Case Management Analyst

cai; Delaware; On-site; USD 42,000 - 66,000; Full time

Job summary

CAI, a global services firm, is seeking a Case Management Analyst to support the Medicaid team onsite in Newark, DE. This role emphasizes data entry, client interaction, and process optimization in a fast-paced environment.

Responsibilities include following federal/state Medicaid requirements, routing cases, and maintaining accurate documentation in the eligibility system. One Saturday per month may be required; sponsorship is not provided.

Qualifications

• High school diploma or equivalent required.
• At least 1 year of data entry experience.
• At least 1 year of customer service experience.
• Proficiency with databases, spreadsheets, and Microsoft Office Suite.
• Ability to manage multiple priorities in a fast-paced environment while maintaining accuracy and organization.
• Strong analytical and problem-solving skills with the ability to identify issues and implement effective solutions.
• Professional written and verbal communication skills for interaction with internal teams and external clients.
• Fluent English communication skills.
• Reliable transportation and consistent attendance.

Responsibilities

• Learn, understand, and follow federal and state laws, regulations, standards, policies, and Medicaid program requirements.
• Adhere to CAI and client security requirements.
• Utilize computer inquiry systems to obtain required verifications.
• Retrieve Medicaid applications from the client system and distribute work among team members daily.
• Identify additional benefits and route cases to appropriate processing queues.
• Document case management activities and updates within the eligibility system.
• Answer and direct phone calls, respond to emails and correspondence, and serve as a point of contact for clients.
• Monitor case completion activity within client systems.
• Index verifications and renewals as required.
• Track monthly operational metrics and present results to leadership.
• Conduct weekly audits of assigned cases to ensure completion and accuracy.
• Monitor shared resource mailboxes to ensure work is assigned and completed efficiently.
• Attend individual and team meetings to stay informed of process and policy updates.
• Perform additional case management and operational responsibilities as assigned.

Skills

Data entry

Customer service

Databases

Spreadsheets

Microsoft Office

Multitasking

Analytical thinking

Communication skills

Fluent English

Reliability/attendance

Education

High school diploma or equivalent

Job description

Case Management Analyst

Req number: R8534 Employment type: Full time Worksite flexibility: Onsite

Who we are

CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise.

Job Summary

We are looking for a motivated Case Management Analyst ready to take us to the next level! If you have data entry experience, customer service experience, and proficiency with Microsoft Office and databases and are looking for your next career move.

Job Description

We are looking for a Case Management Analyst to conduct in-depth analysis of organizational processes for the Medicaid team while providing day-to-day operational support to ensure processes run efficiently and effectively. This position will be Full-Time and Onsite in Newark, DE . This position requires employees to work a minimum of one Saturday per month, as needed.

Only work authorizations that will not require sponsorship now or in the future will be considered.

What You'll Do

• Learn, understand, and follow federal and state laws, regulations, standards, policies, and Medicaid program requirements
• Adhere to all CAI and client security requirements
• Utilize computer inquiry systems to obtain required verifications
• Retrieve Medicaid applications from the client system and distribute work among team members daily
• Identify additional benefits associated with cases and route cases to the appropriate processing queues
• Document case management activities and updates within the eligibility system
• Answer and direct phone calls, respond to emails and correspondence, and serve as a point of contact for clients
• Communicate professionally with the client site regarding applications, verifications, and case clarifications
• Monitor case completion activity within client systems
• Index verifications and renewals as required
• Track monthly operational metrics and present results to leadership
• Conduct weekly audits of assigned cases to ensure completion and accuracy
• Monitor shared resource mailboxes to ensure work is assigned and completed efficiently
• Attend individual and team meetings to stay informed of process and policy updates
• Perform additional case management and operational responsibilities as assigned

What You'll Need

Required

• High school diploma or equivalent
• One year of data entry experience
• One year of customer service experience
• Proficiency with databases, spreadsheets, and Microsoft Office Suite
• Ability to manage multiple priorities in a fast-paced environment while maintaining accuracy and organization
• Strong analytical and problem-solving skills with the ability to identify issues and implement effective solutions
• Professional written and verbal communication skills for interaction with internal teams and external clients
• Fluent English communication skills
• Reliable transportation and consistent attendance

Preferred

• Knowledge of Medicaid eligibility programs or other public assistance programs
• Experience working in case management, benefits administration, or eligibility-focused environments
• Bilingual communication skills
• Experience working with high-volume case processing and document management activities

Physical Demands

Ability to safely and successfully perform the essential job functions consistent with the ADA and other federal, state, and local standards

Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitor

Must be able to communicate with customers/team members over the phone and in person

Sedentary work that involves sitting or remaining stationary most of the time with occasional need to move around the office to attend meetings, etc.

Reasonable accommodation statement

If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employment selection process, please direct your inquiries to [e-mail] or (888) 824 - 8111.

EEO Statement

It is the policy of Computer Aid, Inc.(CAI) not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of CAI to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to b