Eligibility & Financial Redetermination Representative Job at InnovAge (Lakewood)

Eligibility And Financial Redetermination Representative

The Eligibility & Financial Redetermination Representative is responsible for as...

Location

United States , Salem

Salary:

Not provided

InnovAge

Expiration Date

Until further notice

Requirements

Current knowledge of the Medicaid system/benefits in addition to community resources that are available to seniors and their families
High School diploma or GED required
Requires a valid state issued driver's license, personal transportation, good driving record and auto insurance as required by law

Job Responsibility

Completes all re-determinations for InnovAge PACE participants assigned 30 days before case due date
Monitors the Medicaid aging report and works to clear aged items in a timely manner
Communicates the policies and procedures of Long Term Medicaid, Spousal Impoverishment, and Trusts to participants
Performs home visits and/or Day Center visits to complete all Medicaid redeterminations
Assists participants, families and caretaker(s) in completing necessary paperwork for Medicaid re-determination
Documents work and outcomes in the Participant Tracking System Record of Contact Notes
Organizes case load and working area
Completes disenrollment forms for HMO's
Processes participant/Intake/social worker housing forms

What we offer

medical insurance
dental insurance
vision insurance
short and long-term disability
life insurance and AD&D
supplemental life insurance
flexible spending accounts
401(k) savings
paid time off
company-paid holidays

Fulltime

Eligibility and Financial Redetermination Supervisor

The Eligibility and Financial Redetermination Supervisor provides oversite to th...

Location

United States , Richmond; Charlottesville; Salem; Newport News

Salary:

60000.00 - 74000.00 USD / Year

InnovAge

Expiration Date

Until further notice

Requirements

3+ yrs hand-on with Medicaid long term care system and benefits
2+ yrs supervising staff
Bachelors Degree
Requires a state issued driver’s license, personal transportation, good driving record and auto insurance as required by law.

Job Responsibility

Provides leadership and assistance to the Eligibility and Financial Redetermination Team in completion of the monthly redeterminations and meeting with them on a consistent basis regarding status of their caseloads.
Provides leadership and assistance to the Eligibility and Financial Redetermination Team in all other aspects of their job duties. This includes oversite of SHF’s, Medicaid Mail and distribution thereof, 10 day notices and denial notices.
Provides guidance and offers assistance when and where necessary.
Heavily involved in tracking and conducting audits of redeterminations ready to be sent to the County.
Vast knowledge regarding Long Term Care Medicaid so that they can offer alternatives, options and steps that can be taken to solve and remedy Medicaid issues.
Will be part of the overarching plan to improve quality, tracking, communication, and processes in the Medicaid Department as growth and systems dictate.
Back up for staff on an as needed basis and delegating as necessary.
Keeps current on updates of Federal and State rules and regulations pertaining to Medicaid eligibility and informs Redetermination Representatives of information that affects their jobs.
Effectively supervises and manages direct reports and provides, by example and leadership, motivation and direction to employees of the organization.
Carries out supervisory responsibilities in accordance with the organization's policies and applicable state and federal employment laws.

What we offer

medical/dental/vision insurance
short and long-term disability
life insurance and AD&D
supplemental life insurance
flexible spending accounts
401(k) savings
paid time off
company-paid holidays

Fulltime

Eligibility & Financial Determination Specialist

The Eligibility & Financial Determination Specialist works in conjunction with t...

Location

United States , Denver

Salary:

55000.00 - 61000.00 USD / Year

InnovAge

Expiration Date

Until further notice

Requirements

3+ yrs total related experience
1+ yr with CBMS Medicaid systems and knowledge of Medicaid system and benefits
High School diploma or GED
Requires a valid state issued driver’s license, personal transportation, good driving record and auto insurance as required by law.

Job Responsibility

Reviews applications from the Enrollment Representative Group and works closely with them in obtaining necessary documentation needed for Medicaid approval
Works as the primary contact for the enrollment representative for ongoing training and best practices
Tracking system in place and provided to the Medicaid Controller showing applications received and the status of each application from first submission to approvals
Ensures compliance with all State Medicaid Rules and Regulations with applications being submitted by Innovage to the County Agencies
Fulfilling this by keeping current on updates of Federal and State rules and regulations that pertain to Medicaid, Straight Medicaid, LTC, Spousal Impoverishment and Trusts, Food Stamps, Old Age Pension (OAP) and other Medicaid programs for which IGCP participants may be eligible
Works with Accounts Receivable and the Medicaid Controller/Analyst to track on a monthly basis Medicaid issues with IGCP participants
Tracking private pay clients and instrumental in obtaining a smooth transition to Medicaid eligibility
Ensures that all IGCP Medicaid staff acquires and maintain the necessary Medicaid knowledge needed for the position in collaboration with the Medicaid Redetermination Manager and the Medicaid Controller
Immediate attention to 10 day notices and denial notice or any other adverse notices of action received on new applications that were submitted to the county technicians
Troubleshoots difficult cases with Enrollment Representatives and Eligibility & Financial Determination Specialists

What we offer

medical/dental/vision insurance
short and long-term disability
life insurance and AD&D
supplemental life insurance
flexible spending accounts
401(k) savings
paid time off
company-paid holidays

Fulltime

New

Personal Banker Rayford Crossing

Wells Fargo is seeking an Associate Personal Banker (SAFE) to join our National ...

Location

United States , Spring

Salary:

Not provided

Wells Fargo

Expiration Date

December 07, 2026

Requirements

6+ months of interacting with customers experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
Prior experience in financial services or a highly regulated, customer-facing role, demonstrating comfort with structured processes, accuracy, and service expectations
Experience building trust-based customer relationships through active listening, follow-up, and consistent engagement
Comfort initiating outreach (calls, emails, or other channels) to strengthen relationships and identify opportunities to support customer needs
Demonstrated comfort with digital tools and technology, with the ability to quickly learn new systems and confidently guide customers in adopting capabilities that enhance their banking experience
Ability to identify customer needs and connect them to appropriate solutions, including referrals when additional expertise is needed
Proven ability to collaborate with teammates and partners to resolve needs and deliver a seamless customer experience
Demonstrated ability to follow policies and regulations while identifying and escalating risk concerns
Ability to work a schedule that will include Saturdays
Support branch operations by flexing between cash handling and customer banking activities, with an emphasis on delivering strong service through account openings and ongoing account support

Job Responsibility

Build lasting customer relationships through proactive, meaningful conversations that support financial well-being and deepen engagement
Lead discovery-driven conversations to understand customer needs and connect them with relevant banking products, services, and solutions
Drive branch growth by identifying opportunities, promoting solutions, and making appropriate referrals to meet customer and business goals
Support everyday banking needs, including new account openings, service requests, and credit applications
Perform cash handling and teller line activities, accurately processing transactions while maintaining compliance and operational standards
Demonstrate comfort using and adopting digital tools and technologies to enhance the customer experience and support evolving banking needs
Deliver accurate, compliant service while exercising sound judgement within defined risk controls
Collaborate with branch teammates to coordinate seamless handoffs to licensed bankers or other specialists, ensuring customers are connected to the right expertise

Fulltime

New

Pharmacy Technician

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

Location

United States , Frankfort

Salary:

16.50 - 25.00 USD / Hour

CVS Health

Expiration Date

August 25, 2026

Requirements

Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
State-level licensure and national certification requirements vary by state

Job Responsibility

Following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
Contributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
keeping patients healthy by offering immunizations and other services at the register and over the phone
and demonstrating compassionate care by solving or escalating patient problems
Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team, such as accurately putting away medication deliveries and completing cycle counts, returns-to-stocks, waiting bin inventories, etc.
Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
actively seeking opportunities to expand clinical and technical knowledge needed to better assist patients
Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
voluntarily traveling to stores in the market to work shifts as needed by the business

What we offer

dental
vision
wellness resources
employee discounts
access to certain voluntary benefits
other programs

Parttime

New

Tenancy Sustainment Officer

As a Tenancy Sustainment Officer, you'll deliver tailored housing-related suppor...

Location

United Kingdom , County Durham

Salary:

25877.80 - 34240.03 GBP / Year

Social Value Portal Ltd

Expiration Date

Until further notice

Requirements

Valid driving licence and access to own vehicle
Strong interpersonal and communication skills
Ability to manage a varied workload and respond to changing priorities
Confidence using IT systems and Microsoft Office
Ability to write clear, accurate reports
A proactive, solution-focused approach
Commitment to maintaining professional boundaries and safeguarding

Job Responsibility

Deliver one on one support through keywork sessions and develop personalised Tenancy Sustainment Plans (TSPs)
Support tenants with complex needs to maintain independent living
Carry out and review risk assessments regularly
Help tenants access health, housing, welfare and support services
Assist with rent arrears, benefits claims, and financial wellbeing
Support the management of anti-social behaviour and tenancy issues
Respond to tenancy abandonment and property-related issues
Ensure properties are safe, secure, and maintained in line with standards
Work closely with local authorities and external agencies to provide holistic support
Attend multi-agency meetings and contribute to coordinated care plans

What we offer

27 days’ annual leave, rising to 32 after 1 year (plus bank holidays)
Pension scheme with 4.5% employer contribution, matched up to 6.5%
Life assurance (3× annual salary)
Enhanced sick pay and family-friendly pay
Birthday leave and the option to buy up to 5 extra days’ annual leave
Professional fee reimbursement for relevant qualifications
24/7 online GP access and Employee Assistance Programme
Recognition and long service awards via our Way to Go and Aspirations portals
£500 Recommend a Friend bonus
Cycle to Work scheme and Credit Union membership

Parttime

New

Teller

In this front line, customer focused role, you will support customers’ everyday ...

Location

United States , Shillington

Salary:

Not provided

Wells Fargo

Expiration Date

July 05, 2026

Requirements

6+ months of interacting with customers experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
Experience in customer-facing roles, with strong attention to detail and the ability to accurately process transactions across multiple systems in fast-paced environments
Strong verbal communication and active listening skills, with the ability to understand needs, ask effective questions, and clearly explain solutions
Ability to follow policies, procedures, and controls while maintaining accuracy and accountability
Proven cash-handling experience
Demonstrated ability to quickly build accuracy, confidence, and consistency in customer transactions
Professional, integrity-driven approach focused on building trust through reliable service
Ability to recognize potential risk, ask questions, and appropriately escalate concerns to protect customers and the organization
Ability to understand customer needs, identify referral and service opportunities, and educate customers on digital banking tools to improve convenience
Strong collaboration and relationship-building skills, with the ability to work effectively with branch teammates to deliver a consistent customer experience

Job Responsibility

Deliver a positive and reliable branch experience by accurately processing transactions and engaging customers with care
Process routine service transactions (such as deposits, withdrawals, payments, and check cashing) with accuracy and attention to detail
Welcome customers, understand their needs, and guide them to efficient ways to bank, including digital tools, self-service options, or the appropriate team member
Build relationships, actively listen to understand everyday financial needs, and connect customers to relevant information, services, digital tools, or bankers
Identify potential product or service needs, introduce solutions at a high level, and refer customers to a banker for detailed guidance
Complete transactional and operational activities accurately, exercising sound judgment and managing risk in line with policies and controls
Use strong communication and active listening skills to clarify needs and provide clear, simple solutions or next steps
Collaborate with branch teammates to deliver strong operations and service, follow leadership direction, and escalate complex situations as needed
Resolve routine customer questions or concerns and escalate more complex issues to ensure timely resolution

Parttime

New

Pharmacy Technician

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

Location

United States , Bluffton

Salary:

16.00 - 24.00 USD / Hour

CVS Health

Expiration Date

Until further notice

Requirements

Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
State-level licensure and national certification requirements vary by state

Job Responsibility

Living our purpose by following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
Contributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
keeping patients healthy by offering immunizations and other services at the register and over the phone
and demonstrating compassionate care by solving or escalating patient problems
Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team, such as accurately putting away medication deliveries and completing cycle counts, returns-to-stocks, waiting bin inventories, etc.
Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
actively seeking opportunities to expand clinical and technical knowledge needed to better assist patients
Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
voluntarily traveling to stores in the market to work shifts as needed by the business

What we offer

medical
dental
vision coverage
paid time off
retirement savings options
wellness programs

Fulltime

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Eligibility & Financial Redetermination Representative

Job Description

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Requirements

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