us comm for refugeArlington, VA
Refugee Medical Assistance Program Officer
Refugee Medical Assistance Program Officer
Refugee Medical Assistance Program Officer
us comm for refugeArlington, VA
today
Social and Community Service ManagersCommunity and Social Service Specialists, All OtherSocial and Human Service Assistants
Apply for this role (opens in a new tab)Job Description:
Job Description The U.S. Committee for Refugees and Immigrants (USCRI), established in 1911, is a nongovernmental, not-for-profit international organization dedicated to addressing the needs and rights of refugees and immigrants. USCRI, working with nearly 200 affiliates, provides legal, social, and health services to refugees, unaccompanied migrating children, trafficking survivors, and other immigrants in all 50 states, El Salvador, Honduras, Kenya, and Mexico. USCRI advocates for the rights of refugees and immigrants both nationally and globally, helping to drive humanitarian policies, practices, and law. To learn more about our work, please visit our.
OVERVIEW:
The Refugee Medical Assistance Program Officer position supports the growth and operations of the Refugee Health Services Division and is responsible for overseeing the Refugee Medical Assistance (RMA) and the ORR-funded Medical Assistance (OFMA) for Unaccompanied Refugee Minors programs within the Medical Replacement Designee model across multiple states. This position is based in Arlington, VA. Some travel may be required. This position reports to the Associate Director of Refugee Health Services at USCRI’s headquarters office in Arlington, VA.ESSENTIAL DUTIES AND RESPONSIBILITIES
The Refugee Medical Assistance Program Officer (RMA PO) is a temporary position established for Fiscal Year 2027 (FY27) to provide additional operational support to the Refugee Health Services (RHS) Division following the expansion of the Medical Replacement Designee (MRD) model into additional states.
Working under the direction of the Associate Director of Refugee Health Services, the RMA PO sup-ports the administration of MRD programs across multiple states and plays a key role in ensuring timely access to healthcare for eligible individuals by overseeing eligibility determinations, coordinating benefits, and supporting service delivery in collaboration with state agencies, Local Resettlement Providers (LRPs), Replacement Designees (RDs), and other stakeholders.
The RMA PO is responsible for maintaining quality assurance standards, supporting program monitoring, and strengthening partnerships to ensure effective and compliant program implementation. Core responsibilities include eligibility determination and authorization of benefits, application processing, benefits coordination, state and stakeholder engagement, responding to client inquiries, provider outreach coordination, training and technical assistance, and routine data management and reporting. The position also supports state-specific operational requirements, Medicaid cover-age transitions, and increased coordination and client support associated with expanded MRD operations.
This position is based in Arlington, VA, and may require occasional travel. PROGRAM ADMINISTRATION & BENEFITS COORDINATION
- Support the high-quality and timely administration of MRD programs across multiple states
- Determine final eligibility for Refugee Medical Assistance (RMA) and ORR-funded Medical Assistance (OFMA) for Unaccompanied Refugee Minors (URM), in coordination with LRAs
- Serve as a benefits coordinator by communicating eligibility determinations, authorizing health coverage, and ensuring timely enrollment
- Support LRAs with enrollment processes through electronic eligibility systems (e.g., eRED), ensuring accuracy and completeness
ELIGIBILITY DETERMINATION & QUALITY ASSURANCE
- Review and validate eligibility documentation to ensure compliance with federal guidelines and program requirements.
- Apply quality assurance controls to ensure consistency and accuracy in eligibility determinations across states.
- Identify and resolve eligibility discrepancies in coordination with LRPs, state partners, and internal teams.
- Maintain documentation and audit trails to support compliance and monitoring activities.
STATE & STAKEHOLDER COORDINATION
- Serve as a key point of contact for RDs, LRPs, state agencies, and other stakeholders in MRD states.
- Coordinate with federal, state, and local partners to support program implementation and service delivery.
- Build and maintain strong relationships with internal and external partners, including healthcare providers and community-based organizations.
- Work directly with assigned states to coordinate application processing, enrollment activities, client inquiries, and operational follow-up.
- Support state-specific enrollment procedures, including states where enrollment responsibilities are not fully managed by LRPs.
- Assist with onboarding new states and addressing operational challenges associated with program expansion.
DIRECT CLIENT SERVICES & INQUIRY SUPPORT
- Respond directly to client inquiries regarding healthcare coverage, benefits, and access to medical services.
- Provide guidance regarding medical identification cards, covered services, provider net-works, and accessing healthcare.
- Coordinate with state partners, Local Resettlement Providers (LRPs), and the Third-Party Administrator (TPA) to address client concerns and resolve coverage-related issues.
- Assist clients with inquiries regarding medical billing, transportation, interpretation, and other available support services.
- Monitor outstanding client inquiries and concerns to ensure timely follow-up and resolution.
- Maintain accurate documentation of client communications and follow-up activities.
PROVIDER OUTREACH & NETWORK COORDINATION
- Coordinate with LRP case managers and state partners to assess provider access needs for RMA clients, including specialty care, geographic access, and service gaps.
- Monitor provider network adequacy and identify trends, challenges, and emerging needs across MRD states.
- Serve as a liaison between LRPs, state partners, and the TPA to track provider requests and follow up on contracting status.
- Support escalation of urgent provider access issues to ensure timely care for clients.
- Conduct targeted research to identify potential providers and support network expansion efforts.
- Participate in and support quarterly provider meetings with LRPs and the TPA to review net-work performance and address gaps.
TRAINING, TECHNICAL ASSISTANCE & CAPACITY BUILDING
- Provide case consultation and guidance to LRPs, RDs, and state partners related to eligibility, benefits coordination, and service access.
- Deliver training and technical assistance to support program implementation, compliance, and best practices.
- Promote culturally and linguistically appropriate services (CLAS) and equitable access to healthcare.
- Develop and disseminate program materials, guidance documents, and training resources.
DATA MANAGEMENT & ROUTINE REPORTING
- Support data collection, entry, and management within electronic eligibility and reporting systems.
- Maintain accurate application, eligibility, enrollment, and client communication records.
Also on the board Same function, level within a rung
Level
Lead
Location
Arlington, VA
Occupation
Social and Community Service Managers
Industry
Offices of Physicians
Posted
today