Eligibility Lead Specialist - Remote/Hybrid

Jefferson Health; Golden (CO); Hybrid; USD 40,000 - 42,000; Full time

Benefits offered by this job

Dental insurance

Medical insurance

Vision insurance

PTO & holidays

Retirement matching

Wellness programs

Tuition reimbursement

Flexible schedules

Remote work options

Job summary

Jefferson Health is seeking an Eligibility Specialist Lead to determine eligibility for Adult Financial and Medical Assistance, Food Assistance, Family Medical, Colorado Child Care, and Colorado Works. You will interpret regulations, support staff, and serve as a CBMS technical expert while training teammates and guiding QA processes.

The role offers hybrid work with remote and in-office days, a 40-hour week, and a competitive benefits package including retirement matching and tuition

Qualifications

• Experience interpreting eligibility rules and applying program policies.
• Ability to provide training and technical guidance.
• Experience with CBMS or similar eligibility systems.

Responsibilities

• Assist supervisors in monitoring and assisting eligibility staff with determinations.
• Provide technical guidance and interpret program rules and policies.
• Troubleshoot CBMS system errors and resolve issues.
• Assist staff with complex cases and questions to ensure compliance.
• Communicate changes to program rules to support consistent implementation.
• Share case review findings and lessons learned with staff.

Job description

Jefferson Health is seeking an Eligibility Specialist Lead to determine eligibility for Adult Financial and Medical Assistance, Food Assistance, Family Medical, Colorado Child Care, and Colorado Works. You will interpret regulations, support staff, and serve as a CBMS technical expert while training teammates and guiding QA processes.

The role offers hybrid work with remote and in-office days, a 40-hour week, and a competitive benefits package including retirement matching and tuition