Eligibility Review Specialist

Job Summary

To ensure compliance with quality assurance standards, the full-time remote Eligibility Review Specialist will conduct quality reviews of eligibility cases, maintain proficiency in program policies, and provide feedback to leadership on performance improvement.

Key responsibilities

• Review eligibility cases to meet production and quality goals
• Monitor and assess individual and group performance against established standards
• Compile and analyze data for management reports and assist in quality improvement processes

Required qualifications

• Currently employed within the NJEB Eligibility business unit for at least 6 months
• Associate's degree or equivalent quality assurance experience
• Minimum of two years of experience in corporate quality assurance
• Experience in public sector administration, Medicaid, or CHIP is a plus
• Proficiency in MS Word, MS Excel, and MS Outlook