Remote Consumer Eligibility Specialist Supervisor

VIMO INC

4d • $25 - $35 • Remote

About The Position

It's truly an exciting time to be a part of Vimo®! At Vimo, we are committed to building each other up and infusing a motivating and positive work environment. Our vision has always been to make finding and enrolling in health insurance simple—this is more important now than ever before. We are looking for a Remote Consumer Eligibility Specialist Supervisor to lead our elite teams. In this role, you will oversee a team of specialists, ensuring they deliver an amazing consumer experience while navigating the complexities of health insurance enrollment and Medicaid eligibility through our award-winning cloud-based tools.

Requirements

• Experience: Minimum 2 years of experience in Medicaid eligibility or Managed Care Organization (MCO) environments, with at least 1 year in a leadership or senior-level capacity
• Policy Proficiency: Deep understanding of Medicaid regulations and the ability to interpret complex financial documentation.
• Technical Expertise: Advanced computer skills with a high level of comfort managing remote teams via digital collaboration tools and cloud-based platforms.
• Communication: Exceptional verbal and written communication skills with a proven ability to motivate a remote workforce.
• Strategic Thinking: Strong analytical skills with the ability to interpret complex regulatory guidelines and translate them into actionable team workflows.
• Must be 18 years of age or older.
• Must complete a background check and drug test within 3 days of offer.
• Cable/Fiber Broadband Internet with a hard-wired ethernet connection is required (Minimum 35 mb/s).
• NOT compatible with Mobile ISPs (e.g., T-Mobile), Satellite, Wi-Fi, or adapters.
• Personal device with a functioning camera is required for the initial training and meeting sessions
• Candidates will be evaluated on a core competency set that includes written and verbal communication, technical proficiency (computer and internet navigation), and fundamental mathematical skills.

Nice To Haves

• Bilingual (Spanish/English) is a significant plus.
• Experience with Nevada-specific Medicaid protocols and state-based marketplace operations is highly desired.

Responsibilities

• Team Leadership: Supervise a team of remote specialists, providing daily coaching, guidance, and performance feedback to ensure operational excellence.
• Operational Oversight: Monitor inbound/outbound call queues and chat volumes to ensure service level agreements (SLAs) are met consistently.
• Quality & Compliance: Conduct regular audits and calibrations of consumer calls to ensure strict adherence to established Medicaid and health insurance policies, regulations, and internal procedures.
• Performance Management: Facilitate one-on-one and team meetings to review key performance indicators (KPIs), address roadblocks, and foster professional development.
• Escalation Support: Act as the point of contact for complex consumer inquiries by providing effective problem-solving and resolution practices for plan selection, eligibility inquiries and other disputes.
• Training & Integration: Identify and manage individual and team training needs to ensure a high standard of service delivery is maintained and compliance standards are met.
• Data Integrity: Oversee accurate application data entry and documentation within cloud-based systems.

Benefits

• Competitive Pay: Commensurate with experience and industry standards.
• Professional Growth: Opportunity to lead within the largest state-based marketplace footprint in the country.
• Paid Training: Comprehensive leadership and systems training to ensure your success.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed