Refugee Health Programs Officer (RMA/URM) — Arlington

U.S. Committee for Refugees and Immigrants; Arlington (VA); On-site; USD 66,000 - 81,000; Full time

Job summary

U.S. Committee for Refugees and Immigrants (USCRI) seeks a Refugee Medical Assistance Program Officer in Arlington, VA to support the growth and operations of the Refugee Health Services Division.

You will oversee MRD programs across states, manage eligibility determinations, benefits coordination, and provider outreach, ensuring timely, compliant service delivery. This temporary FY27 role requires a bachelor’s degree and 3–5 years in health benefits or case management, with strong coordination

Responsibilities

• Determine final eligibility for Refugee Medical Assistance (RMA) and ORR-funded Medical Assistance (OFMA) for URM, in coordination with LRAs
• Serve as a benefits coordinator by communicating eligibility determinations, authorizing health coverage, and ensuring timely enrollment
• Support LRAs with enrollment processes through electronic eligibility systems (e.g., eRED), ensuring accuracy and completeness
• Review and validate eligibility documentation to ensure compliance with federal guidelines and program requirements
• Apply quality assurance controls to ensure consistency and accuracy in eligibility determinations across states
• Identify and resolve eligibility discrepancies in coordination with LRPs, state partners, and internal teams
• Maintain documentation and audit trails to support compliance and monitoring activities
• Coordinate with federal, state, and local partners to support program implementation and service delivery
• Build and maintain relationships with internal and external partners, including healthcare providers and community-based organizations
• Work directly with assigned states to coordinate application processing, enrollment activities, client inquiries, and operational follow-up
• Assist with onboarding new states and addressing operational challenges associated with program expansion
• Respond directly to client inquiries regarding healthcare coverage, benefits, and access to medical services
• Provide guidance regarding medical identification cards, covered services, provider networks, and accessing healthcare
• Coordinate with LRPs and the Third-Party Administrator (TPA) to address client concerns and resolve coverage-related issues
• Assist clients with inquiries regarding medical billing, transportation, interpretation, and other available support services
• Monitor outstanding client inquiries and concerns to ensure timely follow-up and resolution
• Maintain accurate documentation of client communications and follow-up activities
• Coordinate with LRP case managers and state partners to assess provider access needs for RMA clients, including specialty care and geographic access
• Monitor provider network adequacy and identify trends, challenges, and needs across MRD states
• Serve as a liaison between LRPs, state partners, and the TPA to track provider requests and follow up on contracting status
• Support escalation of urgent provider access issues to ensure timely care for clients
• Develop and disseminate program materials, guidance documents, and training resources
• Provide case consultation and guidance to LRPs, RDs, and state partners related to eligibility, benefits coordination, and service access
• Deliver training and technical assistance to support program implementation, compliance, and best practices
• Promote culturally and linguistically appropriate services (CLAS) and equitable access to healthcare
• Maintain documentation of program materials and training resources
• Support data collection, entry, and management within electronic eligibility and reporting systems
• Maintain accurate application, eligibility, enrollment, and client communication records
• Track pending applications, enrollment activities, and outstanding follow-up items
• Respond to routine data requests with accuracy and timeliness
• Contribute to monitoring activities by compiling data and responding to data requests
• Ensure data integrity and consistency across reporting systems and program documentation
• Support development of customer service surveys for current and former RMA and OFMA clients
• Review client feedback to assess satisfaction, access to care, and service barriers
• Provide recommendations to improve client experience and service delivery
• Assist with program audits, monitoring activities, and compliance reviews
• Contribute to policies, procedures, and statewide guidance
• Identify opportunities to improve program operations, service delivery, and cost-effectiveness
• Provide support for transportation and interpretation services as needed
• Perform other responsibilities as assigned by the supervisor

Job description

U.S. Committee for Refugees and Immigrants (USCRI) seeks a Refugee Medical Assistance Program Officer in Arlington, VA to support the growth and operations of the Refugee Health Services Division.

You will oversee MRD programs across states, manage eligibility determinations, benefits coordination, and provider outreach, ensuring timely, compliant service delivery. This temporary FY27 role requires a bachelor’s degree and 3–5 years in health benefits or case management, with strong coordination