MMC Group logo
MMC Group

MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations. We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com . We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Eligibility Specialist

Location

United States

Posted

4 days ago

Salary

$16 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Eligibility Specialist

MMC Group

Role Description Are you detail oriented, organized, and passionate about helping others? We are seeking an Eligibility Specialist to support a statewide child welfare program by determining eligibility for federally funded assistance programs that help provide care for children placed outside their homes. In this fully remote role, you will: - Complete initial and six-month eligibility determinations in accordance with federal, state, and tribal guidelines. - Request, track, and follow up on missing documentation from county and tribal agencies. - Maintain accurate electronic eligibility files, including court orders, financial records, and supporting documentation. - Review and analyze information from multiple databases and computer systems to determine program eligibility. - Enter eligibility information into the state's case management system. - Communicate professionally with state and county agencies by phone and email. - Assist with special projects and additional program responsibilities as assigned. - Maintain confidentiality while handling sensitive case information. Qualifications - High School Diploma or equivalent required. - Proficiency with Microsoft Word and Microsoft Excel. - Strong attention to detail and organizational skills. - Excellent analytical and problem-solving abilities. - Ability to adapt to changing policies and procedures. - Strong written and verbal communication skills. - Ability to work independently and manage competing priorities. - Professional customer service skills. - Ability to establish effective working relationships with coworkers, public officials, and external partners. - Ability to attend occasional in-person meetings within Wisconsin as requested by management. Requirements - Complete initial eligibility recommendations within established timeframes. - Complete six-month eligibility reviews on schedule. - Process an average of 4 to 6 cases per day. - Assist with additional eligibility related programs and special projects. - Maintain accuracy, productivity, and quality standards. - Contribute positively to a collaborative and professional team environment. Benefits - Fully remote position for Wisconsin residents. - Monday through Friday schedule. - Gain valuable experience in government program administration. - Collaborative and supportive team environment. - Opportunity to develop specialized eligibility and case management experience. - Potential opportunity to apply for future positions when program services transition. - Health insurance plans for active candidates on assignment, including medical, dental, and vision coverage. - Life and disability insurance. - Additional voluntary benefits.

Related Job Pages

More General Jobs

ProArch logo

Support Services Coordinator

ProArch

Consulting and technology- enabled by cloud, guided by data, fueled by apps, and secured by design.

General4 days ago
Full TimeRemoteTeam 201-500H1B Sponsor

• Monitor incoming, assigned, and escalated support tickets to ensure timely ownership and resolution. • Coordinate ticket triage activities and ensure appropriate assignment across the support organization. • Monitor escalations received through the Help Center and ensure they are actively addressed. • Identify and coordinate proper routing of tickets requiring engagement outside standard support workflows. • Maintain visibility into ticket queues and ensure no critical requests remain unattended. • Continuously monitor tickets approaching or exceeding SLA thresholds. • Proactively communicate potential SLA risks and breaches to Support Leadership and key stakeholders. • Collaborate with engineers and support teams to drive timely resolution and SLA recovery actions. • Track service performance metrics and highlight areas requiring operational attention. • Coordinate scheduling of ticket-related work and align assignments with resource availability. • Facilitate collaboration between engineers, project teams, and support resources. • Help identify and address coverage gaps to ensure uninterrupted support operations. • Support workload balancing across teams to maximize efficiency and responsiveness. • Review and ensure ticket records contain accurate and complete information, including: - Categories - Contacts - Locations - Required fields - Supporting documentation • Promote adherence to established ticketing standards, workflows, and operational processes. • Assist in maintaining consistency and quality across support activities. • Monitor tickets requiring additional action, including: - Needs Attention - Customer Reply - Pending - Stalled or aging tickets • Conduct timely follow-ups with responsible teams to ensure continued progress. • Prevent tickets from becoming inactive or delayed due to lack of ownership. • Monitor workloads for engineers who are out of office or unavailable. • Coordinate reassignment or progression of active work to prevent service disruptions. • Ensure continuity of support activities and adherence to customer commitments. • Provide backup coverage for Help Center phone queues as required. • Assist with support coordination, scheduling, and operational activities. • Support day-to-day administrative functions that contribute to effective service delivery.

India
University of Utah Health logo

Referral Specialist I

University of Utah Health

University of Utah Health is an integrated academic healthcare system with five hospitals including a level 1 trauma center, eleven community health centers, over 1,600 providers, and a health plan serving over 200,000 members. University of Utah Health is nationally ranked and recognized for our academic research, quality standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine, School of Dentistry, College of Nursing, College of Pharmacy, and College of Health providing education and training for over 1,250 providers annually. We have over 2 million patient visits annually and research grants exceeding $350 million. University of Utah Hospitals and Clinics represents our clinical operations for the larger health system. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA

General4 days ago
Full TimeRemoteTeam 10,001

Role Description This position carries out the day-to-day activities of a physician referral service, including: - Referring incoming calls to appropriate physicians or clinics. - Notifying physicians when their patient has been admitted to the hospital. - Monitoring and updating multiple databases. - This position is not responsible for providing patient care. Responsibilities Essential Functions: - Facilitates access for patients, physicians, employees, and Outreach and Network Development to the system. - Answers inbound calls and refers callers to a specific physician or clinic based on the caller's stated medical issue(s). - Logs inbound calls and prepares quarterly reports that summarize referrals to specific physicians and clinics. - Generates daily reports that identify patients who were admitted the prior day. - Notifies the patient's physician (either internal or external to the organization) that their patient was admitted to the system and provides or helps gain access to pertinent medical information. - Takes ownership of solving problems or issues of importance to patients, physicians, and support staff. - Works to identify and notify patient physicians when little information is provided about the specific physician. - Maintains and updates several databases with accurate physician contact and demographic information, such as specialty areas, credentials, gender, and language(s) spoken in order to expedite referral services. - Assists other departments with collecting and entering doctor satisfaction surveys. - Based on call, initiates the process of receiving the patient into the system by creating a referral shell to send to the appropriate outpatient clinic for request for medical care. Qualifications - Two (2) years of experience in health care, or the equivalency. - Experience scheduling patient appointments and navigating patient electronic medical records. Requirements - Extensive knowledge of medical terminology and experience in a healthcare environment. - Bilingual. - Working experience in an outpatient clinic and/or in large complex medical center(s). - Experience in a health care financial setting. Working Conditions and Physical Demands Employee must be able to meet the following requirements with or without an accommodation: - This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. - This position involves sitting most of the time and is not exposed to adverse environmental conditions. Physical Requirements - Listening - Speaking

United States
Full TimeRemoteTeam 51-200

Role Description This position is responsible for underwriting moderate to complex property/casualty policies to contribute to a profitable portfolio of business within Manitoba and Saskatchewan. They contribute to achieving projected objectives for brokers by monitoring and controlling quality of business underwritten. This position involves working closely with a group of brokers to leverage a strong relationship in creating new business opportunities. Key Responsibility Areas - Underwriting: - Review, quote and manage commercial mid-market requests for new business, endorsements, and renewals. - Assess risk and apply effective underwriting practices to maximize profitability. - Consult with management in unique risk scenarios to maintain quality and risk selection outside of established authority levels. - Implement and negotiate facultative reinsurance. - Influence the development and deployment of commercial lines products. - Maintain knowledge of current market and industry trends, pricing levels and policy form amendments. - Monitor, review and report on activity and results. - Request inspection based on Loss Prevention Guidelines. - Various projects/initiatives as required. - Assist in training and mentoring of underwriters I. - Customer Service: - Participate in insurance industry events and broker visits. - Provide and maintain excellent levels of customer service. - Frequent travel to broker offices to conduct in-person meetings. - Cultivate relationships with brokers and reinsurance partners. - Work cross-functionally within Red River Mutual departments (marketing, human resources, broker relations, loss prevention, claims etc.). Qualifications - 3-5 years’ underwriting experience or 5 years brokerage experience. - Post Secondary education is considered an asset. - CIP designation or working towards and/or equivalent qualification. - Experience in all aspects of commercial lines underwriting and risk assessment. - Experience in customer service. - Proven leadership, teamwork and collaboration skills. - Ability to work independently. - Strong written and oral communication and presentation skills. - High level of organization and attention to detail. - Planning, analysis and problem-solving skills. - Ability to adapt and innovate. - Effective negotiating, judgment and decision-making skills. - High stress tolerance. - Valid Class 5 Driver’s License. Requirements - Successful candidates will be required to complete a comprehensive background check. - Where applicable, this may include a driver's abstract. - Employment offers are contingent upon these requirements being met and may be withdrawn during the process if any of the requirements are not met to the Company’s satisfaction. Benefits - Accommodation for applicants with disabilities is available upon request at any stage of the recruitment process. - Accessible employment policies and alternative application formats are available upon request.

Canada
K Health logo

Primary Care Physician

K Health

Behind every leading health system is K Health’s AI-powered virtual care engine. Esteemed health systems like Mayo Clinic, Cedars-Sinai, Mass General Brigham, Hackensack Meridian Health, and Hartford Healthcare partner with K Health to build and run modern primary virtual care clinics on their behalf. Our deeply integrated model modernizes the primary care loop by using AI to put humans first. For our patients, we offer clinical AI (i.e., PatientGPT) and unparalleled access to close care gaps around the clock. For our Providers, we deliver provider-serving agentic solutions (i.e., Perfect Note) to eliminate administrative overload and burnout. And for the health systems, we deploy our top-grade Virtualists in AI-powered virtual clinics 24/7 to capture the patients' care journeys at step one, retain the journey through the system for longitudinal care, and strengthen profitability. We’re founded in 2016, headquartered in New York City, and backed by nearly $400 million from leading investors.

General4 days ago
Full TimeRemoteTeam 201-500

Role Description Join K Health as we partner with the nation's top-rated hospital systems to expand access to primary care in communities facing complex barriers to in-person care. We are looking for full-time Primary Care Physicians who will deliver fully remote, video-based, comprehensive clinical care encompassing preventive care, sick visits, and chronic condition management. - The ideal candidate must reside and be licensed in New York. - Must be board-certified in Family or Internal Medicine. - Comfortable practicing the full spectrum of primary care, including pediatrics and mental health. - Work from the comfort of your home and deliver care to those who need it the most, supported by K Health's cutting-edge Clinical AI Platform. - Our virtual clinic is fully supported 24/7 by a dedicated team of Care Concierge, Clinical Operations, and technical support staff, which helps significantly reduce your administrative burden. Qualifications - 3+ years of post-residency work experience. - Active New York medical license. - Board-Certified in Family or Internal Medicine. - A minimum of 2+ years experience in an in-person primary care setting. - Experience with virtual visits required. - Must have prior experience with EPIC EMR. - Clean background and medical malpractice history. - Willing to commit 40 hours per week, 36 clinical hours. - Must be able to work Monday and Friday with flexibility over starting hours (i.e., 7 am-12:30 pm EDT). - Spanish Speaking is a plus. - Strong interest in developing longitudinal relationships with patients and managing chronic care conditions. - Comfort with management of acute conditions in a virtual setting. - Extensive experience handling 3+ cases per hour. - Eagerness to learn about and implement cutting-edge technology to improve efficiency and clinical outcomes. Benefits - Malpractice insurance coverage. - Work from anywhere in the US. - Generous Paid Time Off. - Paid parental leave. - 401k benefit. - Competitive health, dental, and vision insurance options. Compensation $230,000 - $270,000 USD Company Description Behind every leading health system is K Health’s AI-powered virtual care engine. Esteemed health systems like Mayo Clinic, Cedars-Sinai, Mass General Brigham, Hackensack Meridian Health, and Hartford Healthcare partner with K Health to build and run modern primary virtual care clinics on their behalf. - Our deeply integrated model modernizes the primary care loop by using AI to put humans first. - For our patients, we offer clinical AI (i.e., PatientGPT) and unparalleled access to close care gaps around the clock. - For our Providers, we deliver provider-serving agentic solutions (i.e., Perfect Note) to eliminate administrative overload and burnout. - For the health systems, we deploy our top-grade Virtualists in AI-powered virtual clinics 24/7 to capture the patients' care journeys at step one, retain the journey through the system for longitudinal care, and strengthen profitability. - We’re founded in 2016, headquartered in New York City, and backed by nearly $400 million from leading investors.

United States
$230K - $270K / year