Family & Children Medicaid - Eligibility Team Lead
About The Position
Now Hiring: Family & Children Medicaid Eligibility Team Lead (FCMA). This is a hybrid role located at WakeMed Raleigh. The position involves providing day-to-day supervisory coverage and guidance for a team of case managers and administrative staff, supporting management with operational needs, and collaborating with WakeMed partners. Responsibilities include conducting quality audits for Family & Children Medicaid categories, training and coaching staff, assigning and scheduling work, conducting local hearings for appeals, pulling and evaluating reports, monitoring OnBase, and assisting supervisors with policy alignment and compliance. The role also involves maintaining vacant caseloads until positions are filled. Success in this role requires independent work, strong working relationships with WakeMed personnel, and the ability to guide others through changes in processes, systems, and regulations.
Requirements
- Ability to obtain an annual flu vaccine and maintain required immunizations (unless exempt)
- Current CPR certification, or ability to obtain and maintain it
- Completion of required hospital learning modules annually
- Associate's degree in Human Services or a related field
- Two years of job-related experience
- Equivalent education and experience are accepted
Nice To Haves
- Two (2) years or more experience working with NCFAST
- Two (2) years or more recent experience as a case manager in Family & Children's Medicaid
- Social Services experience as a Team Lead, Trainer or mentor
- Strong policy knowledge in Family and Children's Medicaid
- Ability to lead teams that must meet deadlines to assist patients applying for Medicaid at WakeMed Health & Hospitals
- Ability to maintain partnership with WakeMed
- Strong leadership skills
- Strong knowledge of NCFAST
Responsibilities
- Provide day-to-day supervisory coverage and guidance for a team of case managers and administrative staff
- Support management with operational needs and collaborate closely with WakeMed partners
- Conduct quality audits for Family & Children Medicaid categories
- Train and coach new and seasoned staff through group sessions and one-on-one instruction
- Assign and schedule work to maintain seamless operations
- Conduct local hearings for Family & Children Medicaid appeals
- Pull, evaluate, and communicate results from daily and monthly reports
- Monitor OnBase and provide technical support as needed
- Assist supervisors and contribute to policy alignment and compliance efforts
- Maintain vacant caseloads until positions are filled
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
