Medicaid Enrollment & Outreach Specialist

Veracity Ventures Inc.; Newark (NJ); On-site; USD 52,000 - 76,000; Full time

Job summary

Veracity Ventures Inc. is seeking a Medicaid Enrollment Specialist in Newark, NJ to enroll prospective participants in Medicaid, with a focus on Medi-Cal enrollment.

You will work with county DPSS representatives and WelbeHealth centers to ensure complete applications and timely submissions, following through to approval. Strong knowledge of Medicaid rules and complex case management is essential.

Qualifications

• Minimum of three (3) years of experience working directly with county DPSS submitting, managing, and appealing Medicaid enrollments.
• Demonstrated knowledge of complex Medicaid enrollment case management.
• Strong knowledge of Medicaid enrollment rules, processes, and practices.
• Experience managing Medicaid application submissions, follow-ups, and appeals.

Responsibilities

• Medicaid Application and Enrollment Management: gather documents and submit applications.
• Follow up on submitted applications to support enrollment.
• Monitor pending applications and address missing information or delays.
• Coordinate with DPSS and enrollment teams to ensure timely workflows.
• Manage cases through the determination process and assist with denials/appeals.

Skills

Spanish-English bilingual

Communication skills

Organization skills

Documentation skills

Follow-up skills

Education

Bachelor's degree in a relevant field

High School Diploma or Equivalent

Job description

Veracity Ventures Inc. is seeking a Medicaid Enrollment Specialist in Newark, NJ to enroll prospective participants in Medicaid, with a focus on Medi-Cal enrollment.

You will work with county DPSS representatives and WelbeHealth centers to ensure complete applications and timely submissions, following through to approval. Strong knowledge of Medicaid rules and complex case management is essential.