Cover VA Eligibility Manager

Virginia Department of Medical Assistance Services

$98K — $110K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Extensive knowledge of Medicaid/FAMIS programs and Virginia Insurance Marketplace.
  • Experience with eligibility processing systems, such as VaCMS and Medicaid Enrollment System.
  • Strong background in Medicaid eligibility policy and program implementation.
  • Project management experience, including process development and stakeholder engagement.
  • Proficient in Microsoft Office Suite and able to interpret data and reports effectively.
  • Experience in contract and vendor management, meeting deadlines, and team collaboration.

Responsibilities

  • Oversee eligibility monitoring and policy matters for Cover Virginia contract.
  • Manage the performance of two contract monitors and the operations of associated units.
  • Conduct oversight of correspondence, renewal processing, and appeals processes.
  • Participate actively in in-office meetings and external vendor visits as needed.
  • Lead initiatives to enhance processes and procedures for eligibility and enrollment services.

Benefits

  • Opportunity to work at the forefront of public health services and impact community health.
  • Engagement in a collaborative environment with cross-functional teams.
  • Work in a region known for its quality of life and proximity to various recreational areas.
Full Job Description
Cover VA Eligibility Manager

Job no:
Work type: Full-Time (Salaried)
Location: Richmond (City), Virginia
Categories: Health and Human Services

Title: Cover VA Eligibility Manager

State Role Title: Prog Admin Manager II

Hiring Range: $98,790 - $110,052

Pay Band: 5

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Cover VA Eligibility Manager in the Eligibility & Enrollment Services Division.

Job responsibilities will include, but are not limited to:

This position is responsible for overseeing eligibility monitoring and eligibility policy subject matter for the Cover Virginia contract, reporting into the Program Operations Manager.

This role will have direct oversight over two contract monitors, overseeing operations of the CPU, Cardinal Care Correspondence Center, Renewal Processing Unit, Federal Work Requirements, and Cover Virginia Appeals processes.

The business needs for this position have in office requirements to include but are not limited to attending internal meetings, external meetings, and vender offsite visits.

Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org/

Minimum Qualifications

Competitive candidates will meet these minimum qualifications:

Considerable work-related knowledge/experience of the Medicaid/FAMIS programs, Virginia Insurance Marketplace, and the health care and social needs of families and children.

Considerable work-related knowledge/experience eligibility processing systems such as/including Virginia Case Management System (VaCMS), Medicaid Enrollment System (MES), and other required state eligibility systems (or comparable systems).

Considerable work-related knowledge/experience in Medicaid eligibility policy.

Considerable work-related knowledge/experience with program implementation, development of processes and procedures, and project management/planning.

Considerable work-related knowledge/experience with Microsoft Word, Outlook, Excel, Powerpoint, Web-based browsing and research, and computer proficiency.

Considerable knowledge/experience with the interpretation and application of federal, state laws/regulations.

Considerable demonstrated knowledge/experience in meeting deadlines.

Considerable experience with internal/external stakeholders.

Considerable experience in managing team members and working collaboratively across functions, departments, levels, and teams.

Considerable knowledge/experience interpreting data, reading/compiling reports, and presenting to a variety of stakeholders, leaders, and members of the community.

Additional Considerations

Competitive candidates should meet these additional considerations:

Considerable knowledge/experience in performing system readiness testing and documentation of expected and actual results and working as a project team lead to effectively work with project stakeholders.

Considerable knowledge/experience of contract and vendor management.

Considerable knowledge/experience delivering presentations, leading meetings, and driving results.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E-Verify Program.

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth's Department of Human Resource Management Policy 1.61 Teleworking. This position could be expected to work in the office as driven by business needs.

Telework arrangements are a privilege and may be rescinded at any time based on performance and/or business need. The agency reserves the right to modify or terminate a telework arrangement, provided that reasonable notice is given to the employee.

This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.

If you wish to apply for a job with the Department of Medical Assistance Services, an application and/or resume for employment must be submitted electronically through this website. Mailed, faxed, emailed, or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date.

Applications and/or resumes should include relevant work history which indicates your qualifications for this position.

Contact Information

Name: DMAS Talent Acquisition

Phone: 804 - 225 - 4407

Email: [email protected]

Advertised: 26 Aug 2026 Eastern Daylight Time
Applications close: 10 Sep 2026 Eastern Daylight Time

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