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Remote Consumer Eligibility Specialist Supervisor

It's truly an exciting time to be a part of Vimo®! At Vimo, we are committed to building each other up and infusing a motivating and positive work environment. Our vision has always been to make finding and enrolling in health insurance simple—this is more important now than ever before.

We are looking for a Remote Consumer Eligibility Specialist Supervisor to lead our elite teams. In this role, you will oversee a team of specialists, ensuring they deliver an amazing consumer experience while navigating the complexities of health insurance enrollment and Medicaid eligibility through our award-winning cloud-based tools.

Responsibilities

Team Leadership: Supervise a team of remote specialists, providing daily coaching, guidance, and performance feedback to ensure operational excellence.
Operational Oversight: Monitor inbound/outbound call queues and chat volumes to ensure service level agreements (SLAs) are met consistently.
Quality & Compliance: Conduct regular audits and calibrations of consumer calls to ensure strict adherence to established Medicaid and health insurance policies, regulations, and internal procedures.
Performance Management: Facilitate one-on-one and team meetings to review key performance indicators (KPIs), address roadblocks, and foster professional development.
Escalation Support: Act as the point of contact for complex consumer inquiries by providing effective problem-solving and resolution practices for plan selection, eligibility inquiries and other disputes.
Training & Integration: Identify and manage individual and team training needs to ensure a high standard of service delivery is maintained and compliance standards are met.
Data Integrity: Oversee accurate application data entry and documentation within cloud-based systems.

Required Qualifications

Experience: Minimum 2 years of experience in Medicaid eligibility or Managed Care Organization (MCO) environments, with at least 1 year in a leadership or senior-level capacity
Policy Proficiency: Deep understanding of Medicaid regulations and the ability to interpret complex financial documentation.
Technical Expertise: Advanced computer skills with a high level of comfort managing remote teams via digital collaboration tools and cloud-based platforms.
Communication: Exceptional verbal and written communication skills with a proven ability to motivate a remote workforce.
Strategic Thinking: Strong analytical skills with the ability to interpret complex regulatory guidelines and translate them into actionable team workflows.

Preferred Experience

Bilingual (Spanish/English) is a significant plus.
Experience with Nevada-specific Medicaid protocols and state-based marketplace operations is highly desired.

Remote Requirements

To be successful in this remote role, you must have a dedicated, private, and secure workspace and meet the following:

Age: Must be 18 years of age or older.
Background: Must complete a background check and drug test within 3 days of offer.
Connection: Cable/Fiber Broadband Internet with a hard-wired ethernet connection is required (Minimum 35 mb/s).
Compatibility: NOT compatible with Mobile ISPs (e.g., T-Mobile), Satellite, Wi-Fi, or adapters.
Hardware: Personal device with a functioning camera is required for the initial training and meeting sessions
Pre-Employment Assessment: Candidates will be evaluated on a core competency set that includes written and verbal communication, technical proficiency (computer and internet navigation), and fundamental mathematical skills.

What We Offer

Competitive Pay: Commensurate with experience and industry standards.
Professional Growth: Opportunity to lead within the largest state-based marketplace footprint in the country.
Paid Training: Comprehensive leadership and systems training to ensure your success.

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