Case Management Analyst

CAI•Newark, DE

1d•Onsite

About The Position

We are looking for a motivated Case Management Analyst ready to take us to the next level! If you have data entry experience, customer service experience, and proficiency with Microsoft Office and databases and are looking for your next career move, apply now. We are looking for a Case Management Analyst to conduct in-depth analysis of organizational processes for the Medicaid team while providing day-to-day operational support to ensure processes run efficiently and effectively. This position will be Full-Time and Onsite in Newark, DE. This position requires employees to work a minimum of one Saturday per month, as needed. Only work authorizations that will not require sponsorship now or in the future will be considered.

Requirements

High school diploma or equivalent
One year of data entry experience
One year of customer service experience
Proficiency with databases, spreadsheets, and Microsoft Office Suite
Ability to manage multiple priorities in a fast-paced environment while maintaining accuracy and organization
Strong analytical and problem-solving skills with the ability to identify issues and implement effective solutions
Professional written and verbal communication skills for interaction with internal teams and external clients
Fluent English communication skills
Reliable transportation and consistent attendance

Nice To Haves

Knowledge of Medicaid eligibility programs or other public assistance programs
Experience working in case management, benefits administration, or eligibility-focused environments
Bilingual communication skills
Experience working with high-volume case processing and document management activities

Responsibilities

Learn, understand, and follow federal and state laws, regulations, standards, policies, and Medicaid program requirements
Adhere to all CAI and client security requirements
Utilize computer inquiry systems to obtain required verifications
Retrieve Medicaid applications from the client system and distribute work among team members daily
Identify additional benefits associated with cases and route cases to the appropriate processing queues
Document case management activities and updates within the eligibility system
Answer and direct phone calls, respond to emails and correspondence, and serve as a point of contact for clients
Communicate professionally with the client site regarding applications, verifications, and case clarifications
Monitor case completion activity within client systems
Index verifications and renewals as required
Track monthly operational metrics and present results to leadership
Conduct weekly audits of assigned cases to ensure completion and accuracy
Monitor shared resource mailboxes to ensure work is assigned and completed efficiently
Attend individual and team meetings to stay informed of process and policy updates
Perform additional case management and operational responsibilities as assigned