Talent.com
No longer accepting applications
California Licensed Eligibility Director

California Licensed Eligibility Director

VirtualVocationsTacoma, Washington, United States
4 days ago
Job type
  • Full-time
Job description

A company is looking for a Senior Director, Eligibility Excellence.

Key Responsibilities

Lead the design and execution of a scalable Eligibility Center of Excellence, overseeing policies and operational workflows

Direct daily eligibility operations, ensuring compliance, accuracy, and timely processing of redeterminations and participant communications

Establish and manage KPIs and audit routines to monitor performance and regulatory risk across eligibility operations

Required Qualifications

Bachelor's degree required; master's degree in a related field preferred

Minimum of ten (10) years of experience in Medicaid and Medicare eligibility and enrollment operations

Proven experience in regulated healthcare environments with responsibility for eligibility strategy and policy execution

Minimum of five (5) years of leadership experience managing large eligibility teams or platforms

Strong knowledge of federal and state Medicaid policy and related processes

Create a job alert for this search

Director • Tacoma, Washington, United States

Related jobs
  • Promoted
California Licensed Organizational Director

California Licensed Organizational Director

VirtualVocationsRenton, Washington, United States
Temporary
A company is looking for an Organizational Performance & Enablement Director for a 6-month contract.Key Responsibilities : Design and implement practices that foster accountability, collaboration,...Show moreLast updated: 1 day ago
  • Promoted
California Licensed Project Manager

California Licensed Project Manager

VirtualVocationsRenton, Washington, United States
Full-time
A company is looking for a Project Manager - Transportation Infrastructure.Key Responsibilities Directs and manages small to medium-sized transportation projects, ensuring on-schedule completion ...Show moreLast updated: 30+ days ago
  • Promoted
California Licensed Medical Director

California Licensed Medical Director

VirtualVocationsKent, Washington, United States
Full-time
A company is looking for an Inpatient Utilization Management Medical Director with California licensure to work remotely. Key Responsibilities Improve quality and promote evidence-based medicine ...Show moreLast updated: 30+ days ago
  • Promoted
California Licensed Regulatory Director

California Licensed Regulatory Director

VirtualVocationsSeattle, Washington, United States
Full-time
A company is looking for a Senior Director of Regulatory Affairs.Key Responsibilities Provides regulatory and scientific leadership to development teams for optimal success Plans, prepares, and ...Show moreLast updated: 1 day ago
  • Promoted
California Licensed Clinical Appeals RN

California Licensed Clinical Appeals RN

VirtualVocationsRenton, Washington, United States
Full-time
A company is looking for a Clinical Appeals RN, fully remote, requiring 4 or 5 workdays per week with weekends required.Key Responsibilities Review medical records and verify if requested service...Show moreLast updated: 30+ days ago
  • Promoted
California Licensed Casualty Adjuster

California Licensed Casualty Adjuster

VirtualVocationsSeattle, Washington, United States
Full-time
A company is looking for a Represented Casualty Adjuster for a remote position in California.Key Responsibilities Initiate thorough coverage and liability investigations and draft coverage letter...Show moreLast updated: 1 day ago
  • Promoted
California Licensed Credentialing Specialist

California Licensed Credentialing Specialist

VirtualVocationsSeattle, Washington, United States
Full-time
A company is looking for a Licensing and Credentialing Specialist.Key Responsibilities Manage the process of securing and maintaining licenses, certifications, and permits for healthcare provider...Show moreLast updated: 1 day ago
  • Promoted
California Licensed Commercial Lines Manager

California Licensed Commercial Lines Manager

VirtualVocationsTacoma, Washington, United States
Full-time
A company is looking for a Commercial Lines Account Manager to manage client relationships and insurance solutions.Key Responsibilities Manage large books of business for commercial lines insuran...Show moreLast updated: 30+ days ago
  • Promoted
Texas Licensed Claims Examiner

Texas Licensed Claims Examiner

VirtualVocationsTacoma, Washington, United States
Full-time
A company is looking for a Claims Examiner - Liability (REMOTE TX or WI).Key Responsibilities Evaluate commercial auto bodily injury claims and ensure proper documentation and coding Manage the ...Show moreLast updated: 30+ days ago
  • Promoted
California Licensed Permit Coordinator

California Licensed Permit Coordinator

VirtualVocationsRenton, Washington, United States
Full-time
A company is looking for a Permit Coordinator - Solar Campaign.Key Responsibilities Review, prepare, submit, and manage permit application packages according to jurisdictional requirements Coord...Show moreLast updated: 23 hours ago
  • Promoted
California Licensed Senior Fire Manager

California Licensed Senior Fire Manager

VirtualVocationsSeattle, Washington, United States
Full-time
A company is looking for a Senior Fire Project Manager to lead complex wildfire and forest management projects.Key Responsibilities Serve as a technical specialist in wildfire and forestry scienc...Show moreLast updated: 1 day ago
  • Promoted
California Licensed Eligibility Specialist

California Licensed Eligibility Specialist

VirtualVocationsRenton, Washington, United States
Full-time
A company is looking for an Eligibility Specialist III.Key Responsibilities Maintain eligibility and billing for assigned accounts, ensuring compliance and accuracy Provide customer service and ...Show moreLast updated: 1 day ago
  • Promoted
California Licensed Admissions Director

California Licensed Admissions Director

VirtualVocationsSeattle, Washington, United States
Full-time
A company is looking for a Director of Admissions to facilitate enrollment growth and manage the admissions team.Key Responsibilities Recruit, coach, and supervise Admissions Advisors and Manager...Show moreLast updated: 30+ days ago
  • Promoted
Connecticut Licensed Claims Adjuster

Connecticut Licensed Claims Adjuster

VirtualVocationsKent, Washington, United States
Full-time
A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Execute decision-making to analyze and resolve claims while ensuring effective communication with all p...Show moreLast updated: 30+ days ago
  • Promoted
California Licensed Senior Counsel

California Licensed Senior Counsel

VirtualVocationsSeattle, Washington, United States
Full-time
A company is looking for a Senior Commercial Counsel, Cloud.Key Responsibilities Support Cloud commercial transactions, ensuring legal coverage during high transaction volume Provide direct deal...Show moreLast updated: 30+ days ago
  • Promoted
California Licensed Bilingual Call Center Agent

California Licensed Bilingual Call Center Agent

VirtualVocationsSeattle, Washington, United States
Full-time
A company is looking for a Bilingual Call Center Agent.Key Responsibilities Provides information to the public on services available through various Air Quality Programs Triages inbound calls an...Show moreLast updated: 1 day ago
  • Promoted
  • New!
California Licensed Regulatory Affairs Lead

California Licensed Regulatory Affairs Lead

VirtualVocationsKent, Washington, United States
Full-time
A company is looking for a Regulatory Affairs Lead (Medical Devices).Key Responsibilities : Provide regulatory guidance and direction to cross-functional teams and company leadership Develop stra...Show moreLast updated: 9 hours ago
  • Promoted
California Licensed Resolution Manager

California Licensed Resolution Manager

VirtualVocationsSeattle, Washington, United States
Full-time
A company is looking for a Resolution Manager to oversee claims management and resolution processes.Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims effe...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
California Licensed Contracting Manager

California Licensed Contracting Manager

VirtualVocationsKent, Washington, United States
Full-time
A company is looking for a Manager Contracting to lead a team of contracting specialists in drafting and negotiating clinician employment agreements. Key Responsibilities Lead a team in drafting, ...Show moreLast updated: 21 hours ago
  • Promoted
California Licensed Territory Manager

California Licensed Territory Manager

VirtualVocationsKent, Washington, United States
Full-time
A company is looking for a Pharmaceutical Sales - Associate Territory Manager - Cardiometabolic Health.Key Responsibilities Accountable for account-based selling to healthcare providers and promo...Show moreLast updated: 1 day ago