Eligibility Specialist - Tucker, GA - Hybrid

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

At HMS, we make the healthcare system work better for everyone. We fight fraud, waste, and abuse so people have access to the care they need—now and in the future. Using innovative technology and powerful data analytics, we help government and commercial payers reduce costs, improve quality, and maintain compliance, while helping consumers take a more active role in their health.

We are seeking a skilled and detail-oriented Eligibility Operations Advisor I to verify, document, and coordinate information needed to process applications and other eligibility-related tasks. This position involves policy analysis, documentation review, and customer service support for the HIPP/Premium Assistance program.

Your Role in Our Mission

As an Eligibility Operations Advisor I, you will:

• Provide enrollment assistance and HIPP/Premium Assistance information to Medicaid-eligible recipients and families.

• Verify, document, and investigate healthcare coverage for members.

• Identify individuals who may qualify for the HIPP/Premium Assistance program.

• Enter and maintain accurate data related to eligibility and enrollment.

• Deliver high-quality customer service through phone inquiries and case updates.

What We’re Looking For

• Strong organizational and customer service skills with attention to detail.

• Effective written and verbal communication abilities.

• Proficiency in Microsoft Word, Excel, and online navigation.

• Ability to analyze information, solve problems, and meet deadlines.

• Professional, flexible, and team-oriented approach to work.

What You Should Expect in This Role

• Hybrid work model based in Georgia or neighboring states.

• Fast-paced, collaborative environment with meaningful impact.

• Opportunities to develop new skills and advance your career.

• Exposure to innovative technology and healthcare data analytics.

• A supportive culture that values integrity, growth, and teamwork.

#LI-HYBRID #LI-JA1

The pay range for this position is $26,500.00 - $37,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.