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Acro corp
Medicaid Eligibility Specialist
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Job Description
One of our clients is looking for a Management Analyst in New Castle, DE 19720.
Duration:
12 months Shift- 8:00 am
- 4:30 pm M-F Number of positions: 1 Pay rate
- $21/hr.
Role:
This position plays a key role in ensuring that Medicaid and CHIP eligibility decisions are made in compliance. As part of the MEQC review team, you will conduct in-dept case reviews, validate eligibility determination, assess supporting documentation, and help identify errors and patterns that inform system improvements.What You'll Do:
- Review and analyze Medicaid and CHIP active and negative case files for accuracy and compliance.
- Identify and document discrepancies, error trends, and root causes.
- Track and report findings using Excel, Adobe and internal systems.
- Prepare clear, policy-cited written summaries of case reviews suitable for audit and federal reporting.
- Maintain organized, audit-ready digital documentation.
- Collaborate with team members to identify root causes of errors and support corrective actions.
Who Should Apply:
- Analytical and highly attentive to detail.
- Comfortable working with case files, policy references, and digital systems, and be able to work autonomously to ensure objectivity in case reviews.
- Proficient with Excel and Adobe PDF (e.g., filling out forms, annotations, commenting, etc.).
- Strong written and verbal communicators who can document and explain complex findings.
- Skilled at managing confidential information with care and professionalism.
Not Required:
- Familiarity with Medicaid or other public assistance program eligibility rules.
- Background in compliance, quality control, auditing, or case management.
Why Join Us:
- Be part of a federally required, high-impact quality assurance initiative.
- Contribute directly to program integrity and continuous improvement in Medicaid service delivery.
- Gain valuable experience in policy interpretation, audit processes, and eligibility quality control.
- Work in a supportive, mission-driven environment with opportunities for learning and growth.