Medicaid Eligibility Specialist

The Medicaid Eligibility Specialist serves as an advanced resource for Medicaid eligibility, enrollment, and case resolution activities within an underserved community healthcare setting. This role involves reviewing complex cases, resolving escalated issues, and providing technical guidance to ensure compliance with state and federal Medicaid regulations. The position acts as a subject matter expert and liaison between eligibility staff, managed care organizations, providers, and state agencies to support timely and accurate access to Medicaid benefits.