State of Wyoming

Eligibility Specialist 2025-00143


Pay$24.78 / hour
LocationCheyenne/Wyoming
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 4800686


      Open Until Filled


      GENERAL DESCRIPTION:


      The Wyoming Department of Health, Health Care Financing, Client Services Unit, is seeking a Benefits & Eligibility Specialist for Cheyenne.

      This position will serve as a Benefits and Eligibility Specialist for the Medicaid Client Services Unit. This position is responsible for determining eligibility for Wyoming's Long-Term Care programs.

      Human Resource Contact: wdhrecruit@wyo.gov


      ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function which may be performed in the job level.


      • Assesses and analyzes current life and financial circumstances to determine eligibility and provide long-term care (LTC) medical assistance to individuals and families in need
      • Makes eligibility determinations and performs case management
      • Responsible and accountable for timely and accurate LTC determinations.
      • Interact with clients and other State agencies/divisions to determine initial eligibility for programs involving Federal and State Funds. Responsible for determining which program(s) best meet the needs of the client.
      • Policy review and training
      • Interaction with Community, State, and Federal Partners
      • Preparation for and participation in hearings


      PREFERENCES:


      Preference will be given to candidates with a bachelor’s degree in a related field or equivalent experience in the related field. or 3-5 years of progressive work experience in a healthcare setting.



      KNOWLEDGE:


      • Computer literacy and ability to use word processing and tables/mathematical software.
      • Knowledge of and ability to communicate and interact with individuals with cognitive, emotional, and/or physical disabilities.
      • Mathematical knowledge and ability to make basic and/or algebraic calculations without error.
      • Knowledge of and skill in clear, concise, and grammatically correct verbal and written communication.
      • Ability to analyze and apply correct policy and procedure to diverse case and client circumstances so that cases are completed without error.


      MINIMUM QUALIFICATIONS:

      Education:
      Bachelor's Degree
      Experience:
      0-1 year of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Benefits and Eligibility Specialist I
      OR
      Education & Experience Substitution:
      3-4 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Benefits and Eligibility Specialist I
      Certificates, Licenses, Registrations:
      None


      PHYSICAL WORKING CONDITIONS:


      • The employee may sit comfortably to perform the work; however, there may be some walking, standing, bending, carrying light items, driving an automobile, etc.


      NOTES:


      • FLSA: Non-Exempt
      • The Wyoming Department of Health is an E-Verify employer.


      048-Wyoming Department of Health - Division of Healthcare Financing - Eligibility & Operations

      Click here to view the State of Wyoming Classification and Pay Structure.

      URL: http://agency.governmentjobs.com/wyoming/default.cfm

      The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.

      Class Specifications are subject to change, please refer to the A & I HRD Website to ensure that you have the most recent version.
  • About the company

      Wyoming (/waɪˈoʊmɪŋ/) is a state in the Mountain West subregion of the Western United States.

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