Eligibility Verification Specialist – Remote Admin II

Maximus; Trenton (NJ); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program for the U.S. Office of Personnel Management.

This Admin II Operations role involves detailed reviews of enrollee-submitted documentation for dependent eligibility verification in the FEHB program. The position is full-time and remote, with a requirement to reside within 75 miles of a Lawrence, KS location; contingent upon contract award.

Qualifications

• High School diploma or equivalent with 1-3 years of experience.
• May have training or education in area of specialization.

Responsibilities

• Review supporting documents for completeness and accuracy against established eligibility requirements.
• Compare records, identify missing or inconsistent information, and resolve routine discrepancies using established procedures.
• Conduct outbound follow-up to request missing information, clarify documentation, and explain next steps.
• Maintain accurate case records, review notes, and status updates in designated systems.
• Manage assigned workloads and follow-up activities to meet quality, productivity, and processing standards.
• Escalate complex or unresolved cases through established channels.
• Protect confidential information and follow applicable privacy, security, and document-handling procedures.

Skills

Attention to detail

Clear written and verbal communication

Data entry

Discretion / confidentiality

Education

High School diploma or equivalent

Additional training in area of specialization

Tools

Electronic case records

Document imaging

Workflow systems

Record reconciliation

Job description

Maximus is seeking an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program for the U.S. Office of Personnel Management.

This Admin II Operations role involves detailed reviews of enrollee-submitted documentation for dependent eligibility verification in the FEHB program. The position is full-time and remote, with a requirement to reside within 75 miles of a Lawrence, KS location; contingent upon contract award.