Eligibility Supervisor

Description We are looking for an experienced Eligibility Supervisor to join our team in Port St. Lucie, Florida. In this role, you will oversee eligibility processes, ensuring compliance with federal and state regulations, while managing a team of specialists. This position requires excellent organizational skills, a strong understanding of Medicaid eligibility, and the ability to provide effective leadership in a dynamic environment. Responsibilities: u2022 Oversee the collection and review of necessary case documentation such as court orders, birth certificates, and income verification to determine initial and ongoing eligibility for federal funding. u2022 Manage the submission and tracking of Medicaid and Title IV-E applications for children in out-of-home care, ensuring proper activation and compliance. u2022 Approve and review Title IV-E Federal Monitoring Tools and ensure the accuracy of eligibility determinations. u2022 Facilitate Medicaid applications for children who have achieved permanency through adoption. u2022 Provide Letters of Assurance to case managers and protective investigators to address immediate medical needs of children. u2022 Enroll eligible children into specialized healthcare and dental plans, including those with special needs. u2022 Address and resolve outstanding medical bills with providers, submitting payment requests when appropriate. u2022 Monitor eligibility determinations and update client information in the system as necessary. u2022 Collaborate with case managers and investigators to gather household and financial details for accurate eligibility assessments. u2022 Manage and guide a team of Eligibility Specialists, monitoring their performance and ensuring timely completion of responsibilities. Requirements u2022 Proven experience in Medicaid eligibility processes and administrative management. u2022 Strong understanding of Title IV-E and federal funding eligibility requirements. u2022 Ability to lead and manage a team effectively, ensuring high performance and compliance with procedures. u2022 Proficiency in using case management systems and maintaining accurate records. u2022 Excellent organizational and communication skills to collaborate with various teams and resolve issues. u2022 Experience with medical billing and resolving outstanding claims. u2022 Ability to analyze and interpret financial and household data for eligibility determination. u2022 Familiarity with federal monitoring plans and reporting requirements. TalentMatchu00ae Robert Half is the worldu2019s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. u00a9 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking u201cApply Now,u201d youu2019re agreeing to Robert Halfu2019s Terms of Use (.

Created: 2025-11-01