Eligibility Consultant Job at CVS Health (East Lansing)

Eligibility Consultant

We’re building a world of health around every individual — shaping a more connec...

Location

United States , East Lansing

Salary:

17.00 - 31.30 USD / Hour

CVS Health

Expiration Date

June 19, 2026

Requirements

1+ years of excellent customer service skills with the ability to communicate effectively with both internal and external customers
1+ years of Data entry experience
Must be able to type at least 35WPM
Excellent verbal and written communication skills including articulation, spelling, grammar, proofreading, and telephone skills
Experience with Word and proficient in Excel
High School diploma or G.E.D.

Job Responsibility

Under general supervision, verifies enrollment status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns
Maintains enrollment databases and coordinates electronic transfer of eligibility data
Responds, researches, and resolves eligibility and other enrollment related issues involving member specific information
works directly with clients, field marketing offices and/or local claim operations to achieve positive service outcomes
Applies all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters
Develops tools, and provides coding supplements, tape specifications and error listing to clients/vendors
Acts as the liaison between clients, vendors, and the IT department with defining business requirements associated with non-standard reporting
identifies potential solutions and approves programming specifications required for testing any non-standard arrangements
Ensures all transactions interface accordingly with downstream systems
tests and validates data files for new or existing clients using system tools and tracks results to avoid potential problems and better address on-going service issues

What we offer

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
bonus, commission or short-term incentive program

Fulltime

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Eligibility Consultant

We are seeking a detail-oriented Medicaid Eligibility Specialist to support the ...

Location

United States , Indianapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

2+ years of experience in customer service, administrative support, or case management
Must have experience verifying information, reviewing documents, or following strict rules/policies as part of prior work
Strong attention to detail and accuracy
Ability to interpret and apply policies, procedures, and eligibility requirements consistently
Excellent written and verbal communication skills
Proficiency with data entry, case management systems, and Microsoft Office applications
Ability to manage multiple priorities and deadlines

Job Responsibility

Review Medicaid applications and supporting documentation for completeness and accuracy
Verify applicant information, including income, residency, household details, and other required eligibility criteria
Follow strict state, federal, and organizational guidelines when determining eligibility or next steps
Request missing or additional documentation and communicate clearly with applicants regarding requirements
Maintain accurate case notes, records, and system updates in accordance with documentation standards
Respond to applicant questions by phone, email, or in person with professionalism and empathy
Escalate complex cases or discrepancies as appropriate
Meet productivity, quality, and compliance standards in a fast-paced environment
Protect confidential personal and health-related information at all times

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan
Free online training

Fulltime

Senior Eligibility Consultant

Senior Eligibility Consultant role at CVS Health focused on processing policy an...

Location

United States , East Lansing

Salary:

18.50 - 38.82 USD / Hour

CVS Health

Expiration Date

Until further notice

Requirements

2+ years experience as an Eligibility Consultant
Proficiency in processing accurate and timely policy and eligibility data
Understands intent/end state and operates with minimal guidance
Ability to manage multiple tasks and shifting priorities
A team player capable of operating independently when needed
Provides accurate and timely results
Delegates and follows up as needed
Coaches and mentors others
Ability to manage high work volume and oversee a variety of incoming work flows
High School diploma, G.E.D. or equivalent experience

Job Responsibility

Process accurate and timely policy and eligibility data utilizing administration systems
Collaborate with business partners to understand enterprise initiatives and goals
Respond to eligibility and other enrollment related issues
Partner directly with clients, vendors, internal teams to resolve problems
Anticipate and prevent problems and roadblocks before they occur
Solve complex problems and take a new perspective on existing solutions
Design, develop, and deliver transitional training processes
Mentor junior team members
Assist with recommendations involving eligibility reporting solutions
Deliver consulting services in support of data discrepancies

What we offer

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation programs
Weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules

Fulltime

Manager - Customer Targeting & Eligibility List Consultant

The Manager- Customer Targeting & Eligibility List Consultant is part of the US ...

Location

United States , New York

Salary:

89250.00 - 150250.00 USD / Year

Amex

Expiration Date

Until further notice

Requirements

College Degree
Strategic and logical thinker
Understanding/experience with marketing operations
Experience working with data and marketing platforms (e.g.- Unica, Redpoint, Adobe, Salesforce)
Highly organized, able to prioritize and meet deadlines
A "can do" attitude
Creative problem solver
Strong relationship and communication skills- able to explain complex/technical concepts in layman's terms
Control and compliance mindset

Job Responsibility

Provide consultation to marketing on customer targeting & eligibility for benefit reinforcement and spend campaigns targeted to Consumer and Commercial customers- this includes research on new data elements, reviewing segmentation, meeting with risk and analytic partners, and helping marketers submit requests accurately in our eligibility platforms.
Reviews all list request submissions for accuracy, finalizes with marketing, and provides clear instructions to list execution team members to code and create file for delivery.
Provide subject matter expertise to platform transformation team and participate in testing and campaign migration to a new platform.
Troubleshot and research any data anomalies or customer complaints
Identify process efficiencies and opportunities to simplify or reduce the number of list requests from marketing to free up capacity
Train marketers on targeting processes

What we offer

Bonus incentives
6% Company Match on retirement savings plan
Free financial coaching and financial well-being support
Comprehensive medical, dental, vision, life insurance, and disability benefits
Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need
20+ weeks paid parental leave for all parents, regardless of gender, offered for pregnancy, adoption or surrogacy
Free access to global on-site wellness centers staffed with nurses and doctors (depending on location)
Free and confidential counseling support through our Healthy Minds program
Career development and training opportunities

Fulltime

New

Internal Consulting Senior Manager, Vice President

The Internal Consulting Solutions (ICS) organization is a dynamic and expanding ...

Location

India , Mumbai

Salary:

Not provided

Citi

Expiration Date

Until further notice

Requirements

At least 5-8 years' experience in a major management consulting firm, or equivalent experience in a large Financial Services company
Familiarity with digitalization concepts and emerging trends as it relates to Process Transformation and AI experience integrating technology priorities and requirements into the development of holistic process models and solutions
Strong written and verbal communications skills
Demonstrated experience creating, owning, and developing PowerPoint presentations and similar forms of communication
Advanced skills in MS Excel
Experience analyzing processes
Must be eligible to work in India
Strong ability to identify issues, structure and conduct analyses, organize findings, draw conclusions, identify next steps, and make recommendations with limited guidance
Can work effectively in a team-based collaborative model as well as independently
Thinks business first but quickly grasps and can be conversant in digital technologies and their application to business processes

Job Responsibility

Drive the analysis of complex sets of data and business processes with limited guidance
Independently think through and analyze solutions to problems and develop initial hypotheses, frameworks, and methodologies
Support all phases of projects and drive project execution and delivery
Own the initial preparation of communications for project sponsors and senior stakeholders regarding hypotheses, analyses, and project outcomes
Support creation of project communications to drive engagement of key stakeholders and adoption of recommendations and solutions
Work with colleagues to continuously develop re-usable intellectual capital and contribute relevant content to the team's knowledgebase
Show initiative in performing research and obtaining data

Fulltime

New

Surgical Pathologist / Cytopathologist

Labcorp Diagnostics Southeast Division is seeking a Surgical Pathologist / Cytop...

Location

United States of America , Birmingham

Salary:

Not provided

Labcorp

Expiration Date

Until further notice

Requirements

Medical Degree from an accredited college/university
AL & GA Licensed Physician with Board Certification in Anatomic Pathology or Anatomic & Clinical Pathology
Must be eligible to obtain LA, MS, TN & FL state medical licenses

Job Responsibility

Individual diagnostic evaluation and sign-out of surgical pathology and cytology cases, including a high volume of Gynecologic pathology specimens
Assure compliance with quality, regulatory, and safety guidelines/standards
Accurate and timely evaluation of specimens tested
Assures good laboratory practice (GLP) and compliance with applicable accrediting and regulatory agencies
Provide expert consultation as needed with clients and staff, in person, by phone or electronically

What we offer

Medical
Dental
Vision
Life
STD/LTD
401(k)
Paid Time Off (PTO) or Flexible Time Off (FTO)
Tuition Reimbursement
Employee Stock Purchase Plan

Fulltime

Service Delivery Manager – Security

Location

Canada , Ottawa

Salary:

130000.00 - 145000.00 CAD / Year

RHEA Inc.

Expiration Date

June 30, 2026

Requirements

Experience in physical security, with a history of working in a consultative, security practitioner, or physical security operations role
Post-secondary education (degree or diploma) in any relevant field
Must have or be eligible to obtain Government of Canada security clearance at the levels of Secret
Experience developing security designs and/or requirements
Experience developing business, technical, and functional security requirements
Experience developing threat risk assessments using the HTRA methodology

Job Responsibility

Managing, leading, or otherwise supporting projects in physical security environments
Client and stakeholder engagement and consultation
Overseeing the development of Threat and Risk Assessments, Security Plans, Design Assessments, and/or developing them independently according to both workload and the requirements of a given project
Overseeing the development and/or drafting of security requirements and security designs addressing multiple domains, including (but not limited to) surveillance, access control, and security planning
Supporting the development of Concepts of Operations for systems, technologies, and applications related to assigned projects and security program improvements
Providing advice and guidance on concept designs, preliminary designs, detailed designs, and cost estimates
Providing input on industry standards, best practices, and accepted approaches for the development and implementation of security mitigations
Reviewing architectural, electrical, and structural designs and construction documents for requirements compliance and provide feedback to project teams
Providing support in the preparation of procurement documentation, procurement plans, researching available technologies, providing detailed option analysis and tracking procurement activities

What we offer

competitive remuneration packages
unique career opportunities
personalized training and development programmes
4 weeks’ vacation

Fulltime

Pgme Clinical Education Fellow - Medical Graduates & Amu

One post is a one-year fixed term contract starting in August. It will be based ...

Location

United Kingdom , Swindon

Salary:

65048.00 GBP / Year

Great Western Hospitals NHS Foundation Trust

Expiration Date

June 16, 2026

Requirements

GMC Registration with a Licence to Practice
Eligible to work at ST3- ST5 at the time of appointment
Substantive NHS experience in Acute Medicine
Experience of teaching postgraduate medical resident doctors on training programmes
Experience of the ARCP process
Experience of engaging with quality assessment of postgraduate medical training programmes such as the GMC trainee survey and National Educational and Training Survey
Experience of Quality Improvement and / audit
Experience of using e-portfolios / appraisal systems for evidence collection

Job Responsibility

Provision of clinical education for postgraduate clinical resident doctors including simulation (where relevant) and clinical skills for resident doctors with a specific role supporting the International Medical Graduate consultant lead
To take part in on-going research projects, or undertake original work under supervision
Bedside and classroom teaching of postgraduate resident doctors
Coordination of post graduate resident doctors' teaching opportunities
Supporting Clinical Skills Teaching and ward-based assessment to post graduate resident doctors
Evaluation of teaching in conjunction with the relevant administrator
Undertaking any training that is identified as necessary for the candidate to teach effectively
Promote and deliver simulation as an effective educational tool
Provide a source of support, training and specialist advice to IMG trainees as and when required
Lead on the provision of mentorship to incoming IMG as well as giving informal support to help integration socially with their peers / colleagues

What we offer

Opportunity to undertake PG Certification in Clinical Education

Fulltime

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Eligibility Consultant

Eligibility Consultant

Eligibility Consultant

Senior Eligibility Consultant

Manager - Customer Targeting & Eligibility List Consultant

Internal Consulting Senior Manager, Vice President

Surgical Pathologist / Cytopathologist

Service Delivery Manager – Security

Pgme Clinical Education Fellow - Medical Graduates & Amu

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