Case Management Analyst

Montcure LLC; United States; On-site; USD 60,000 - 70,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

PTO

Job summary

Montcure, LLC is seeking a Case Management Analyst to execute individual case actions on a one-business-day clock, including disenrollment, re-enrollment, and deferment determinations, with the rule applied and evidence documented. You will manage the program mailbox, monitor timeliness, and verify separation dates against personnel records.

This role supports a Department of Defense health program serving wounded, ill, and injured service members and their caregivers, ensuring accurate

Qualifications

• 2+ years applying written eligibility or procedural rules to individual cases.
• Demonstrated ability to meet a one-business-day action standard.
• Experience documenting determinations, including the rule applied and the evidence relied upon.
• Experience managing a shared mailbox or case intake queue.
• Experience coordinating record corrections with external organizations.
• Sound judgment handling sensitive individual case information.

Responsibilities

• Execute individual case actions within a one-business-day clock: disenrollment, re-enrollment, deferment determinations, and duplicate-case decisions.
• Apply written decision rules and record the rule applied and evidence relied on for each determination.
• Manage the program mailbox and case intake queue.
• Monitor cases against established timeliness goals.

Skills

Case management

Eligibility rules application

Documentation of determinations

Mailbox/case intake management

Record corrections coordination

Handling sensitive information

Tools

Veterans Tracking Application

DES/Integrated DES system

Job description

Montcure, LLC is an SBA-certified Service-Disabled Veteran-Owned Small Business delivering financial management, audit readiness, internal controls, data analytics, and program support to federal clients across the Department of Defense and civilian agencies. This role supports a Department of Defense health program serving wounded, ill, and injured service members and their caregivers.

About the Role

We're seeking a Case Management Analyst to execute individual case actions on a one-business-day clock — disenrollment, re-enrollment, deferment determinations, and duplicate-case decisions — against written decision rules, recording the rule applied and the evidence relied on for each determination. You'll also manage the program mailbox, monitor cases against timeliness goals, and verify separation dates against personnel record sources.

What You'll Do

• Execute individual case actions within a one-business-day clock: disenrollment, re-enrollment, deferment determinations, and duplicate-case decisions
• Apply written decision rules and record the rule applied and evidence relied on for each determination
• Manage the program mailbox and case intake queue
• Monitor cases against established timeliness goals

Required Qualifications

• 2+ years applying written eligibility or procedural rules to individual cases
• Demonstrated ability to meet a one-business-day action standard
• Experience documenting determinations, including the rule applied and the evidence relied upon
• Experience managing a shared mailbox or case intake queue
• Experience coordinating record corrections with external organizations
• Sound judgment handling sensitive individual case information

Preferred Qualifications

• Military personnel, benefits eligibility, or medical board case processing experience
• Experience with the Veterans Tracking Application or a comparable case system of record
• Familiarity with Disability Evaluation System or Integrated DES case actions
• Experience monitoring cases against established timeliness goals
• Experience with personnel record verification sources

What Success Looks Like

• Fast and accurate under a one-business-day action clock
• Meticulous about documenting the rule applied and evidence relied on
• Sound judgment handling sensitive, individual-level case information
• Comfortable owning a shared mailbox and intake queue without letting items age
• Health, dental, and vision insurance
• Paid time off (PTO)

Status: Contingency – This work is contingent upon award.

Salary: $60,000 - 70,000 per year, commensurate with experience and qualifications.

Montcure, LLC is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.