Eligibility Specialist Jobs
By Maximus At , Jeffersonville, 47130 Up to $18 an hour
Perform managed care enrollment activities on the Welfare Management System (WMS).
Evaluate State of Health managed care issues and make next step determinations.
Review enrollment issues using WMS, eMedNY and other State Medicaid Data systems.
Interact with local district, SDOH, eMedNY and Enrollment Broker staff to resolve MC issues.
Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
Special Programs Eligibility Specialist - 05112023-45863
By State of Tennessee At , Nashville, 37243, Tn $42,504 a year
Leads documentation and management of enrollee changes to Managed Care Organization rosters to ensure accurate information is reflected for benefits.
Identifies inconsistencies and errors in policies, rules, procedures and suggest corrective action to management.
Maintains professional working relationships with peers and with upper management to ensure smooth and effective team operations.
Utilizes acquired knowledge and skills to improve daily performance of assigned tasks.
Coordinating with upper management, peers, and assigned subordinates to facilitate equitable workload distribution.
Substitution of Experience for Education:
Pharmacy Benefit Specialist Ii
By CareOregon At , Portland, 97204, Or $68,390 - $82,750 a year
Minimum 1 year experience with managed care and/or pharmacy benefit management
Perform data entry into the claims processing system, document management systems, databases and spreadsheets as assigned.
Knowledge, Skills and Abilities Required
Ability to learn new skills and abilities
Educate members, providers, pharmacies, and CareOregon staff about the CareOregon formularies and pharmacy benefit policies.
Document all customer service activities according to organization requirements.
Housing Eligibility Specialist Jobs
By EdEn Inc At Cleveland, OH, United States

Role And Responsibilities Eden, Inc. seeks a motivated, highly-organized person who possesses good customer service skills to certify applicants enrolled in, or seeking housing through our ...

Jfs - Eligibility Specialist Ii
By Lucas County Job and Family Services At , Toledo, 43623, Oh From $17.86 an hour
Skill in: utilizing standard office equipment; proprietary applications*; proficiency in word processing, Excel, and email.
ESSENTIAL FUNCTIONS OF THE POSITION:
** Requires successful completion of training course if hired.
Personal computer, standard office equipment.
INHERENTLY HAZARDOUS OR PHYSICALLY DEMANDING WORKING CONDITIONS
This posting is for multiple vacancies with a projected start date in May 2023.