eligibility status, renewal deadlines, documentation needs, and policy changes affecting access to services • Build and maintain professional relationships with county offices to support timely issue resolution • Work primarily independently at a steady, predictable pace while supporting internal teams and external partners

🎯 Requirements

• High school diploma or equivalent required • Bachelor’s degree preferred • Knowledge of Medicaid, Medicare, and PACE eligibility regulations preferred • At least one year of experience working with the frail or elderly population, or willingness to complete extensive training • Experience using electronic records or case management systems is a plus • Highly detail-oriented with a strong focus on accuracy and consistency • Comfortable following clearly defined processes and procedures • Patient, conscientious, and able to double-check work to ensure quality results • Organized and dependable, with the ability to manage repetitive tasks effectively • Professional, polite, and service-oriented in all interactions • Able to work independently while collaborating as needed with internal partners • Ability to move intermittently throughout the workday • Ability to sit, stand, bend, and lift as needed • Must be able to drive a motor vehicle • Ability to travel locally and regionally, with occasional overnight travel • Successful completion of required background checks, health and safety screenings, and any clearances required for healthcare programs

🏖️ Benefits

• 9 Paid Holidays • PTO starting at 3 weeks + 1 day per year (accrued from date of hire for full-time employees) • Medical, Dental, & Vision • Free Life and AD&D Insurance Plan • Health Savings and Flexible Spending Accounts • Short Term Disability Insurance • Group Voluntary Term Life Insurance for Employee, Spouses, and Dependents • Paid Parental Leave • Tuition Reimbursement and Paid Training Opportunities • Retirement Plan with company annual match • Mileage Reimbursement at annual IRS rate as applicable • Training, mentorship, and career development programs

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