MEDICAID ELIGIBILITY SPECIALIST, SENIOR - 50433

About the role

This is specialized administrative and technical work in the determination and review of complex financial eligibility of individuals applying for benefits under the Medicaid Medical Assistance Program.

Employees in this class serve as eligibility specialists with a case load assignment. Their work involves developing, examining, adjusting, and authorizing or reevaluating applications for services and benefits.

Employees interpret and apply regulations, policies, and federal/state laws pertaining to real property ownership by analyzing income trusts, wills, deeds, liens, decrees, descent and distribution, burial contracts, land/mineral leases, protective service court orders, guardianship, life insurance, appraisals, financial records, etc. to determine eligibility.

This work also involves verifying and utilizing data from various federal, state, and private organizations such as the Veteran’s Administration, Social Security Administration, Retirement Systems, alimony and child support information; working with personnel from nursing homes, hospices, hospitals, doctor and pharmacist offices, financial institutions, insurance companies, attorney offices, and tax assessor offices.

Some employees in this class may serve as regional floaters working where the need is greatest, determining complex financial eligibility. Other positions may perform functions in the central office, such as determining eligibility for the Non-Emergency Transportation Program and providing statewide training, technical assistance, and support for out-stationed workers.

Work is performed within strict policy and procedural guidelines and is reviewed in detail by administrative and technical supervisors.

• Bachelor’s degree from an accredited* four-year college or university in social science, social work, business administration, public administration, or a closely related field.
• One year of experience in the medical assistance field, health, or social services work.
• This position is open to all qualified applicants.
• An evaluation of the training and experience provided on the application will comprise 100% of the final score.

Ready to Apply?

Click the “Apply” link above and complete the online application.

Complete Your Application Carefully

Your application must include detailed information about your education and work experience so we can determine your eligibility for the position.

Before submitting your application

• Make sure your application is updated to include your current or most recent employment.
• Do not combine multiple jobs into one Work Experience entry. List each employer, job, promotion, or change in job title separately, with accurate beginning and ending dates and a complete, detailed description of the duties performed for each separate job.
• Incomplete applications will be rejected and cannot be supplemented or revised after submission.

Please note: A resume, if attached, will not be considered in the evaluation process for placement on the eligible list. Only education and work experience documented in the appropriate sections of the completed application will be reviewed for qualification and evaluation purposes.

Application must be received by 5:00 pm on the application deadline date shown above.

After You Apply

Check your application status regularly for updates on your progress in the recruitment process. Additional information about application status messages is available in the FAQs section of our website under Applying for a Job.

*For complete information on State Personnel’s degree acceptance, accreditation, and foreign education credential policies,