Talent.com
Medicaid Eligibility Delivery Director
Medicaid Eligibility Delivery DirectorNorth Carolina Staffing • Raleigh, NC, US
Medicaid Eligibility Delivery Director

Medicaid Eligibility Delivery Director

North Carolina Staffing • Raleigh, NC, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Medicaid Eligibility Delivery Director

Schedule : M-F Traveling Required : 40%

As a Medicaid Eligibility Delivery Director, you will make an impact by overseeing access, performance, and revenue security for all eligibility functions, leading a team of Directors, Managers, and Patient Advocates, they help uninsured patients find coverage by coordinating with hospitals and agencies. This role manages both long-term system design and daily leadership oversight of operations, ensuring efficient enrollment, revenue cycle management, and positive patient and client experience. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams.

In this role, you will :

  • Provide strategic leadership in designing and implementing scalable Eligibility Services, overseeing policy development, program segmentation, and operational workflows throughout Cognizant's national operations.
  • Establish and maintain key performance indicators, dashboards, and auditing protocols to evaluate results, mitigate regulatory risks, and foster continuous improvement across eligibility activities.
  • Manager leaders who supervise all daily eligibility functions, including patient screening, application processing, redetermination procedures, disability referrals, and performance monitoring, ensuring timeliness, accuracy, and compliance at every step.
  • Develop and manage a high-performing team comprising managers and frontline staff, leading hiring, training, coaching, and professional development to consistently achieve organizational objectives.
  • Act as the executive escalation contact for complex eligibility cases, collaborating with cross-functional leaders to address risks and uphold participant access, while cultivating strong relationships with regulatory authorities and advocacy organizations.
  • Coordinate partnerships with internal departments such as Sales, Finance, Other RCM Service Lines, and Compliance.
  • Champion enterprise-wide initiatives, including internal training programs, standardized operating procedures, and knowledge management systems.
  • Serve as an elevated leadership presence in client interactions, strengthening relationships to foster trust and support business growth.
  • Regular travel to client sites and on-site involvement for new acquisitions and program launches are required. We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.

We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs. The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.

What you need to have to be considered :

  • Bachelor's degree required; master's degree in public health, health administration, public policy, or related field preferred.
  • Minimum of ten (10) years of experience in state Medicaid and Medicare eligibility, enrollment operations, health plan administration, or regulatory policy in managed care, state programs, or integrated provider systems.
  • Proven experience operating in regulated healthcare environments with direct responsibility for eligibility strategy, policy interpretation, and program execution.
  • Minimum of five (5) years of leadership experience managing large or multi-state eligibility teams or enterprise-level platforms, with demonstrated success in meeting performance, access, and compliance goals.
  • Strong command of federal and state Medicaid policy, including SOC, asset testing, redetermination, institutional deeming, and dual eligibility pathways.
  • Demonstrates adaptability in integrating new tools, workflows, or modifications to government programs.
  • Demonstrates a high degree of self-motivation and possesses the ability to work autonomously.
  • Possesses strong professional communication skills, both verbally and in writing.
  • Exhibits exceptional multitasking abilities and time management skills to efficiently prioritize and execute complex executive responsibilities.
  • Proficiency in Microsoft Office Suite.
  • Must be willing and able to travel when needed and work a varied schedule that may include evenings, weekends, and overtime.
  • We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.

    Salary and Other Compensation : Applications will be accepted until December 19, 2025. The annual salary for this position is between $90,000 - $115,000 depending on the experience and other qualifications of the successful candidate. This position is also eligible for Cognizant's discretionary annual incentive program and stock awards, based on performance and subject to the terms of Cognizant's applicable plans.

    Benefits : Cognizant offers the following benefits for this position, subject to applicable eligibility requirements :

  • Medical / Dental / Vision / Life Insurance
  • Paid holidays plus Paid Time Off
  • 401(k) plan and contributions
  • Long-term / Short-term Disability
  • Paid Parental Leave
  • Employee Stock Purchase Plan
  • Disclaimer : The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law. Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future. Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

    [job_alerts.create_a_job]

    Medicaid Eligibility Delivery Director • Raleigh, NC, US

    [internal_linking.similar_jobs]
    Travel MRI Tech - $2,419 per week in Wilmington, NC

    Travel MRI Tech - $2,419 per week in Wilmington, NC

    Medical Solutions • Raleigh, North Carolina, US
    [job_card.full_time]
    A facility in Wilmington, NC is seeking its next amazing MRI Technologist.Read on if this sounds like your perfect fit!.[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    LUNDBECK Reimbursement Case Manager

    LUNDBECK Reimbursement Case Manager

    TEKsystems • Morrisville, NC, United States
    [job_card.full_time]
    Reimbursement Case Manager - Onsite Training, Remote After •.Start Date : • December 15, 2025.Schedule : • 8 : 00 AM - 5 : 00 PM or 9 : 00 AM - 6 : 00 PM (Mon-Fri). Worksite Location (for training) : 2250 Perimet...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Director Family Practice (MD / DO) - UNC Health Float Pool

    Medical Director Family Practice (MD / DO) - UNC Health Float Pool

    UNC Health Care System • Fuquay-Varina, NC, US
    [job_card.part_time] +1
    UNC Health Medical Group is hiring a Medical Director to support our Provider Float Pool.DETAILS ABOUT THE OPPORTUNITY : . Provider Float pool oversight .Participate in recruitment and inte...[show_more]
    [last_updated.last_updated_less] • [promoted] • [new]
    Travel MRI Tech - $1,660 to $1,908 per week in Asheville, NC

    Travel MRI Tech - $1,660 to $1,908 per week in Asheville, NC

    Fusion Medical Staffing • Raleigh, North Carolina, US
    [job_card.full_time]
    Facility in Asheville, North Carolina.Fusion Medical Staffing is seeking a skilled MRI Tech for a 13-week travel assignment in Asheville, North Carolina. As a member of our team, you'll have the opp...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    SERVICE AND DELIVERY TECHS

    SERVICE AND DELIVERY TECHS

    MMI Holdings, LLC • Dunn, NC, US
    [job_card.full_time]
    DME Company based in NC is seeking an individual to work full time as a Medical Equipment Service Specialist in Dunn, NC and surrounding areas. This position involves delivering, picking up and cond...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel MRI Tech - $1,861 to $2,139 per week in Burlington, NC

    Travel MRI Tech - $1,861 to $2,139 per week in Burlington, NC

    Fusion Medical Staffing • Raleigh, North Carolina, US
    [job_card.full_time]
    Facility in Burlington, North Carolina.Fusion Medical Staffing is seeking a skilled MRI Tech for a 13-week travel assignment in Burlington, North Carolina. As a member of our team, you'll have the o...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    VP, Project Delivery Epilepsy & Neuroinflammatory Disorders Team Remote based in NA

    VP, Project Delivery Epilepsy & Neuroinflammatory Disorders Team Remote based in NA

    Thermo Fisher Scientific • Morrisville, North Carolina, USA
    [filters.remote]
    [job_card.full_time]
    The Vice President Epilepsy within our Neuroscience Therapeutic Business Unit (TBU) is a subject matter expert in epilepsy responsible for supporting a robust and growing book of business.This lead...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director of Training

    Director of Training

    North Carolina Staffing • Raleigh, NC, US
    [job_card.full_time]
    Location : Morrisville, NC, US Company : Teleflex Expected Travel : Up to 50% About Teleflex Incorporated As a global provider of medical technologies, Teleflex is driven by our purpose to improve the...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Clinical Director

    Clinical Director

    Mosaic Pediatric Therapy • Wake Forest, NC, US
    [job_card.full_time]
    Mosaic Pediatric Therapy is a leading provider of life-changing therapy for children with autism and learning disabilities across North Carolina and Virginia. We are confident our unwavering focus o...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Lead Director, Provider Portal Strategy & Operations

    Lead Director, Provider Portal Strategy & Operations

    North Carolina Staffing • Raleigh, NC, US
    [job_card.full_time]
    Lead Director, Provider Portal Strategy & Operations.At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate abo...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Service Access Manager - DRH ED

    Service Access Manager - DRH ED

    Duke Cardiology Of Raleigh • Raleigh, NC, US
    [job_card.full_time]
    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Director, Foundation Relations

    Director, Foundation Relations

    National Multiple Sclerosis Society • Raleigh, NC, United States
    [job_card.full_time]
    The National Multiple Sclerosis Society mobilizes people and resources to drive research for a cure and to address the challenges of everyone affected by MS. To fulfill this mission, the Society fun...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel MRI Tech - $1,996 to $2,230 per week in Greenville, NC

    Travel MRI Tech - $1,996 to $2,230 per week in Greenville, NC

    AlliedTravelCareers • Raleigh, North Carolina, US
    [job_card.full_time]
    AlliedTravelCareers is working with Prime Time Healthcare to find a qualified MRI Tech in Greenville, North Carolina, 27833!. Now Hiring : Allied Healthcare MRI - Greenville, NC.Contact us for Pay In...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel MRI Tech - $2,007 to $2,160 per week in Chapel Hill, NC

    Travel MRI Tech - $2,007 to $2,160 per week in Chapel Hill, NC

    AlliedTravelNetwork • Raleigh, North Carolina, US
    [job_card.full_time]
    AlliedTravelNetwork is working with Host Healthcare to find a qualified MRI Tech in Chapel Hill, North Carolina, 27514!.Host Healthcare is an award-winning travel healthcare company with an immedia...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel MRI Tech - $1,708 to $1,908 per week in Asheville, NC

    Travel MRI Tech - $1,708 to $1,908 per week in Asheville, NC

    Titan Medical Group • Raleigh, North Carolina, US
    [job_card.full_time]
    ARRT(MR) / BCLS / BLS - American Heart Association.MRI Tech - Mission Hospital | Asheville, NC.Weeks | 3x12s | 10A-10P | Rotating Weekends. Explore the Blue Ridge Mountains, grab a craft beer from one o...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel MRI Tech - $1,969 per week in Asheville, NC

    Travel MRI Tech - $1,969 per week in Asheville, NC

    AlliedTravelCareers • Raleigh, North Carolina, US
    [job_card.full_time]
    AlliedTravelCareers is working with Mindlance Health to find a qualified MRI Tech in Asheville, North Carolina, 28803!.ID : 73820908 Shift : 10 : 00-22 : 00 Description : Hospital509 Biltmore Avenue, Ash...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel MRI Tech - $1,737 to $1,937 per week in Asheville, NC

    Travel MRI Tech - $1,737 to $1,937 per week in Asheville, NC

    AlliedTravelNetwork • Raleigh, North Carolina, US
    [job_card.full_time] +1
    AlliedTravelNetwork is working with Jackson HealthPros to find a qualified MRI Tech in Asheville, North Carolina, 28801!. Jackson HealthPros is thrilled to welcome an experienced MRI Tech to our tea...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Senior Manager - Solution Delivery

    Senior Manager - Solution Delivery

    Broadview Solutions • Cary, NC, United States
    [job_card.full_time]
    Important Qualification Requirements.We respectfully request that you only apply if you possess the following critical qualifications. You are local to our Cary NC headquarters and are willing to wo...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]