Medicaid Enrollment and Eligibility Manager

Purpose

The Medicaid Enrollment and Eligibility Manager leads Neighborcare Health’s eligibility and enrollment operations to support uninsured patients in accessing Medicaid, Washington Healthplanfinder coverage, and other available assistance programs. This role oversees enrollment workflows, maximizes patient enrollment into programs for which Neighborcare Health is a provider, and manages the Sliding Fee Discount Program in alignment with organizational policy and regulatory requirements. The Medicaid Enrollment and Eligibility Manager supervises the eligibility team and is responsible for hiring, onboarding, training, performance management, and completion of annual performance reviews. The role ensures eligibility services are delivered accurately, consistently, and in a patient-centered manner. This position collaborates with internal departments and external partners to support enrollment activities and community awareness of Neighborcare Health’s eligibility services. The Medicaid Enrollment and Eligibility Manager may plan and lead meetings such as the First Friday Forum and represent Neighborcare Health in community, regional, or national settings related to eligibility and access to care.

Health, Wellness & Retirement Benefits

• Medical, dental & vision insurance
• Paid time off & paid holidays
• Retirement with contribution match
• Life & AD&D, pet insurance
• Employee assistance program, & more!
  
  

Compensation

• The target wage range for the position is $40.24 per hour to $49.15 per hour
• Final offers are individually based on various factors, including skill set, years of experience, location, qualifications, work schedule and other job-related reasons.
  
  

In This Position You Will

• Manage eligibility staff, including recruitment, hiring, onboarding, training, retention, performance management, annual reviews, and discipline. Provide coaching and mentorship focused on problem-solving, process improvement, effective communication, and ensuring appropriate daily staffing and schedule coverage.
• Serve as a strategic and analytical leader with strong judgment, people skills, and a patient centered focus.
• Partner with site leadership to plan for long-term patient eligibility needs and resources, and to maximize enrollment into insurance plans in which Neighborcare Health participates.
• Collaborate in the development of outreach and enrollment materials to support Medicaid eligible patients in understanding the benefits of public insurance coverage. Stay informed of changes in eligibility regulations and enrollment processes; develop, update, and implement eligibility protocols to ensure efficient patient access to services.
• In collaboration with internal and external partners, coordinate the design, ordering, distribution, and monitoring on enrollment materials, including partnerships such as CHPW’s Partners in Promotion program.
• Work in partnership with the Washington State Health Care Authority and other agencies to uphold best practices and sustain effective enrollment programs.
  
  

Required Skills

• Knowledge of eligibility requirements for Washington State health care programs, corresponding health care plans, and Federal sliding fee discount program requirements
• Travel to different Neighborcare Health sites, 4 days a week
• Strong planning, organizational, coordination, and project management skills.
• Excellent written and verbal communication skills, including the ability to present information clearly in public and group settings.
• Customer service experience working effectively with individuals and groups from diverse backgrounds.
• Ability to interpret, explain, and summarize complex eligibility regulations and program requirements (e.g., Medicaid enrollment processes, Essential Health Benefits) in clear, understandable terms.
• Working knowledge of organizational policies, procedures, electronic health record systems, and standard computer applications (e.g., MS Office, Epic, PowerPoint, web-based tools).
• Demonstrated skill in leadership and supervision, including hiring, coaching, performance management, and administering discipline and annual evaluations.
• Strong judgment, initiative, problem-solving, and data-informed decision-making skills.
  
  

Preferred Skills

• Ability to effectively perform job duties under a high level of activity and a variety of conditions, restraints, and pressures
• Bilingual English any language (preferred: Spanish, Somali, Vietnamese)
• Knowledge of clinical workflow
• Ability to work independently with minimal supervision and direction
• Ability to handle a number of tasks simultaneously and prioritize work
• Experience making public presentations
  
  

Education/Experience Requirements

• Bachelor’s degree
• Navigator Certificate
• Washington Driver’s License and proof of valid insurance
• Three (3) or more years of progressive management experience and supervising staff
  
  

Preferred Requirements

• Master’s degree in Public Health or similar field
• Bilingual
  
  

About Neighborcare Health

Since 1968, Neighborcare Health has been removing barriers to health care for our neighbors. We believe everyone deserves a place to call their health care home, where a team of medical, dental and mental health professionals work in collaboration with each patient to develop a personal health improvement plan.

We are one of the largest providers of primary medical, dental and behavioral health care services in the Seattle area serving low-income and uninsured families and individuals, seniors on fixed incomes, immigrants, and people experiencing homelessness. Each year we care for nearly 60,000 patients at our nearly 30 non-profit medical, dental and school-based clinics. We ask everyone to pay what they can, but no one is turned away due to inability to pay.

Our clinics are located in neighborhoods where health disparities are the greatest, and our care teams, who speak over 55 languages and dialects, are as diverse as our patients. No matter who you are, or where you come from, regardless of your insurance, income or immigration status, you are welcome at Neighborcare Health.

Learn More About Us Here.

The full job description is available upon request.