Manager - Eligibility

5 days ago

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $120.2k - $140.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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WelbeHealth

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WelbeHealth is a healthcare organization that provides comprehensive medical care and personalized support to help seniors age well at home and in their communities. They offer a Program of All-Inclusive Care for the Elderly (PACE) which includes services such as medical care and coordination, dental, vision and hearing services, in-home care, prescription deliveries, transportation, physical therapy, meals, social activities, and more, often at no cost to eligible seniors. WelbeHealth's dedicated team prioritizes the needs of seniors by offering a coordinated approach to healthcare, ensuring access to highly skilled professionals across various areas of healthcare, and emphasizing patient-centered care. Their goal is to improve the quality of life for seniors by enabling them to live independently with robust support from a multidisciplinary team.

501 - 1000 employees

⚕️ Healthcare Insurance

💰 $30M Series C on 2020-02

📋 Description

• Remote Opportunity; Must be in the State of CA – 10-15% of travel • The Manager, Eligibility is a pivotal role responsible for ensuring the smooth operation of Medicaid and Medicare coverage maintenance and the accuracy & integrity of eligibility data across all systems. • This leader will drive efforts to maintain uninterrupted participant coverage, safeguard revenue, and uphold strict compliance standards. • They will serve as the central link between central operations, market-level leaders, and external partners to ensure that all participant data is accurate, current, and seamlessly integrated for all WelbeHealth PACE programs. • The Manager, Eligibility facilitates collaborative relationships across WelbeHealth and with external stakeholders to promote WelbeHealth values, team culture, and mission.

🎯 Requirements

• Bachelor’s Degree in relevant field preferred • Minimum of five (5) years’ experience working in healthcare or social services administration is required • Minimum of three (3) years of experience interacting with local government Medicaid or Social Security agencies required • Minimum of one (1) year of experience working with Medicare eligibility and Center for Medicare and Medicaid Services • Two (2) years’ supervisory experience with demonstrated ability to mentor and develop team members • Experience leading in a data-driven organization, leveraging reports and data to prioritize and manage people and projects • Experience working in a larger scale company environment is highly desired

🏖️ Benefits

• Health Coverage on Day 1 • Paid Parental Leave • 401K Match • 17 days of paid time off in year one • 12 company holidays & 6 sick days • Career path advancement and leadership opportunities