Eligibility Jobs

Provide in-person eligibility determinations and client support for ODHS programs in Baker City as an Eligibility Worker within the Oregon Eligibility Partnership.

Serve La Pine residents as a Human Services Case Manager with Oregon DHS by assessing needs, determining eligibility, and coordinating long-term care and community-based supports.

Provide trauma-informed case management and community resource navigation as a Family Coach for ODHS Self-Sufficiency Program serving Warm Springs families.

Be the welcoming, detail-oriented Benefits Counselor who enrolls and supports patients in Ryan White and third-party benefits programs at AHF’s Atlanta Healthcare Center.

Lead clinical review and care coordination for medically complex MassHealth members by supervising eligibility/authorization processes, interpreting regulations, and partnering with providers and state agencies.

Lead a team within HPD’s Division of Tenant & Owner Resources to oversee rental subsidy program administration, staff supervision, and client-facing services for thousands of NYC households.

Serve Oregonians in the Baker City ODHS office as an Eligibility Worker, conducting in-person interviews and determining enrollment and ongoing eligibility for state benefit programs.

Senior Data Engineer needed to design and implement scalable cloud-based data pipelines and architectures for healthcare payers using Databricks, Snowflake, and modern ETL best practices.

Northwestern Medicine seeks a patient-focused Patient Access Specialist for part-time evening shifts in Huntley to manage registration, scheduling, eligibility verification, and patient-facing support in the Emergency Department.

Serve as the first point of contact for patients at Albany Medical Center by scheduling services, verifying insurance eligibility, and delivering compassionate, high-volume phone support.

Conduct bilingual eligibility interviews and determinations for ODHS benefit programs using a trauma-informed, person-centered approach in a fully remote Eligibility Worker role.

Oregon DHS is seeking Russian/English bilingual Eligibility Workers to perform trauma-informed, person-centered eligibility determinations for state benefit programs using the ONE system.

Presbyterian Healthcare Services seeks a detail-oriented Health Services Assistant in Albuquerque to manage prior authorizations, claims-related documentation, provider coordination, and data entry to support patient care and clinical operations.

Support vulnerable clients at AHF by conducting outreach and eligibility assessments to enroll and maintain clients in the Ryan White program.

Serve as an Eligibility Worker for HASA, conducting face-to-face interviews, determining benefits eligibility, and processing assistance for clients living with HIV/AIDS.

Provide front-line patient access support at Aurora BayCare Medical Center, handling registration, insurance verification, scheduling, and payment collection for outpatient and urgent care visits.

Takeda's BioLife seeks a licensed RN/NP/PA to serve as a Medical Support Specialist at the Sacramento plasma center, managing donor eligibility, adverse event care, and lab review to ensure safe, compliant collections.

Lead and mentor a team of Waiver Services Specialists at Nebraska DHHS to oversee HCBS waiver eligibility, authorization, and quality service delivery for Nebraskans with disabilities.

VSP Vision seeks a Remote Customer Support Representative to resolve member, provider, and partner inquiries across phone and digital channels while upholding service and quality standards.

Lead and supervise BOS teams in New York City’s FIA Benefits Access Centers to manage eligibility, employment planning and case services that help clients achieve self-sufficiency.

Customer-Centric

Inclusive & Diverse

Empathetic

Collaboration over Competition

Fast-Paced

Growth & Learning

Transparent & Candid

Stripe is hiring a Benefits Specialist to administer US benefits operations, handle leave and eligibility files, and support employees across the organization.

Lead a high-impact Patient Eligibility operations team at Commure + Athelas, owning execution, automation, and product feedback to scale RCM workflows in a fast-growing healthcare AI company.

Acelero, Inc. is hiring an ERSEA Assistant to manage enrollment and eligibility processes and support families accessing Head Start services in Bay St. Louis, MS.

Mass General Brigham Health Plan is hiring remote Customer Service Professionals to handle member and provider inquiries on benefits, eligibility, and claims while delivering high-quality, HIPAA-compliant service.

Prominence Advisors is hiring an Epic Tapestry Analyst to lead Tapestry-focused advisory and implementation work, managing projects and delivering process improvements for healthcare clients.

Sword Health seeks a Data Operations Engineer to build and operate ETL pipelines and integrations that reliably process eligibility, claims, and related healthcare data for enterprise clients.

Support patients and clinical teams at OHSU by managing insurance verification, prior authorizations, and patient liability estimates within the Centralized Managed Care & Price Estimates department.

Patient Access Advocate I needed at Presbyterian to register patients, verify insurance, collect payments, and deliver compassionate front‑line service in an onsite hospital administrative setting.

Northwestern Medicine is hiring a Patient Access Specialist to deliver excellent patient-facing registration, scheduling, and insurance verification at its Chicago facility.

The Oregon Department of Human Services is hiring on-site Eligibility Workers in Bend to perform eligibility determinations and provide culturally responsive, trauma‑informed client support (Spanish/English bilingual required for one opening; preferred for others).

Guardant Health is hiring a Reimbursement Specialist I to manage prior authorizations, resolve claims, and support billing operations in a hybrid U.S. role focused on timely, compliant reimbursement.

Prime Healthcare seeks an Insurance Verifier to manage prior authorizations and insurance verification to help ensure patients receive timely care.

Serve Oregon's most vulnerable residents as an on-site Eligibility Worker (Human Services Specialist 3) in Roseburg, assessing needs and determining program eligibility while providing compassionate, trauma-informed support.

Lead end-to-end implementation and optimization of Patient Eligibility workflows for strategic customers at Commure + Athelas, driving measurable RCM outcomes and influencing product direction.

Presbyterian Healthcare Services is hiring a Health Services Assistant in Albuquerque to manage prior authorizations, medical records coordination, claims research, and provider communications.

Northwestern Medicine is hiring a part-time night Patient Access Specialist in Woodstock to manage patient registration, insurance eligibility checks, scheduling, and deliver excellent customer service.

The University of Mississippi Medical Center is hiring an Evening Patient Access Representative for the Adult ER to manage registration, insurance verification, and patient intake with professionalism and accuracy.

Support Justworks' Insurance Benefits team by managing medical insurance operations, resolving eligibility and benefits issues, and partnering with internal and external stakeholders to improve the customer experience.

Waukesha County seeks a Senior ADRC Specialist to provide call-center based information, needs assessment, resource coordination, and LTC eligibility/enrollment for older adults and adults with disabilities.

Youth Villages is hiring a Fayetteville-based Placement Specialist to manage referrals and admissions for NC youth programs, performing eligibility screening, family engagement, and coordination with internal programs and external partners.

Communities Connected for Kids is hiring an Eligibility Specialist in Port Saint Lucie to manage Medicaid, TANF, and Title IV-E eligibility determinations and related case documentation for children in the dependency system.

Humana is hiring a bilingual Consumer Service Operations Representative in Louisville to assess program eligibility, provide resources, and deliver empathetic member support while developing a career in healthcare operations.

Mesa County Department of Human Services seeks an Eligibility Specialist I to determine program eligibility and provide frontline client assistance for state food and medical assistance programs.

Provide welcoming, accurate front-desk and client support for ODHS Warm Springs, managing intake, documentation, appointments, and benefit issuances.

TEKsystems is seeking a remote Member Services Representative to provide accurate, empathetic support for health plan members handling benefits, claims, eligibility, and billing questions.

TEKsystems seeks Remote Customer Service Representatives to support a leading Pacific Northwest healthcare provider during open enrollment.

Experienced administrative supervisor needed at HRA/ORMD to lead a unit that performs eligibility audits, identifies reimbursement opportunities, and manages error-correction and special grant review projects.

Lead a team within HRA's FHEPS Centralized Determination Unit to supervise eligibility review, authorize payments, and ensure timely prevention services for families at risk of homelessness.

Serve Oregon communities as a Human Services Case Manager assessing needs, coordinating long-term care services, and connecting clients to state and local resources.

Serve Oregon residents as a Benefit & Eligibility Worker, conducting eligibility interviews and determinations while providing respectful, culturally aware support—Spanish/English bilingual skills are preferred.