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Enrollment and Eligibility Subject Matter Expert

Essential Duties and Responsibilities:

- Collaborate with project managers on various initiatives and projects to track progress and provide support as necessary.

- Support leadership in ensuring that the project is delivered to specifications, is on time, and within budget.

- Work closely with management and work groups to create and maintain work plan documents.

- Track the status and due dates of projects.

- Manage relationships with project staff responsible for projects.

- Produce regular weekly and monthly status reports that could include; work plan status, target dates, budget, resource capacity, and other reports as needed.

- Facilitate regular meetings and reviews.

- Adhere to contract requirements and comply with all corporate policies and procedures.

- Provide ad hoc support as needed to project team, developers, and stakeholders as requested by project team.

- Provide assistance responding to federal partners' requests for information.

- Consult on federal or state initiatives or policy changes.

Minimum Requirements

- Bachelor's degree in related field.

- 7-10 years of relevant professional experience required.

- Equivalent combination of education and experience considered in lieu of degree.

- Experience with CMS Medicaid Streamline Modular Certification (SMC) and related outcomes and metrics.

- Experience researching state Medicaid , federal, and state eligibility and enrollment documentation and regulations.

- Experience defining and designing Medicaid enrollment and reconciliation solutions.

- Experience speaking with the client/users to understand their specific eligibility business processes

- Minimum three (3) years' experience within the last five (5) years in a comparable role on a similar project.

- Must be willing and able to work a shift that supports the Alaska Standard time zone.

- Must be willing and able to travel 2-4 times per year to Alaska

Home Office Requirements:

- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net).

- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router.

- Must currently and permanently reside in the Continental US.

EEO Statement

Maximus is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

Annual salary is just one component of Maximus's total compensation package.

Other rewards may include short- and long-term incentives as well as program-specific awards.

Additiona...


  • Rate: Not Specified
  • Location: Nashville, US-TN
  • Type: Permanent
  • Industry: Finance
  • Recruiter: Maximus
  • Contact: Not Specified
  • Email: to view click here
  • Reference: 35182_SC_Rapid City
  • Posted: 2026-02-13 08:07:37 -

  • View all Jobs from Maximus


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