Eligibility Specialist

Overview

On Site
USD 35.00 - 40.00 per hour
Full Time

Skills

Health Care
Medicare
Medicaid
Regulatory Compliance
Leadership
Workflow
Process Improvement
Documentation
Training
Business Operations
Auditing
Quality Assurance
Reporting
Taxes
Life Insurance
MI
Marketing Intelligence
Collaboration
Partnership
Business Transformation
Law

Job Details

We are seeking an experienced Eligibility and Enrollment Subject Matter Expert (SME) with deep knowledge of Medicare and Medicaid programs. This role will provide expertise in eligibility and enrollment processes, compliance requirements, and operational best practices to support healthcare programs and initiatives.

Key Responsibilities:

  • Serve as the primary expert on Medicare and Medicaid eligibility and enrollment policies, regulations, and procedures.
  • Analyze and interpret federal and state guidelines to ensure compliance with program requirements.
  • Provide guidance and support to internal teams on eligibility and enrollment workflows, system functionality, and process improvements.
  • Collaborate with stakeholders to design and implement solutions that enhance member enrollment accuracy and efficiency.
  • Develop and maintain documentation, training materials, and best practices related to eligibility and enrollment.
  • Monitor regulatory changes and communicate impacts to business operations.
  • Assist in audits, quality assurance, and reporting related to eligibility and enrollment activities.

Job Type & Location
This is a Contract position based out of Lansing, MI.
Pay and Benefits
The pay range for this position is $35.00 - $40.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a hybrid position in Lansing,MI.
Application Deadline
This position is anticipated to close on Nov 18, 2025.
>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

About TEKsystems c/o Allegis Group