VA Eligibility Specialist
AuraOne, Inc.
VA Eligibility Specialist is a remote review track for evaluating AI outputs across va eligibility specialist operations workflows. Reviewers grade workflow correctness, policy adherence, and stakeholder fit; flag operational risk; and document the right next step so the modeling team can train on it. Why this role matters VA Eligibility specialist operations AI has to fit into an actual day at work. AuraOne uses experienced operators to grade outputs the way a senior peer would - checking workflow, policy, and the unwritten rules that decide whether a task actually gets done. Responsibilities Review AI outputs against current va eligibility specialist operations workflows, playbooks, and firm policy for VA Eligibility Specialist assignments. Grade tone, escalation logic, and stakeholder fit on a structured rubric. Flag operational risk, missed escalations, and policy-adherence gaps with severity tags. Capture the right next step so the modeling team can train on it. Adjudicate disputed treatments against published playbooks or firm guidance. Maintain reviewer-quality scores in inter-rater calibration cycles. Qualifications Direct working experience in va eligibility specialist operations on real teams for VA Eligibility Specialist work. Comfort applying multi-page rubrics consistently across long batches. Clear written reasoning that names the policy or workflow being applied. Strong attention to detail and the ability to flag when a prompt itself is the problem. Reliable async availability for at least 10 hours per week. Example tasks Grade a model's response to a real va eligibility specialist operations ticket and rate workflow, tone, and escalation. Flag a missed escalation with the right severity tag and corrected next step. Adjudicate a disputed playbook call between two reviewers using firm guidance. Audit a 25-row batch for rubric consistency and report drift to the program lead. Nice to have Prior experience training, calibrating, or QA-ing operations teams. Familiarity with AI-assisted workflow tooling and its failure modes. Bilingual experience for cross-region operations. Skills Operational review Policy adherence Workflow judgment Stakeholder communication VA Eligibility specialist operations Work model Remote - US-eligible. Remote - Independent specialist contractor. Employment type: CONTRACTOR. Applicants must be authorized to work from US. Compensation Hourly rate confirmed after the interview process. #J-18808-Ljbffr AuraOne, Inc.
$50 - $150 per hour
VA Eligibility Specialist | $50-150/hr | Remote (Contractor) About the role Benture is hiring a remote contractor to work as a VA Eligibility Specialist. This is a specialist role focused on Veterans Affairs health care enrollment and eligibility work. What the work involves...SuggestedRemote jobHourly payFor contractors- ...Role Title: VA Eligibility Specialist Role Type: Contractor Location: Remote United States Time Commitment: 2030 hours per week short-term project We are seeking experienced VA Eligibility Specialists to evaluate and improve AI-generated guidance on veterans...SuggestedFull timeTemporary workFor contractorsRemote work
$57.52k
Job Title Eligibility Specialist Supervisor - Statewide Renewal Team Agency Family and Children Services, Division of Job Requisition ID: JR0000003018 Shift Day (United States of America) Compensation Details $57,520 Job Description (General Summary) Provide direct supervision...SuggestedTemporary workRemote workShift work- Ensemble Health Partners is seeking a remote Healthcare Eligibility Specialist to interview uninsured/under-insured patients and determine Medicaid eligibility. You will review referrals, collect documents, and coordinate submissions while traveling to client locations...SuggestedRemote job
- Ensemble Health Partners is seeking a remote Eligibility Specialist to support uninsured/under-insured patient programs across the United States. The role requires reviewing applications, coordinating submissions, and ensuring timely billing while traveling to client sites...SuggestedRemote job
- ...ELIGIBILITY SPECIALIST The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS). HRA is dedicated to fighting poverty and income inequality...Full timeTemporary workWork experience placementWork at officeImmediate startMonday to FridayShift work
New York City | Jobs
New York, NY2 days ago - Alopex Powered by ShiFox is seeking a Patient Access & Eligibility Specialist to verify insurance, determine CCM/RPM eligibility, and handle administrative intake. This role serves as the front door to the care management program and requires strong communication and technical...Remote job
- City of New York is seeking six Medicaid Eligibility Specialists for the Home Care Services Program Medicaid Eligibility Unit. Responsibilities include reviewing Medicaid applications and renewals for HCSP recipients, using WMS and external systems to process actions, and...
- ...support hospital clients by gathering and processing Medicaid applications for in-house and discharged patients. You will screen eligibility by phone, enroll patients, verify information, and maintain PHI in HIPAA-compliant systems. Responsibilities include data entry,...
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$43.87k - $50.45k
Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE.IF YOU ARE HIRED PROVISIONALLY IN THIS TITLE, YOU MUST TAKE AND PASS THE CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE, TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Department...Permanent employmentFull timeWork experience placementWork at office$20 per hour
...plasma donation service focused on high standards of donor care and efficient processing. The Donor Processor role ensures donor eligibility in line with federal and local standards while supporting the organization’s mission in the donation workflow. This full-time position...Minimum wageFull timeLocal area- ...Student Finance Commission is seeking a detail-oriented Transcript Specialist I to support HOPE Scholarship and Grant programs. You will handle HS and postsecondary transcript processing, eligibility evaluations, and user support for STARS, CHECS, and GAfutures. Ideal...Work at office
- NYC Department of Social Services is seeking an Eligibility Specialist, Level II, to serve as Aid to Continue Compliance Worker. The role involves reviewing Fair Hearing decisions, verifying eligibility using WMS/eMedNY/FHIS, and recalculating budgets to restore benefits...
- Brighton Health Plan Solutions, LLC seeks an Eligibility Service Representative (ESR) experienced in eligibility concepts and multi-channel communications (phone, chat, email) to assist in issue resolution. The ESR will help forward eligibility data to health plans and...Remote job
- Martin's Point Health Care Inc. in Maine seeks a Retention & Eligibility Advisor to oversee the USFHP member retention program, analyze disenrollment trends, and coordinate outreach with the enrollment team. The role focuses on loyalty, retention, and data-driven decision...
- ...pursuing Medicaid enrollment, and ensuring timely submission to support prompt payments to our clients. Key duties include screening eligibility by phone, enrolling through Marketplace or by paper forms, verifying data, and maintaining PHI per HIPAA. #J-18808-Ljbffr Med-...
$53.01k
Commonwealth of Pennsylvania is seeking an Income Maintenance Caseworker in Carbon County to determine eligibility for assistance programs, conduct customer interviews, and apply state and federal regulations. After completing the 8-week IMSTP, you will work in an office...Remote jobPart timeWork at office$19 - $21 per hour
...nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).**Job Title:** Eligibility Specialist 1**Employment Type:**Full-Time, non-exempt**Pay Range:**$19.00 - $21.00 per hour\\***Work Schedule:**Monday - Friday, 8:00...Hourly payFull timeTemporary workLocal areaImmediate startMonday to Friday$70k - $80k
MEDICAID ELIGIBILITY VERIFICATION SPECIALIST Full-time Agency: HRA/DEPT OF SOCIAL SERVICES Job Category: Administration & Human Resources Salary Band: $70,000 to $80,000 Compensation: USD 61,656 - USD 70,904 APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE...Permanent employmentFull timeWork at office- Providing exceptional customer service, the fixed-term Eligibility Specialist will verify benefits and eligibility for patients, manage inquiries from various stakeholders, and maintain accurate documentation while working in a collaborative environment. Key responsibilities...Fixed term contract
- Empower AI, a government-focused tech provider, seeks a Senior ITCR/Requirements Analyst in a hybrid role based in Quantico, VA with remote eligibility. U.S. citizenship and an active Secret clearance are required, with potential Top Secret eligibility. You will lead...Remote job
- Remote VA Outpatient Medical Coder Dutch Ridge Consulting Group, LLC. Fully Remote (U.S. Based) Dutch Ridge Consulting Group is... ...exceptional accuracy, strong outpatient specialty coding experience, and eligibility for federal Public Trust clearance. Position Overview You will...Remote jobPart time
- ...knowledge of environmental laws and the ability to manage multiple assignments. Candidates should have a Bachelor’s in Geology, strong MS Office skills, and readiness to work Monday-Friday with travel. Telecommute eligibility is noted for this position. #J-18808-Ljbffr AERemote jobMonday to Friday
$71k - $80k
...hiring for an IT System Investigation Coordinator to support the VA ESOM contract . The System Administrator, Senior is responsible... ...rewards, and more. We invest in our employees - Every employee is eligible for education reimbursement for certifications, degrees, or...Remote jobPermanent employmentContract workLocal area$22 per hour
...first point of contact for prospective Veterans pursuing initial VA disability claims. In this fully remote role, you will focus on... ...Life Insurance PTO Yuna Health EAP 401k Perkspot Compliance & Eligibility Background & Screenings: Successful candidates must complete...Remote jobTemporary workSeasonal workWork at officeWork from homeMonday to Friday- Dining Specialist, Principal Coordinator - Velocity Black (Remote) Velocity Black, a Capital... ...for Premium Customer Agent I Richmond, VA: $56,800 - $64,800 for Premium Customer... ...more at the Capital One Careers website. Eligibility varies based on full or part-time status...Remote jobFull timePart timeLocal areaFlexible hoursWeekend workAfternoon shift
$22 - $23 per hour
Jefferson County, Colorado is hiring a Call Center Associate Eligibility Specialist to handle inbound calls regarding public assistance programs in a remote environment. This role requires strong communication and problem-solving skills while providing accurate and compassionate...Remote jobHourly pay- ...products. The Senior Principal Intelligence Specialist will have extensive knowledge of and... ...San Francisco, CA, CO, CT, IL, PA, MA, MD, VA, WA, DC, NY, NJ, WA please refer to the chart... ...reach our site directly.Employees may be eligible for a discretionary bonus in addition to...Full timeTemporary workFor contractorsFor subcontractorWork at officeLocal areaImmediate start
Financial Industry Regulatory Authority
New York, NY1 day ago
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