Adult Medicaid - Eligibility Team Lead

Wake County Government•Raleigh, NC

17h•$27 - $33•Onsite

About The Position

We are seeking a knowledgeable and supportive Adult Medicaid Eligibility Team Lead to support our Private Living Medicaid Recertification and SSI unit. This role provides direct leadership, guidance, and quality oversight to staff while maintaining a strong focus on policy accuracy, case management excellence, and effective collaboration with internal and external partners.

Requirements

Associate's degree in Human Services or a related field
Two years of job-related experience
Ability to provide guidance and feedback to help employees strengthen their knowledge, skills and abilities and improve job performance
Expertise in planning and supporting the development of others
Ability to create a work environment that encourages staff to practice respect, demonstrate open communication and promote accountability
Expertise in building and maintaining ongoing, collaborative, working relationships with coworkers to achieve the goals of the work unit
Ability to convey information clearly and concisely both verbally and in writing to ensure that listener understands the information and the message
Ability to listen and respond appropriately to others
Ability to be relied upon to ensure that projects within areas of responsibility are completed in a timely manner
Expertise in providing guidance and feedback to help an employee or groups of employees strengthen their knowledge, skills and abilities to accomplish a task or solve a problem, which in turn should improve job performance
Ability to multitask
Proficient in Adult Medicaid policy, NCFAST and NCFAST troubleshooting, and Excel

Nice To Haves

Two or more years of case manager experience in Adult Medicaid.
Experience working in NCFast.
Troubleshooting.
Basic knowledge of SSI policy.

Responsibilities

Provide timely responses to staff policy questions and handle inquiries from the general public and facility representatives.
Prepare and deliver mini-trainings to support staff development and reinforce Medicaid policy and procedural updates.
Meet regularly with new or developing staff to review work, monitor progress, and provide ongoing mentoring.
Maintain case action and case management responsibilities for vacant caseloads and in instances where staff are absent, on sick leave, or out on extended leave.
Conduct quality reviews of staff casework to ensure accuracy and compliance.
Build and maintain strong working relationships with area facilities, attorneys, and other external partners.
Serve as a local hearing officer for Adult Medicaid cases as needed.
Engage with families and caregivers, providing information, direction, and assistance regarding services and program needs.
Evaluate team workloads regularly and recommend organizational or procedural changes to improve efficiency.
Interpret policy for staff and coordinate with the state for clarification when necessary.
Review employee casework routinely to maintain high-quality standards.
Support SSI team members with troubleshooting tasks, SDX exceptions, and case-related task management.
Assist with daily updates and oversight of the SSI assignment spreadsheet.
Pull, review, and work various operational reports to support team performance and compliance.