Eligibility Manager - Richmond, VA (Hybrid)

Maximus is looking for an Eligibility Manager to support our Cover VA program by overseeing Enrollment and Eligibility staff and driving quality team performance. In this role, you will coach and develop employees, monitor performance and quality standards, provide guidance on escalated issues, and ensure adherence to program policies and procedures. The ideal candidate is a collaborative, results-driven leader with strong communication and problem-solving skills and a commitment to employee development, operational excellence, and quality service.

This is a hybrid position requiring 3 days onsite and 2 days working from home each week. Candidates must reside within 50 miles of our Richmond, VA office.

Why Maximus?
- Competitive Compensation - Annual bonuses based on performance included!
- Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- Paid Time Off Package - Enjoy UTO, Holidays, and sick leave, along with Short- and Long-Term Disability coverage.
- Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- Tuition Reimbursemen t - Invest in your ongoing education and development.
- Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- Professional Development Opportunities - Participate in training programs, workshops, and conferences. smooth operation of project activities

Essential Duties and Responsibilities:

- Stay updated on Enrollment and Eligibility performance standards, corporate, and project policies.

- Assist and inform staff about these policies and procedures.

- Provide guidance when handling escalated complaints and appeals.

- Identify and resolve employee issues, problems, and concerns.

- Address quality concerns with the Supervisory team regarding application and appeal reviews and corrections.

- Analyze weekly statistics, prepare daily and weekly reports.

- Monitor performance objectives for Enrollment and Eligibility Staff.

- Coach teams, set expectations, conduct performance evaluations, and support career development for assigned staff.

- Assess performance, provide appraisals, and implement corrective actions as needed.

- Evaluate training needs to ensure staff remains current with multiple programs.

- Keep leadership informed on quality, training, policies, procedures, staff issues, and departmental performance.

- Bachelor's degree in relevant field of study and 5+ years of relevant professional experience required, or equivalent combination of education and experience.

- Strong organizational and prioritization skills, with the ability to effectively manage multiple responsibilities and competing priorities.
- Current or previous experience with Medicaid enrollment and eligibility processes.

- Strong professional communication skills, both written and verbal, with the ability to communicate effectively across various levels of the organization.

- Must be a current resident of Virginia and reside within 50 miles of our Richmond, VA office.

- Must be willing and able to work 8:00am-5:00pm EST, Monday-Friday.

- Must be willing and able to work onsite 3 days a week in our Richmond, VA office.
- Must have experience leading a team of 20 or more employees.

Preferred Skills and Qualifications
- Experience developing and improving business infrastructure, internal processes, workflows, and operational procedures.

- Conflict resolution experience.

Home Office Requirements

- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net).

- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router.

- Must currently and permanently reside in the Continental US.

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.