Eligibility Manager - Hybrid (Richmond, VA)

Maximus; Richmond (VA); Híbrido; USD 70.000 - 80.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Annual performance bonuses

Medical, Dental, Vision insurance

401K with company match

Paid time off (PTO)

Employee assistance program (EAP)

Tuition reimbursement

Descripción de la vacante

Maximus is seeking an Eligibility Manager to lead Enrollment and Eligibility staff in the Cover VA program. You will coach, monitor performance, and ensure adherence to policies while driving quality service.

The role is hybrid: 3 days onsite in Richmond, VA and 2 days remote weekly. You must reside within 50 miles of Richmond and have Medicaid enrollment experience and strong leadership and communication skills.

Formación

• Must have Medicaid enrollment and eligibility process experience.
• Strong communication skills across organizational levels.
• Ability to lead a team of 20+ employees and drive performance.
• Excellent organizational and prioritization capabilities.

Responsabilidades

• Stay updated on Enrollment and Eligibility performance standards, corporate, and project policies.
• Coach teams, set expectations, conduct performance evaluations, and support career development.
• Provide guidance on escalated issues and appeals in a timely, professional manner.
• Analyze weekly statistics and prepare daily/weekly reports.
• Monitor performance objectives for Enrollment and Eligibility Staff.

Conocimientos

Organizational skills

Prioritization

Leadership

Communication

Medicaid experience

Educación

Bachelor's degree in relevant field

Descripción del empleo

Maximus is looking for an Eligibility Manager to support our Cover VA program by overseeing Enrollment and Eligibility staff and driving quality team performance. In this role, you will coach and develop employees, monitor performance and quality standards, provide guidance on escalated issues, and ensure adherence to program policies and procedures. The ideal candidate is a collaborative, results-driven leader with strong communication and problem-solving skills and a commitment to employee development, operational excellence, and quality service.

This is a hybrid position requiring 3 days onsite and 2 days working from home each week. Candidates must reside within 50 miles of our Richmond, VA office.

Why Maximus?

• Competitive Compensation - Annual bonuses based on performance included!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy UTO, Holidays, and sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities - Participate in training programs, workshops, and conferences. smooth operation of project activities

Essential Duties and Responsibilities:

• Stay updated on Enrollment and Eligibility performance standards, corporate, and project policies.
• Assist and inform staff about these policies and procedures.
• Provide guidance when handling escalated complaints and appeals.
• Identify and resolve employee issues, problems, and concerns.
• Address quality concerns with the Supervisory team regarding application and appeal reviews and corrections.
• Analyze weekly statistics, prepare daily and weekly reports.
• Monitor performance objectives for Enrollment and Eligibility Staff.
• Coach teams, set expectations, conduct performance evaluations, and support career development for assigned staff.
• Assess performance, provide appraisals, and implement corrective actions as needed.
• Evaluate training needs to ensure staff remains current with multiple programs.
• Keep leadership informed on quality, training, policies, procedures, staff issues, and departmental performance.

Minimum Requirements

'- Bachelors degree in relevant field of study and 5 years of relevant professional experience required, or equivalent combination of education and experience.

'- Strong organizational and prioritization skills, with the ability to effectively manage multiple responsibilities and competing priorities.

• Current or previous experience with Medicaid enrollment and eligibility processes.
• Strong professional communication skills, both written and verbal, with the ability to communicate effectively across various levels of the organization.
• Must be a current resident of Virginia and reside within 50 miles of our Richmond, VA office.
• Must be willing and able to work 8:00am-5:00pm EST, Monday-Friday.
• Must be willing and able to work onsite 3 days a week in our Richmond, VA office.
• Must have experience leading a team of 20 or more employees.

Preferred Skills and Qualifications

• Experience developing and improving business infrastructure, internal processes, workflows, and operational procedures.
• Conflict resolution experience.

Home Office Requirements

• Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net).
• Connectivity to the internet via either Wi‑Fi or Category 5 or 6 ethernet patch cable to the home router.
• Must currently and permanently reside in the Continental US.

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Minimum Salary

$70,000

Maximum Salary

$80,000