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Eligibility Manager Jobs (NOW HIRING)

INNOVATIVE INTEGRATED HEALTH

Eligibility Manager

Fresno, CA · On-site

$45K - $59K/yr

The Eligibility Manager provides strategic direction, leadership, and supervision to the Eligibility Supervisor and Eligibility Specialists while ensuring full compliance with all state and federal ...

MV Transportation

ADA Eligibility Manager

Charlotte, NC · On-site

$83K - $96K/yr

MV Transportation is seeking an Eligibility Manager with excellent customer service skills to evaluate, enhance and process applications for ADA paratransit service and travel planning services. This ...

New

State of Indiana

State Eligibility Manager

Noblesville, 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 ...

New

MV Transportation

ADA Eligibility Manager

Charlotte, NC · On-site

$83K - $96K/yr

Responsibilities MV Transportation is seeking an Eligibility Manager with excellent customer service skills to evaluate, enhance and process applications for ADA paratransit service and travel ...

MV Transportation

ADA Eligibility Manager

Charlotte, NC · On-site

$83K - $96K/yr

Responsibilities MV Transportation is seeking an Eligibility Manager with excellent customer service skills to evaluate, enhance and process applications for ADA paratransit service and travel ...

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 ...

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How much do eligibility manager jobs pay per hour?

As of Sep 5, 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 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.

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 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 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.

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Eligibility Manager jobs near you
Infographic showing various Eligibility Manager job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $47,119 per year, or $22.7 per hour.

Eligibility Manager

Innovative Emergency Management

Guaynabo, PR • On-site

$20 - $27/hr

Full-time

Retirement, PTO

Re-posted 23 days ago

Job description

IEM is looking for a Full Time - Eligibility Manager to join our Disaster Recovery team. The Eligibility Manager supports the Project Manager in overseeing daily operations and managing the Non-Federal Match Program. Key responsibilities include reviewing match payment applications, organizing documentation, preparing payment recommendations, and ensuring compliance with CDBG-DR requirements. The role also involves leading the Eligibility Analyst team, coordinating meetings, trainings, and assisting with reporting and deliverables.
Primary Location:
  • Live within a commutable distance to Guaynabo, PR.
  • Work in an Office Environment with a team.

Travel Requirements:
  • This position may require travel to complete work assignments or attend meetings.
  • Daily travel and other expenses are reimbursable in accordance with Federal Travel Regulations or DoD Regulations.

Essential Functions:
  • Support the Project Manager in daily operations and identified responsibilities.
  • Perform initial review of Match Payment Application documentation including but not limited to FEMA PW's, Supporting Cost Documentation, FEMAREC, CDBG-DR Eligibility, Benefit Cost Analysis, Section 3, Labor Compliance and Davis Bacon, Procurement, and Closeout packages.
  • Retrieve, organize, and store all documentation related to CDBG-DRN on- Federal Match programs necessary to justify match payment of costs utilizing CDBG-DR funds using all available tools and access to the Systems of Record implemented by the PRDOH, COR3, and FEMA.
  • Prepare recommendations of match payments.
  • Implement and conduct all required activities established by Project Manager's logistics and plans for the Non-Federal Match program.
  • Provide direct support to Project Manager in coordinating, conducting, and documenting all necessary meetings, including outreach activities, trainings, and workshops.
  • Provide all necessary support in the development, preparation, and submission of required deliverables to PRDOH, including monthly reports.
  • Lead, coordinate, and supervise the Eligibility Analyst team tasks.

Minimum Qualifications:
  • Experience: Three (3) years of previous project management experience or related experience.
  • Degree: Bachelor's degree or higher education from an accredited institution.
  • Bilingual: Fluent verbal and written communication skills in English and Spanish.
  • Demonstrated experience in the following, but not limited to, document management, auditing procedure development and implementation, compliance review procedures, policy interpretation and implementation, team leading in auditing and policy reviews, reporting techniques, and data system usage.
  • Must be working locally within Puerto Rico.

Preferred Qualifications:
  • Experience in the management of FEMA PA projects.

Additional Information:
  • Office Locations: Often, these offices are either owned by the client we work with or by IEM. All candidates are expected to follow any rules and regulations of the office in which they are required to work for that project.

Benefits and more:
  • 10 paid Holidays
  • Vacation Pay
  • Sick Pay
  • 401 (K) plan with matching
  • Company paid STD and LTD

Equal Employment Opportunity: All IEM employment decisions, including recruiting, hiring, placement, training availability, promotion, compensation, evaluation, disciplinary actions, and termination of employment, if necessary, are made without regard to an individual's race, color, religion, creed, sex (including sexual orientation, gender identity, and gender expression), national origin, ancestry, age, physical or mental disability, medical condition, genetic information, pregnancy (including childbirth and related medical conditions), marital status, military or veteran status, citizenship or immigration status, or any other characteristic protected under applicable law.
Reasonable Accommodation: IEM is committed to providing reasonable workplace accommodations for individuals with disabilities. If you require assistance or reasonable accommodation during any part of the application or employment process, please email IEMhumanresources@iem.com with specific details about the requested accommodation. All accommodation requests are reviewed case-by-case in compliance with applicable law.

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