Eligibility Review Manager

Job Summary

A company is looking for an Eligibility Review Manager.

Key Responsibilities:

• Independently manage and oversee eligibility reviews for the Medicaid program
• Collaborate with the project director to ensure alignment with project goals and objectives
• Direct and supervise eligibility policy analysts and reviewers, fostering a cohesive and efficient team

Required Qualifications:

• Minimum of three years project management experience
• Bachelor's degree or equivalent
• Minimum of five years of experience conducting Medicaid/CHIP eligibility reviews
• Experience conducting eligibility reviews for the PERM program
• Thorough understanding of Medicaid eligibility and related processes (preferred)