Medicaid Eligibility & Enrollment Lead

Wellpath / Correct Care Solutions; Franklin (TN); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Comprehensive medical, dental, and vision benefits

Paid time off

401k

Tuition Assistance

Employee Assistance Program

Job summary

Wellpath / Correct Care Solutions is seeking a Medicaid Support Manager in Franklin, TN, to lead the Medicaid Support Team and serve as the subject matter expert on Medicaid eligibility and enrollment. This role is critical in helping underserved populations access quality care while managing workflows for Medicaid applications.

Qualified candidates should possess a Bachelor's degree with a preference for an MBA. They will track key metrics, enhance operational workflows, and communicate policy changes effectively.

Qualifications

• Bachelor's degree required; MBA preferred.
• Knowledge of State Medicaid eligibility and enrollment guidelines.
• Understanding of hospital claims processing practices.

Responsibilities

• Serve as the expert on Medicaid eligibility and enrollment.
• Monitor Medicaid policy changes and communicate impacts.
• Build and manage workflows for Medicaid applications.
• Partner with teams to ensure reimbursement of eligible costs.
• Track key performance metrics and share results.

Skills

Knowledge of State Medicaid eligibility

Hospital claims processing

Leadership

Education

Bachelor's degree

MBA (preferred)

Job description

Wellpath / Correct Care Solutions is seeking a Medicaid Support Manager in Franklin, TN, to lead the Medicaid Support Team and serve as the subject matter expert on Medicaid eligibility and enrollment. This role is critical in helping underserved populations access quality care while managing workflows for Medicaid applications.

Qualified candidates should possess a Bachelor's degree with a preference for an MBA. They will track key metrics, enhance operational workflows, and communicate policy changes effectively.