Refugee Medical Assistance Program Officer

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 website at www.refugees.org.

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.

· Track pending applications, enrollment activities, and outstanding follow-up items.

· Respond to routine internal and external data requests with accuracy and timeliness.

· Contribute to monitoring activities by compiling data, preparing supporting documentation, and responding to data requests.

· Ensure data integrity and consistency across reporting systems and program documentation.

CUSTOMER EXPERIENCE & FEEDBACK

· Support the development and implementation of customer service surveys for current and former RMA and OFMA clients.

· Review client feedback to assess satisfaction, access to care, and service barriers.

· Provide recommendations to improve client experience and service delivery.

MONITORING, COMPLIANCE & CONTINUOUS IMPROVEMENT

· Assist with program audits, monitoring activities, and compliance reviews.

· Contribute to the development and revision of policies, procedures, and statewide guidance.

· Identify opportunities to improve program operations, service delivery, and cost-effective-ness.

SUPPORT SERVICES (AS NEEDED)

· Provide support for transportation and interpretation services as needed.

OTHER DUTIES

· Perform other responsibilities as assigned by the supervisor.

All of the above duties and responsibilities are essential job functions subject to reasonable accommodation. This job description is not exhaustive, and other job-related duties may be assigned by the supervisor(s) as needed.

POSITION REQUIREMENTS

· Bachelor’s degree in a related field from an accredited institution required.

· Minimum of 3–5 years of experience in health benefits, case management, service coordination, direct service delivery, or a related field; experience in refugee resettlement preferred.

· Minimum of 2 years of experience in contract management, including negotiating, proposal development, reviewing terms and conditions, and performing risk analysis.

· Experience working with health and human service systems, including federal, state, and local partners.

· Working knowledge of the refugee resettlement process and self-insured health plan models preferred.

· Knowledge of RMA and URM program policies and regulations preferred.

· Demonstrated cultural competence and experience working with diverse and international populations.

· Strong analytical and problem-solving skills, including the ability to identify trends, discrepancies, and operational inefficiencies.

· Experience with data management, record keeping, and data entry.

· Strong computer skills, including proficiency in Microsoft Office applications and familiarity with web-based databases.

· Excellent written, verbal, and interpersonal communication skills, with the ability to communicate effectively across diverse audiences.

· Strong organizational and time-management skills, with the ability to manage multiple priorities and meet deadlines in a fast-paced environment.

· Ability to establish and maintain professional relationships with program partners and stake-holders.

· Strong customer service skills and ability to support diverse populations.

· High level of attention to detail and ability to recognize patterns and support process improvements.

· Ability to work independently and collaboratively within a team environment.

· Ability to maintain confidentiality and handle sensitive information with discretion.

· Additional duties may be assigned as required by management.

· Demonstrated commitment to the mission of USCRI.

TRAINING REQUIREMENTS

· Satisfactory completion of USCRI’s Orientation and Training.

· Complete additional training as identified by supervisor or Human Resources.

PHYSICAL DEMANDS

· Use of manual dexterity, tactile, visual, and audio acuity.

· Use of repetitive motion, prolonged periods of sitting and standing, and sustained visual and mental applications and demands.

· Occasional lifting (up to 25 pounds), bending, pulling, and carrying.

· Quantitative/mathematical ability (addition, subtraction, multiplication, division, standard measurements).

· Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

BENEFITS - Overview of our top-notch benefits!

· Medical Insurance with deductibles and out-of-pocket maximums lower than the national benchmarks.

· Dental Insurance with cleanings and x-rays covered at 100%.

· Vision Insurance.

· Life and Disability Insurance – 2x salary paid for by USCRI.

· Long-Term Paycheck Protection/Disability.

· Paid time off (PTO) including 4 weeks of vacation and 11 federal holidays.

ADDITIONAL NOTES

· Please submit a resume with a cover letter describing your interest and qualifications with your online application.

· References will be required at time of the final interview.

· No telephone calls please. Position will remain open until filled.

· Work Location: In-person (possible consideration for a hybrid work environment).

EQUAL EMPLOYMENT OPPORTUNITY

U.S. Committee for Refugees and Immigrants is an equal opportunity employer. We maintain a policy of equal employment opportunity without regard to race, color, national origin, ancestry, religion, sex, sexual orientation, gender identity, domestic partnership status, marital status, physical or mental disability, AIDS/HIV status, age, political affiliation, genetic information, veteran status or any other characteristic protected by applicable law.