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

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