Specialist, Waiver Support -
Job Title: Specialist, Waiver Support Location: Remote must reside in TX Type: Full Time Our Client is seeking a detail‑oriented Waiver Support Specialist to provide operational support for member waiver coordination programs. This role plays a key part in ensuring seamless communication, accurate tracking, and efficient coordination across care teams and state partners to support high‑quality, cost‑effective member care.
Key Responsibilities
- Provide administrative and operational support for waiver coordination activities.
- Facilitate communication between internal teams and external state program partners.
- Process referrals for waiver services and coordinate scheduling of initial assessments.
- Track and monitor member assessments, reassessments, and transition activities.
- Collaborate with state agencies to verify eligibility and obtain necessary approvals for services.
- Support transitions of members from facility‑based care back to community settings.
- Initiate referrals for applicable programs, including Medicare and waiver services where required.
- Maintain accurate tracking of referrals and case documentation using internal and state systems.
- Monitor workflows across assessment, authorization, and transition processes and report updates accordingly.
- Ensure eligibility requirements are met prior to initiating services.
- Maintain strict compliance with confidentiality and data privacy regulations.
- Participate in team meetings and provide updates as needed.
Qualifications
Required
- Minimum 1 year of experience in an administrative support role within a healthcare setting or equivalent experience.
- Strong organizational skills with the ability to manage multiple priorities.
- Excellent problem‑solving and analytical thinking abilities.
- Strong verbal and written communication skills.
- Proficiency in Microsoft Office and ability to learn new systems quickly.
Preferred
- Certification as a Medical Assistant (CMA)
- Experience in long‑term care or managed care environments