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Eligibility Analyst

Company: North Highland
Location: Cranston
Posted on: March 12, 2023

Job Description:


Do you have the skills, passion, and commitment to transform our clients for the better? Are you ready to be a changemaker? If so, join us.

North Highland is the world's leading change and transformation consultancy. Simply put, we make change happen like no one else. And we're on the hunt for a new Eligibility Analyst.


The Eligibility Analyst will support our Public Sector Client as it prepares for the resumption of eligibility requirements for the Medicaid population.
This role is remote.


  • Assist applicants/recipients in knowing their rights and responsibilities, completing applications, and securing supporting evidence in order to ensure that complete and accurate information is obtained
  • Provide information to applicants/recipients and to other interested parties by mail, telephone or in person, about laws, rules, regulations, policies/procedures, and eligibility requirements to ensure an understanding of available program benefits
  • Assist the customer through the Customer Portal to complete required forms
  • Refer to social service personnel those applicants/recipients who express a need for service-oriented functions
  • Prepare reoccurring and special reports, including simple statistical breakdowns
  • Utilize an automated database for case processing, including using the equipment and related routines in the performance of assigned duties
  • To report suspected cases of child/elder abuse or neglect to appropriate authorities
  • Research and perform customer outreach using undeliverable mail to update customer address and other information
  • Make and received phone, fax, and email communication with DHS customers to provide information of benefit changes, obtain needed demographic information and/or clarify information needed for processing or maintaining benefits
  • General information on programs, local offices and referrals
  • Taking requests to replace forms and letters, including requests for blank new applications
  • Scheduling and rescheduling applications


    • Understanding of Medicaid Eligibility Rule
    • Experience using a Medicaid Eligibility System(s)
    • Call Center Processing Experience
    • Professional Customer Support Experience
    • College Degree is preferred; Applicable Certifications are a plus


      Success-for both our clients and our colleagues-is all about putting people first and doing great things together. We believe that when we work as one team, we can take action today to build lasting capability for tomorrow.

      We strive to have the most enviable culture on the planet, inspiring people to reach their full potential. Here's how we make it happen:

      --- Intentional, flexible growth. We never want you to settle. Leading your own growth and transformation is your prerogative-one which we'll help you nurture and develop every step of the way. We'll inspire you to learn, teach, and ultimately carve your own path. That means you grow, we grow, and so do our clients.
      --- People-first, and then some. It goes without saying that people come first, but what comes next? Our people are always at the heart; your wellbeing and success is built on a collective understanding that every one of us can be a coach, a friend, and a fantastic listener-regardless of job title. We think of it as a celebration of individuality, difference, and diversity.
      --- Make your own change happen. With us, your curiosity and creativity know no bounds. The reins are off. All we ask is that you have the courage to transform yourself and those around you-colleagues and clients alike. If you've got the drive to become a changemaker, we'll do the rest.


      North Highland makes change happen, helping businesses transform by placing people at the heart of every decision. It's how lasting progress is made. With our blend of workforce, customer, and operational expertise, we're recognized as the world's leading transformation consultancy. We break new ground today, so tomorrow is easier to navigate.

      Founded in 1992, North Highland is regularly named one of the best places to work. We are a proud member of Cordence Worldwide, a global network of truly connected consultancy firms with the ability to think and deliver together.

      This means North Highland has more than 3,500 experts in 50+ offices around the globe on hand to partner with you.

      For more information, visit and connect with us on LinkedIn, Twitter, Facebook, and Instagram.

      Please note that applicants must be authorized to work in the United States without the need for visa sponsorship by North Highland. Work visa sponsorship will not be provided, either now or in the future, for this position.

      North Highland is an Equal Employment Opportunity (EEO)/Affirmative Action employer. All qualified applicants will receive fair and impartial consideration without regard to race, color, sex, gender identity, religion, national origin, age, sexual orientation, disability, veteran status, or any other characteristic protected by law.

Keywords: North Highland, Cranston , Eligibility Analyst, Professions , Cranston, Rhode Island

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