Top 20 Eligibility worker Jobs in Boston, Ma

Analyst, Enrollment and Eligibility Operations
BrightonOne —Brighton, MA
- $70,000 - $85,000 a year
- Full-time
- Hybrid work
- Data analysis skills
- HIPAA
- Research
Quick Apply
Eligibility Reviewer
Tetra Tech —Boston, MA
- $25 an hour
- Overtime
- Bilingual
- Microsoft Excel
- Mid-level
5d
Table Side Chef (Interactive Culinary Experience)
Zhu —Boston, MA
- $20 - $25 an hour
- Weekends as needed
- In-person
- Communication skills
- Entry level
- Paid time off
- Flexible schedule
Quick Apply
Eligibility and Recruitment (ERSEA) Specialist
Riverside Community Care —Somerville, MA
- $21.44 - $23.14 an hour
- Weekends as needed
- Bilingual
- Driver's License
- Experience equivalent to degree accepted
- 403(b) matching
- Paid holidays
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Staff Software Engineer - Eligibility and Enrollment
Verily —Boston, MA
- $184,500 - $277,000 a year
- Full-time
- Computer science
- Azure
- Computer Science
Research Scientist, World Models
Basis Research Institute —Cambridge, MA
- $120,000 - $180,000 a year
- Urgently hiring
- Hybrid work
- Computer Science
- Office
- Math
Research Scientist, Reinforcement Learning
Basis Research Institute —Cambridge, MA
- $120,000 - $180,000 a year
- Urgently hiring
- Hybrid work
- Computer Science
- Office
- Math
Sal's Pizza Mascot
Lupoli Companies —Lawrence, MA
- $120 - $300 a day
- Seasonal
- Experience working with children
- In-person
- Communication skills
Quick Apply
9d
Coordinator of Family Evangelization and Discipleship (FT)
Archdiocese of Boston —Braintree, MA
- Email
- Mid-level
- Office
- Master's degree
Senior Software Engineer - Pricing & Promotions Analytics
CVS Health —Wellesley, MA
- $111,240 - $222,480 a year
- Full-time
- Azure
- Bachelor of Science
- Merchandising
- Health insurance
- Dental insurance
After School Technology & Innovation Teacher
Wellan Montessori School —Newton, MA
- From $45 an hour
- Part-time
- School experience
- Classroom
- Computer science
Quick Apply
Project Engineer
Consigli Construction —Boston, MA
- Full-time
- Construction site
- Engineering
- Mid-level
Quick Apply
Housekeeper
Courtyard Boston Billerica/Bedford —Billerica, MA
- $16.75 an hour
- Weekends as needed
- Inventory management
- Ability to walk for extended periods
- Hotel
- Paid holidays
- Health insurance
Quick Apply
Front Desk Agent
Hilton Garden Inn Tewksbury Andover —Tewksbury, MA
- $17.50 an hour
- Weekends as needed
- Microsoft Excel
- Writing skills
- Hotel
- Paid holidays
- Health insurance
Quick Apply
Front Desk Agent
Courtyard Boston Billerica/Bedford —Billerica, MA
- $16.50 an hour
- Weekends as needed
- Microsoft Excel
- Writing skills
- Hotel
- Paid holidays
- Health insurance
Quick Apply
13d

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Part-Time Onsite Medicaid Eligibility Representative
Revenue Group —Columbus, OH
We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental…
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Supervisor - Eligibility & Enrollment
Firstsource Healthcare —Columbus, OH
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Analyst, Enrollment and Eligibility Operations

BrightonOne
Brighton, MA

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Job Details

Full-time
$70,000 - $85,000 a year

Qualifications

High school diploma or GED

Full Job Description

Title: Analyst, Enrollment and Eligibility Operations

Job Type: Full-time

Location: Hybrid — 4 days per week in Brighton, MA office; 1 day remote

FLSA Status: Exempt

About Us

BrightonOne is a nonprofit social enterprise delivering healthcare, housing, and hope to veterans and military-connected families, with enterprise discipline in service to those who served.

Position Summary

The Analyst, Enrollment and Eligibility Operations performs the back-office transactions and analysis that keep USFHP's enrollment, eligibility, and billing accurate and compliant. Working from established procedures, the Analyst processes enrollment, disenrollment, and change transactions, reconciles member eligibility against DEERS and TRICARE rules, analyzes billing and premium activity, and researches and resolves discrepancies — safeguarding data integrity across the member lifecycle and supporting timely, compliant operations.

Key Responsibilities

Enrollment & Eligibility Processing

Process enrollment, disenrollment, and demographic/coverage change transactions accurately and within required timeframes.
Work with Provider Network team to identify members impacted by changes in Primary Care Provider network.
Reconcile member and eligibility data against DEERS and TRICARE eligibility rules; identify, research, and resolve discrepancies.
Maintain accurate member records across enrollment, eligibility, and membership systems.

Billing & Premium Analysis

Set-up recurring premium billing methods (allotments, EFT, Credit Card) based on member election and/or TRICARE Policy.
Analyze billing, premium, and payment activity; research and resolve billing discrepancies and exceptions.
Support premium reconciliation, refunds/adjustments, and related reporting.

Reconciliation, Reporting & Audit

Perform routine reconciliations between membership, eligibility, and billing systems and government files.
Prepare data and documentation to support audits and operational reporting.

Coordination & Compliance

Coordinate with customer experience, finance, and vendors to resolve member enrollment and billing issues.
Maintain documentation and handle member data in compliance with TRICARE/USFHP and HIPAA standards.

Qualifications

Education & Experience

High school diploma/GED required; Associate's or Bachelor's degree preferred.
2–5 years of enrollment, eligibility, billing, or health plan operations experience.

Skills & Competencies

Strong data accuracy, reconciliation, and analytical skills.
Proficiency with Excel and membership/billing/enrollment systems.
Knowledge of enrollment/eligibility and premium billing processes.
Detail orientation and problem-solving;
Familiarity with TRICARE/USFHP and DEERS preferred.

Other Requirements

Must be able to obtain and maintain U.S. Government personnel security clearance as a condition of employment.

Physical Nature of the Job

Some elements of the job are sedentary, but the employee will be required to stand for periods of time or move throughout the campus.

Equal Opportunity Employer Statement

BrightonOne is an Equal Opportunity Employer. We prohibit discrimination and harassment of any kind based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, protected veteran status, or any other characteristic protected by federal, state, or local law. We strongly encourage applications from veterans and individuals with disabilities. Accommodations are available upon request for candidates taking part in all aspects of the selection process.

Work Authorization

Candidates must be authorized to work in the United States without sponsorship now or in the future.

Quick Apply

Refine Your Search

eligibility worker jobs in boston, ma

Analyst, Enrollment and Eligibility Operations

Eligibility Reviewer

Table Side Chef (Interactive Culinary Experience)

Eligibility and Recruitment (ERSEA) Specialist

Staff Software Engineer - Eligibility and Enrollment

Research Scientist, World Models

Research Scientist, Reinforcement Learning

Sal's Pizza Mascot

Coordinator of Family Evangelization and Discipleship (FT)

Senior Software Engineer - Pricing & Promotions Analytics

After School Technology & Innovation Teacher

Project Engineer

Housekeeper

Front Desk Agent

Front Desk Agent

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