Case Management Analyst

Case Management Analyst

Req number:

R8534

Employment type:

Full time

Worksite flexibility:

Onsite

Who we are

CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right—whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise.

Job Summary

We are looking for a motivated Case Management Analyst ready to take us to the next level! If you have data entry experience, customer service experience, and proficiency with Microsoft Office and databases and are looking for your next career move, apply now.

Job Description

We are looking for a Case Management Analyst to conduct in-depth analysis of organizational processes for the Medicaid team while providing day-to-day operational support to ensure processes run efficiently and effectively. This position will be Full-Time and Onsite in Newark, DE . This position requires employees to work a minimum of one Saturday per month, as needed.

Only work authorizations that will not require sponsorship now or in the future will be considered.

What You'll Do

Learn, understand, and follow federal and state laws, regulations, standards, policies, and Medicaid program requirements

Adhere to all CAI and client security requirements

Utilize computer inquiry systems to obtain required verifications

Retrieve Medicaid applications from the client system and distribute work among team members daily

Identify additional benefits associated with cases and route cases to the appropriate processing queues

Document case management activities and updates within the eligibility system

Answer and direct phone calls, respond to emails and correspondence, and serve as a point of contact for clients

Communicate professionally with the client site regarding applications, verifications, and case clarifications

Monitor case completion activity within client systems

Index verifications and renewals as required

Track monthly operational metrics and present results to leadership

Conduct weekly audits of assigned cases to ensure completion and accuracy

Monitor shared resource mailboxes to ensure work is assigned and completed efficiently

Attend individual and team meetings to stay informed of process and policy updates

Perform additional case management and operational responsibilities as assigned

What You'll Need

Required:

High school diploma or equivalent

One year of data entry experience

One year of customer service experience

Proficiency with databases, spreadsheets, and Microsoft Office Suite

Ability to manage multiple priorities in a fast-paced environment while maintaining accuracy and organization

Strong analytical and problem-solving skills with the ability to identify issues and implement effective solutions

Professional written and verbal communication skills for interaction with internal teams and external clients

Fluent English communication skills

Reliable transportation and consistent attendance

Preferred:

Knowledge of Medicaid eligibility programs or other public assistance programs

Experience working in case management, benefits administration, or eligibility-focused environments

Bilingual communication skills

Experience working with high-volume case processing and document management activities

Physical Demands

Ability to safely and successfully perform the essential job functions consistent with the ADA and other federal, state, and local standards

Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitor

Must be able to communicate with customers/team members over the phone and in person

Sedentary work that involves sitting or remaining stationary most of the time with occasional need to move around the office to attend meetings, etc.

Reasonable accommodation statement

If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employment selection process, please direct your inquiries to application.accommodations@cai.io or (888) 824 – 8111.

EEO Statement

It is the policy of Computer Aid, Inc.(CAI) not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of CAI to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Employees and applicants of CAI will not be subject to harassment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. Additionally, retaliation, including intimidation, threats, or coercion, because an employee or applicant has objected to discrimination, engaged or may engage in filing a complaint, assisted in a review, investigation, or hearing or have otherwise sought to obtain their legal rights under any Federal, State, or local EEO law is prohibited.

$20 per hour The pay range for this position is listed above. Exact compensation may vary based on several factors, including location, experience, and education. Benefit packages include medical, dental, and vision insurance, as well as 401k retirement account access. Employees in this role may also be entitled to paid sick leave and/or other paid time off as provided by applicable law.