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Eligibility Manager Jobs (NOW HIRING)

State of Indiana

State Eligibility Manager

Plainfield, IN · On-site

$42K/yr

... eligibility for Medicaid, Supplemental Nutrition Assistance Program and Temporary Assistance for Needy Families benefits. The division also manages the timely and accurate delivery of SNAP and TANF ...

Tidal Basin Holdco, LLC

Eligibility Analyst

Guaynabo, PR · On-site

$20 - $27/hr

The Eligibility Analyst needs to work closely with the Eligibility Manager, the program staff and in collaboration with the subrecipients to reach the goals and objective of the program. Duties and ...

APLA Health

Clinic Manager II

Los Angeles, CA · On-site

$33.23 - $41.67/hr

Work in conjunction with the enrollment and eligibility manager to conduct quality assurance audits to ensure registration and eligibility processes are completed according to clinic policies ...

APLA Health

Clinic Manager II

Los Angeles, CA

$33.23 - $41.67/hr

Work in conjunction with the enrollment and eligibility manager to conduct quality assurance audits to ensure registration and eligibility processes are completed according to clinic policies ...

DFR

Eligibility Specialist - Case Manager

Knox, IN

$16.50/hr

Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...

DFR

Eligibility Specialist - Case Manager

Wabash, IN · On-site

$16.50/hr

Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...

DFR

Eligibility Specialist - Case Manager

Muncie, IN

$16.50/hr

Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply The Eligibility ...

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How much do eligibility manager jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for eligibility manager in the United States is $22.65, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $25.96 per hour, depending on experience, location, and employer.

What is the difference between Eligibility Manager vs Claims Specialist?

CriteriaEligibility ManagerClaims Specialist
Required credentialsTypically requires a high school diploma or associate degree; certifications like Certified Eligibility Specialist are commonUsually requires a high school diploma; certifications like Certified Claims Professional are beneficial
Work environmentOffice setting, healthcare or insurance companiesOffice setting, healthcare or insurance companies
Employer and industry usageUsed in healthcare, insurance, government agenciesUsed in healthcare, insurance, and related sectors
Common search and comparison intentUnderstanding roles, responsibilities, and qualificationsUnderstanding differences in claims processing and eligibility

Eligibility Managers focus on verifying patient or client eligibility for services or benefits, ensuring compliance with policies. Claims Specialists handle processing and adjudicating insurance claims, focusing on reimbursement and accuracy. While both roles operate within healthcare and insurance sectors, Eligibility Managers primarily verify eligibility, whereas Claims Specialists manage claims processing.

What are the key skills and qualifications needed to thrive as an Eligibility Manager, and why are they important?

To thrive as an Eligibility Manager, you need expertise in eligibility determination, compliance regulations, and case management, often supported by a bachelor's degree in social work, public administration, or a related field. Familiarity with eligibility management systems, case tracking software, and knowledge of relevant federal and state regulations is typically required. Strong leadership, problem-solving, and communication skills help in managing teams and resolving complex eligibility cases. These competencies are vital for ensuring accurate eligibility determinations, regulatory compliance, and efficient program operations.

What is the best job for people with disabilities?

Eligibility Managers typically work in administrative or compliance roles that may be suitable for people with disabilities, depending on their specific abilities and accommodations. Many jobs for people with disabilities focus on remote work, flexible schedules, and roles that require skills such as organization, communication, or technical proficiency. Employers are increasingly providing accommodations to support diverse needs in various industries.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) position is often considered an entry-level healthcare role that provides basic administrative and clinical support skills. It can serve as a stepping stone into the healthcare field, requiring minimal prior experience and often involving tasks like scheduling, data entry, and patient communication.

What jobs pay 4000 a week without a degree?

Eligibility Managers typically do not earn $4,000 a week without a degree, as the role often requires specialized knowledge and experience. However, high-paying jobs without a degree can include sales managers, real estate brokers, or skilled trades such as electricians or plumbers, especially with experience and certifications. These roles may involve commission, bonuses, or overtime to reach that income level.

What is the highest paying managerial job?

The highest paying managerial roles are often executive positions such as Chief Executive Officer (CEO), Chief Financial Officer (CFO), or Chief Operating Officer (COO), which can earn multi-million dollar salaries including bonuses and stock options. These roles typically require extensive experience, advanced degrees, and strong leadership skills, and they oversee large organizations or divisions.

What are the most common challenges faced by an Eligibility Manager in ensuring compliance with changing regulations?

Eligibility Managers often encounter challenges related to staying up-to-date with frequently changing federal, state, and local regulations that impact program eligibility criteria. They must ensure that their team is properly trained on new policies and that all documentation and procedures remain compliant. Additionally, balancing high caseloads while maintaining accuracy and timeliness in processing applications can be demanding. Effective communication with both applicants and internal departments is crucial to navigate complex cases and resolve discrepancies efficiently.

What is an Eligibility Manager?

An Eligibility Manager is a professional responsible for overseeing and managing the process of determining if individuals or groups qualify for specific programs, benefits, or services. They typically work for government agencies, healthcare organizations, or insurance companies. Their duties include supervising eligibility staff, ensuring compliance with policies and regulations, and resolving complex eligibility determinations or appeals. Eligibility Managers play a crucial role in making sure that assistance is provided to those who meet the necessary requirements, while preventing fraud and misuse of resources.
More about Eligibility Manager jobs
What cities are hiring for Eligibility Manager jobs? Cities with the most Eligibility Manager job openings:
What are the most commonly searched types of Eligibility jobs? The most popular types of Eligibility jobs are:
What states have the most Eligibility Manager jobs? States with the most job openings for Eligibility Manager jobs include:
What job categories do people searching Eligibility Manager jobs look for? The top searched job categories for Eligibility Manager jobs are:
Eligibility Manager jobs near you
Infographic showing various Eligibility Manager job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $47,119 per year, or $22.7 per hour.
State Eligibility Manager

State Eligibility Manager

State of Indiana

Plainfield, IN

$42K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

State Of Indiana rating

6.8

Company rating: 6.8 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

44th of 50 rated states

Job description

 Work for Indiana

Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.

About the Family & Social Services Administration (FSSA):

The Division of Family Resources (DFR) within the Family and Social Services Administration (FSSA) is responsible for establishing eligibility for Medicaid, Supplemental Nutrition Assistance Program and Temporary Assistance for Needy Families benefits. The division also manages the timely and accurate delivery of SNAP and TANF benefits. DFR also provides employment and training services to some SNAP and TANF recipients. The division’s overarching focus is the support and preservation of families by emphasizing self-sufficiency and personal responsibility.

Salary:

The salary for this position traditionally starts at $42,900.00 but may be commensurate with education and work experience. Use our Compensation Calculator to view the total compensation package.

A Day in the Life:

​​The essential functions of this role are as follows: 

  • Ensure that policies, regulations, and operating procedures are followed by subordinate staff and conducted in a professional and ethical manner. 
  • Supervise and assign an equitable work distribution and to cover vacant caseloads. 
  • Ensure local office scheduling is compliant with timeframes that produces timeliness. 
  • Meet with State and Contract staff to implement strategies to maximize efficiency in eligibility processes. 
  • Ensure client inquiries are responded to within the provided timeframe.  
  • Recruit, select, onboard, and train employees to ensure role responsibilities and expectations are clearly understood while providing opportunities to continue professional development. 
  • Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees.  Ensure work adheres to quality standards, deadlines, and proper procedures.

The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.

This position is exempt from overtime compensation for additional work hours which may be required to complete essential functions or other assigned work. Exempt employees may work more than 75 hours in a pay period without additional compensation and must report a minimum of 75 hours per pay period of work hours and/or paid leave taken to receive their base biweekly salary.

What You'll Need for Success:

Individuals in this role should minimally be able to articulate or demonstrate the following:

  • Must have and maintain a valid driver’s license. 
  • Thorough knowledge of benefit processing.  
  • Thorough knowledge of the state and federal rules, regulations and policies governing public assistance programs and the ability to apply them in the administration of the program. 
  • Thorough knowledge of established social work principles and theories. 
  • Specialized knowledge of the computer eligibility system and its operation. 
  • Working knowledge of the organization of the agency and of State and Federal agencies dealing with the programs. 
  • Ability to comprehend, analyze, interpret, and correlate very technical material and made recommendations on implementation in current programs. 
  • Ability to communicate effectively orally and in writing. 
  • Ability to establish and maintain productive working relationships with supervisory staff of other organizations whose cooperation is necessary in delivering services to clients. 
  • Ability to use discretion in dealing with all clients, fellow employees, and subordinate staffs’ personal information. 
  • Ability to travel. 
  • Ability to delegate work, set clear direction, and manage workflow. 
  • Ability to effectively give feedback, provide guidance or corrective action, coach, and develop employee skill-sets.

A degree is not required; However, at least 3+ years of work experience in counseling; social services; education; public administration; or accredited college training in a related field may be considered, with at least 1 year of experience in an administrative, managerial, or supervisory capacity. 

Individuals should have the ability to perform essential functions with or without reasonable accommodation.

Supervisory Responsibilities/Direct Reports:
This role may provide direct supervision for one or more staff members.

Benefits of Employment with the State of Indiana:

The State of Indiana offers a comprehensive benefit package for full-time employees which includes: 

  • Three (3) medical plan options (including RX coverage) as well as vision and dental plans
  • Wellness Rewards Program: Complete wellness activities to earn gift card rewards
  • Health savings account, which includes bi-weekly state contribution
  • Deferred compensation 457(b) account (similar to 401(k) plan) with employer match
  • Two (2) fully-funded pension plan options
  • A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:
    • 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers
    • Up to 15 hours of paid community service leave
  • Combined 180 hours of paid vacation, personal, and sick leave time off
  • 12 paid holidays, 14 on election years
  • Education Reimbursement Program
  • Group life insurance
  • Referral Bonus program
  • Employee assistance program that allows for covered behavioral health visits
  • Qualified employer for the Public Service Loan Forgiveness Program
  • Free Parking for most positions
  • Free LinkedIn Learning access

Equal Employment Opportunity:

The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov.

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