Eligibility Specialist I Position Available In Leon, Florida

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

• Position Purpose:

• Maintain internal computer system’s Medicaid managed care membership records related to the qualifications a person or dependent must meet for coverage under the State contract or agreement through thorough research and/or collaboration with the agency contracted by the state to provide information to the Company.
• Must live in or around the Tampa Bay area, as this role requires regular in office attendance.
• + Provide timely, efficient support for the eligibility load process while coordinating with Corporate IS department to resolve issues that arise during the process.

+ Provider research to correct errors in membership and PCP (Primary Care Physician) data input within the AMISYS system. + Complete monthly reconciliation process of remittance files by resolving discrepancies in report. + Generate internal ad-hoc reports and analysis as needed.

• Education/Experience:

• High school diploma or equivalent.

2+ years of experience in member enrollment, membership eligibility records, member services and data analysis. Knowledge of Medicaid managed care programs and practices, preferably for the assigned State. Experience with the Trucare system preferred.

Pay Range:

$15.58 – $26.73 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act