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Eligibility Manager Jobs in Florida (NOW HIRING)

Florida Jobs

ELIGIBILITY SPECIALIST I

Largo, FL · On-site

ELIGIBILITY SPECIALIST I - 60055013 Families in need and in crisis require time sensitive actions ... Managing an electronic caseload that varies based on the community needs, ensuring that accuracy ...

State of Florida

ELIGIBILITY SPECIALIST I

Lake City, FL · On-site

$1.3K/wk

ELIGIBILITY SPECIALIST I - 60033960 Pay Plan: Career Service Position Number: 60033960 Salary: $1 ... Managing an electronic caseload that varies based on the community needs, ensuring that accuracy ...

State of Florida

ELIGIBILITY SPECIALIST I

Largo, FL · On-site

$1.3K/wk

ELIGIBILITY SPECIALIST I - 60055013 Pay Plan: Career Service Position Number: 60055013 Salary: $1 ... Managing an electronic caseload that varies based on the community needs, ensuring that accuracy ...

State of Florida

ELIGIBILITY SPECIALIST I

Tampa, FL · On-site

$1.3K/wk

ELIGIBILITY SPECIALIST I - 60021375 Pay Plan: Career Service Position Number: 60021375 Salary: $1 ... Managing an electronic caseload that varies based on the community needs, ensuring that accuracy ...

State of Florida

ELIGIBILITY SPECIALIST I

Fort Pierce, FL · On-site

$1.3K/wk

ELIGIBILITY SPECIALIST I - 60069056 Pay Plan: Career Service Position Number: 60069056 Salary: $1 ... Managing an electronic caseload that varies based on the community needs, ensuring that accuracy ...

State of Florida

ELIGIBILITY SPECIALIST I

Miami, FL · On-site

$1.3K/wk

ELIGIBILITY SPECIALIST I - 60046053 Pay Plan: Career Service Position Number: 60046053 Salary: $1 ... Managing an electronic caseload that varies based on the community needs, ensuring that accuracy ...

Florida Jobs

ELIGIBILITY SPECIALIST I

Belle Glade, FL · On-site

ELIGIBILITY SPECIALIST I - 60044953 Families in need and in crisis require time sensitive actions ... Managing an electronic caseload that varies based on the community needs, ensuring that accuracy ...

Florida Jobs

ELIGIBILITY SPECIALIST I

Sarasota, FL · On-site

ELIGIBILITY SPECIALIST I - 60021921 Families in need and in crisis require time sensitive actions ... Managing an electronic caseload that varies based on the community needs, ensuring that accuracy ...

Florida Jobs

ELIGIBILITY SPECIALIST I

Gainesville, FL · On-site

ELIGIBILITY SPECIALIST I - 60036263 Families in need and in crisis require time sensitive actions ... Managing an electronic caseload that varies based on the community needs, ensuring that accuracy ...

State of Florida

ELIGIBILITY SPECIALIST I

Belle Glade, FL · On-site

$1.3K/wk

ELIGIBILITY SPECIALIST I - 60044953 Pay Plan: Career Service Position Number: 60044953 Salary: $1 ... Managing an electronic caseload that varies based on the community needs, ensuring that accuracy ...

State of Florida

ELIGIBILITY SPECIALIST I

Gainesville, FL · On-site

$1.3K/wk

ELIGIBILITY SPECIALIST I - 60036263 Pay Plan: Career Service Position Number: 60036263 Salary: $1 ... Managing an electronic caseload that varies based on the community needs, ensuring that accuracy ...

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Eligibility Manager information

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.

What are the most commonly searched types of Eligibility jobs in Florida?

The most popular types of Eligibility jobs in Florida are:

What are popular job titles related to Eligibility Manager jobs in Florida?

For Eligibility Manager jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Eligibility Manager jobs in Florida look for?

The top searched job categories for Eligibility Manager jobs in Florida are:

What cities in Florida are hiring for Eligibility Manager jobs?

Cities in Florida with the most Eligibility Manager job openings:

Eligibility Manager jobs near you
Infographic showing various Eligibility Manager job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 74% In-person, and 26% Remote job distribution.

Eligibility Coordinator

Community Partnership for Children

Daytona Beach, FL • On-site

$37K/yr

Full-time

Re-posted 25 days ago

Job description

Eligibility Coordinator
Salary: $37,500.00+ DOE
Locations: Daytona Beach, Fl.
Exempt/Non-Exempt: Hourly Non-Exempt
Employment Type: Full Time
Department: Finance/Rev Max
SUMMARY:
To provide services in the areas of Medicaid application, eligibility determination, data input, and payment vouchering
PRINCIPAL DUTIES AND RESPONSIBILITIES
  • Obtains and maintains appropriate case documentation for determining eligibility of children and for maintaining compliance.
  • Maintains open communication with Protective Investigators and Case Managers responsible for supervising cases of children in care, obtaining information in order to determine eligibility.
  • Completes Medicaid applications for children in out-of-home paid placements and works with Economic Self Sufficiency (ESS) Child in Care (CIC) Specialists to obtain Medicaid eligibility.
  • Completes Medicaid applications for relative and non-relative placements.
  • Enters demographic, placement and payment data into the Integrated Child Welfare Services Information Systems (ICWSIS) for foster care, group care, and adoptions.
  • Enters placement and demographic data into Florida Safe Families Network (FSFN) for all children.
  • Enters eligibility data into ICWSIS and FSFN.
  • Communicates to ESS/CIC all placement change information.
  • Works with the Finance Department to ensure timely and accurate payments.
  • Provides necessary documents to ESS for required annual Medicaid reviews for all children in out-of-home paid placements, relative and non-relative placements, and adoptive children.
  • Completes required annual TANF redeterminations for children in out of home paid placements and adoptive children.
  • Attends staff meetings, in-service training and other meetings, staffings, or conferences as necessary.
  • Provides technical assistance on the completion of all eligibility forms.
  • Participates in the quality improvement process.
  • This list of essential functions is not intended to be exhaustive. Community Partnership for Children reserves the right to revise this job description as needed to comply with actual job requirements.

EXPERIENCE/PERFORMANCE REQUIREMENTS (Knowledge, skills and abilities):
  • Strong computer skills, including the use of Microsoft Word and Excel
  • Strong interpersonal skills
  • Excellent verbal and written skills
  • Strong communication skills
  • Ability to multi-task
  • Ability to understand legal documents
  • Ability to maintain confidentiality
  • Time management and organization skills

EDUCATION REQUIREMENTS:
REQUIRED:
High School Diploma or GED equivalent
Minimum of one year of related experience
PREFERRED:
Bachelor's Degree
Child Welfare credentials, as issued by Florida Certification Board
Previous experience in client eligibility determination
LICENSES AND CERTIFICATIONS
  • Possess a current Background Clearance Screening Letter as required by DCF; and successfully complete the background screening requirements for Community Partnership for Children.
  • If local travel is required, a Valid Florida driver's license and documentation of current automobile insurance, is required.

PHYSICAL DEMANDS AND WORK ENVIRONMENT
Employee will work in an office/clerical environment. The employee will work predominantly seated with recurrent need to walk, stand, and bend from the waist. Occasional light lifting, stooping, and climbing may be required. Occasional local travel.
GENERAL INFORMATION
The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. This job description should not be construed to constitute contractual obligations of any kind or a contract of employment between Community Partnership for Children and any employee. Employment at Community Partnership for Children is "at-will" and either party can terminate the employment relationship at any time, with or without just cause.

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