Related skills
cms data analytics healthcare administration medicare medicaid📋 Description
- Lead the Eligibility team to maintain PACE eligibility and prevent discrepancies
- Use data analytics and regulatory knowledge to identify and mitigate risks in eligibility
- Oversee participant demographic, eligibility, and enrollment data integrity
- Monitor revenue by analyzing eligibility data and communicating risks to finance and local programs
- Translate complex data into actionable insights for timely decisions
- Coordinate with local market leaders to prioritize high-impact discrepancies
🎯 Requirements
- Bachelor's Degree in relevant field preferred
- 5+ years experience in healthcare or social services administration
- 3+ years interacting with state Medicaid or Social Security agencies
- 1+ year working with Medicare eligibility and CMS
- 2+ years supervisory experience mentoring and developing staff
- Experience leading in a data-driven organization using reports to prioritize and manage projects
🎁 Benefits
- Health coverage on Day 1
- Paid parental leave
- 401K match
- 17 days PTO in year one, 12 holidays, 6 sick days
- Career path advancement and leadership opportunities
Meet JobCopilot: Your Personal AI Job Hunter
Automatically Apply to Healthcare Jobs. Just set your
preferences and Job Copilot will do the rest — finding, filtering, and applying while you focus on what matters.
Help us maintain the quality of jobs posted on Empllo!
Is this position not a remote job?
Let us know!