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Senior Eligibility Analyst Jobs (NOW HIRING)

Baylor Genetics

Sr Eligibility Specialist RCM

JOB SUMMARY The Sr. Eligibility Specialist, RCM, will be responsible for overseeing the eligibility ... and analyze reports related to eligibility verification performance, identifying trends ...

INNOVATIVE INTEGRATED HEALTH

Eligibility Manager

Fresno, CA · On-site

$45K - $59K/yr

Who We Are PACE by IIH is empowering senior participants to age at home with dignity through ... Analyze eligibility-related accounts receivable, identify trends and opportunities for revenue ...

Sunrise Senior Living

Senior Workday Analyst

Mclean, VA · On-site

$83K - $109K/yr

The Senior Workday Analyst is responsible for leading day-to-day Workday operations, ensuring data ... The eligibility to receive such a bonus will depend on the employee's position, plan/program ...

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$102.5K

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How much do senior eligibility analyst jobs pay per year?

As of Sep 1, 2026, the average yearly pay for senior eligibility analyst in the United States is $102,527.00, according to ZipRecruiter salary data. Most workers in this role earn between $88,000.00 and $116,500.00 per year, depending on experience, location, and employer.

What does a senior eligibility analyst do?

A Senior Eligibility Analyst is responsible for determining whether applicants or clients meet specific criteria for programs such as health insurance, government benefits, or other services. They review applications, analyze supporting documents, and ensure compliance with relevant regulations and policies. In addition to handling complex or escalated cases, they may also mentor junior analysts, provide training, and recommend process improvements to increase efficiency and accuracy. Their role is critical in ensuring that only qualified individuals receive benefits or services.

What are the key skills and qualifications needed to thrive as a senior eligibility analyst, and why are they important?

To thrive as a Senior Eligibility Analyst, you need strong analytical abilities, attention to detail, and expertise in eligibility rules and regulations, usually supported by a bachelor’s degree in business, healthcare administration, or a related field. Familiarity with eligibility management software, data analysis tools, and claims processing systems is typically required. Effective communication, problem-solving, and organizational skills help you collaborate with stakeholders and resolve complex eligibility issues. These skills ensure accurate assessments, compliance with regulations, and efficient service delivery in benefit administration.

How does a senior eligibility analyst typically collaborate with other departments to ensure accurate eligibility determinations?

A Senior Eligibility Analyst often works closely with departments such as claims, customer service, and compliance to verify member eligibility and resolve discrepancies. This collaboration ensures that coverage determinations are accurate and consistent with policy guidelines. By participating in cross-functional meetings and maintaining open communication, Senior Eligibility Analysts help streamline processes, address system issues, and support training initiatives for junior staff. This teamwork is critical for maintaining regulatory compliance and delivering high-quality service to clients.

What is the difference between Senior Eligibility Analyst vs Eligibility Specialist?

AspectSenior Eligibility AnalystEligibility Specialist
Required CredentialsBachelor's degree, experience in eligibility determination, certifications like CPE or CEBS often preferredHigh school diploma or equivalent, some roles may require certifications or training in eligibility processes
Work EnvironmentOffice setting, healthcare or insurance companies, government agenciesSimilar environments, often within healthcare, insurance, or social services organizations
Employer & Industry UsageUsed in healthcare, insurance, government programs to assess client eligibilityCommonly employed in similar sectors to verify and process eligibility applications
Search & Comparison IntentHigh overlap in responsibilities and industry, often compared for career progression

While both roles focus on determining client eligibility, Senior Eligibility Analysts typically have more experience, advanced certifications, and handle complex cases. Eligibility Specialists perform foundational eligibility assessments and may support Senior Analysts. The roles are closely related, with the senior position often overseeing or mentoring the specialist role.

What cities are hiring for Senior Eligibility Analyst jobs?

Cities with the most Senior Eligibility Analyst job openings:

What are the most commonly searched types of Eligibility Analyst jobs?

The most popular types of Eligibility Analyst jobs are:

What states have the most Senior Eligibility Analyst jobs?

States with the most job openings for Senior Eligibility Analyst jobs include:

Senior Eligibility Analyst jobs near you

Eligibility Specialist - Senior

Placer County

Roseville, CA • On-site

Other

This job post has expired today. Applications are no longer accepted.

Placer County rating

8.2

Company rating: 8.2 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

311th of 854 rated public administrative organizations

Job description

Senior Eligibility Specialist

The Human Services Division of the Health & Human Services Department has two current vacancies for the position of Senior Eligibility Specialist in the South Placer and North Lake Tahoe area. This position assists in the administration of the Medi-Cal, CalFresh, CalWORKs, and General Relief programs. The responsibilities of this position include reviewing casework for quality assurance, preparing reports and providing feedback to ensure casework is completed in a thorough, accurate and timely manner. Duties may include supporting the training of staff who are transitioning from induction training to more independent casework. The Senior position assists supervisors in evaluating staff performance and provides first line support to staff, applying expertise in county processes and program regulations while also handling escalated and confidential cases. The ideal candidate is organized, analytical and has demonstrated peer leadership abilities. The eligible list established as a result of this recruitment may be used to fill vacancies as they arise within other divisions and teams of the Health & Human services department, subject to position-specific requirements. Other opportunities within the department may include Children's System of Care (CSOC), Veteran's Services, and Housing.

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