Eligibility Supervisor

5 days ago


Madison WI USA, United States Humana Full time
Job Summary

We are seeking an experienced Eligibility Supervisor to lead our Financial Eligibility team in Medicaid Wisconsin. As a key member of our team, you will be responsible for the day-to-day operation of the Financial Eligibility area, ensuring timely and accurate completion of Medicaid applications and renewals.

Key Responsibilities
  • Lead a highly effective financial eligibility team through mentoring, coaching, and performance management.
  • Ensure the team has the resources, technology, and access to information needed to complete their duties.
  • Monitor and analyze workload and implement efficiencies.
  • Develop and lead unit meetings to facilitate learning, promote discussion, and build a positive work culture.
  • Manage the process for maintaining member financial eligibility and ensure timely and accurate completion of Medicaid applications and renewals.
  • Collaborate with external partners, such as Aging and Disability Resource Centers and Income Maintenance, to resolve member-specific eligibility issues.
  • Provide leadership to the financial eligibility team that supports organizational goals and drives innovation.
Requirements
  • Bachelor's degree in Health Administration or related field.
  • 2+ years of management experience in Managed Care or Income Maintenance.
  • Proficiency in Microsoft Excel, including creating, manipulating, and extracting data.
  • Reside within the State of WI or within reasonable commuting distance.
Preferred Qualifications
  • Prior Eligibility experience.
About Humana

Humana is a leading health and well-being company that puts health first - for our teammates, our customers, and our company. We make it easier for the millions of people we serve to achieve their best health, delivering the care and service they need, when they need it.

About Inclusa

Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity.



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