eligibility specialist

University of Massachusetts

<div>Overview:
<div>
Under the general direction of the Senior Associate or designee, the Medicaid Eligibility Consultant II will assist in the development of contracts with state agencies; both in and out of state. The Medicaid Eligibility Consultant II should be an insightful, detail-oriented professional with Medicaid-related experience, excellent analytical and organizing skills who is able to apply that skill set to support both Medicaid Eligibility and Program Integrity Initiatives as well as the design, development and implementation of Medicaid eligibility systems.</div>
Responsibilities:
<div>
Conduct complex analysis to support of Medicaid eligibility and program integrity projects in and out of state.</div><div>
Perform research &amp; development analysis relevant to Medicaid eligibility and/or program integrity revenue management/cost savings projects as assigned.</div><div>
Contribute to the development of program and project expansion plans.</div><div>
Contribute to the development of presentations and the preparation of marketing materials to clients.</div><div>
Provide on-site support to senior staff during client visits and meetings</div><div>
Participate in the development of agreements between public entities and the University.</div><div>
Participate in the development of Medicaid systems on behalf of the client Medicaid agency:</div><ul><li>
Serve as a Supporting Subject Matter Expert (SME) in Medicaid eligibility regulations, operations, and processes to support the design, development, and implementation of changes to Medicaid MAGI and non-MAGI eligibility systems.</li><li>
Assist with presenting Medicaid agency business needs and strategic vision in systems development activities and ensure they align with agency objectives.
</li><li>Participate in multi-agency workgroups supporting the development of a common eligibility application.</li><li>
Participate in meetings with the systems&rsquo; upstream and downstream stakeholders to assess needs and provide solutions.</li><li>
Attend business and system design sessions</li><li>
Review, provide feedback and approve appropriate business system design requirements</li><li>
Attend regularly scheduled and ad hoc meetings virtually and onsite; and</li><li>
Assist with testing and resolution of system defects.</li></ul><div>
Support procurement processes such as Request for Information (RFI) and Request for Proposal (RFP) development.</div><div>
Contribute to project forecasting and complete assigned cost analysis tasks in support of financial planning and savings initiatives.</div><div>
Participate in presentations to staff regarding success, merits of initiative, etc.</div><div>
Independently research, develop, and prepare work and implementation plans in support of project and initiatives. Complete assigned projects from start to finish.</div>
Qualifications:
<ul><li>Bachelor's Level Degree or equivalent in a business, health policy, social service, or public administration related field</li><li>
3 to 5 years of experience in a business related field</li><li>
Extensive and in-depth knowledge of Medicaid policies, programs and procedures and the ability to integrate this knowledge with new and existing IT systems.</li><li>
Familiarity working with complex technical, systems and/or programs issues affecting Medicaid and its services to members.</li><li>
Strong verbal and written communication skills.</li><li>
Must have knowledge of state and federal regulations as they apply to public assistance programs</li><li>
Demonstrated experience in Microsoft Word, Excel and PowerPoint</li><li>
Demonstrated project management skills</li><li>
Ability to travel to the client and/or off- site locations weekly</li></ul></div>

Medicaid Eligibility Consultant II

State of Indiana

<p></p><div><div><div><div><div><b>Date Posted: </b>Feb 23, 2026
</div></div></div></div><div><div><div><div><b>Requisition ID: </b>472043
</div></div></div></div><div><div><div><div><b>Location:
</b>New Castle, IN, US, 47362<br>
</div></div></div></div><div></div><div><div><div><div><div><b>Work for Indiana</b></div><div></div><div><div><br>
Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.</div></div><div></div><div><b><br>
About the Family &amp; Social Services Administration</b><b>:</b></div><div>
The Division of Family Resources (DFR) within the Family and Social Services Administration (FSSA) is responsible for establishing eligibility for Medicaid, Supplemental Nutrition Assistance Program and Temporary Assistance for Needy Families benefits. The division also manages the timely and accurate delivery of SNAP and TANF benefits. DFR also provides employment and training services to some SNAP and TANF recipients. The division&rsquo;s overarching focus is the support and preservation of families by emphasizing self-sufficiency and personal responsibility.</div><div></div><div><b><br>
Role Overview</b>:</div><div>
The State Eligibility Consultant meets with clients, explains programs and benefits, and reviews applications for public assistance programs. You will determine amounts, keep records, and gather additional information when needed for continued eligibility.</div><div></div><div><b><br>
Salary Statement</b>:</div><div>
The salary for this position traditionally starts at $37,648.00 but may be commensurate with education or work experience.</div><div><div><div><div><b>
A Day in the Life:</b></div>
</div><div><div>
The essential functions of this role are as follows:</div><ul><li>
Review all eligibility recommendations and information provided by contract staff.</li><li>
Make an eligibility determination for appropriate benefits and waiver programs in compliance with state and federal rules, regulations, and guidelines.</li><li>
Examine data matches to find inconsistent and unreported data.</li><li>
Approve claims referred and calculated by the Contractor.</li><li>
Conduct full eligibility interviews for SNAP, TANF and Medicaid applicants.</li><li>
Keep current on all changes in rules, regulations, and guidelines regarding the individual benefit programs.</li></ul><div>
The job profile is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.</div></div></div><div><div><div><b>
What You'll Need for Success:</b></div>
</div><div><ul><li>Be willing to travel with reasonable accommodation.</li><li>
Thorough knowledge of public assistance policy, practices, and procedures.</li><li>
Thorough knowledge of federal, state, and local rules and regulations related to public assistance programs.</li><li>
Working knowledge of computerized eligibility systems.</li><li>
Ability to identify problems, evaluate alternatives, and implement effective solutions.</li><li>
Ability to use tact and empathy in dealing with people from varied backgrounds.</li><li>
Ability to use discretion in dealing with all clients, and fellow employees&rsquo; personal information.</li><li>
Demonstrates effective interview and communication skills.</li><li>
Ability to be flexible and self-motivated in managing multiple priorities.</li><li>
Ability to work independently and as part of a team.</li><li>
Ability to perform basic mathematical calculations.</li><li>
Able to perform essential functions with or without reasonable accommodation.</li></ul></div></div><div><div><div><b>
Supervisory Responsibilities/Direct Reports:</b></div>
</div><div><div>This role may be utilized in a supervisory capacity based on agency needs.</div></div></div></div><div></div><div><b><br>
Benefits of Employment with the State of Indiana:</b></div><div>
The State of Indiana offers a comprehensive benefit package for full-time employees which includes:</div><ul><li>
Three (3) medical plan options (including RX coverage) as well as vision and dental plans</li><li>
Wellness Rewards Program: Complete wellness activities to earn gift card rewards</li><li>
Health savings account, which includes bi-weekly state contribution</li><li>
Deferred compensation 457(b) account (similar to 401(k) plan) with employer match</li><li>
Two (2) fully-funded pension plan options</li><li>
A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:<ul><li>
150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers</li><li>
Up to 15 hours of paid community service leave</li></ul></li><li>
Combined 180 hours of paid vacation, personal, and sick leave time off</li><li>
12 paid holidays, 14 on election years</li><li>
Education Reimbursement Program</li><li>
Group life insurance</li><li>
Referral Bonus program</li><li>
Employee assistance program that allows for covered behavioral health visits</li><li>
Qualified employer for the Public Service Loan Forgiveness Program</li><li>
Free Parking for most positions</li><li>
Free LinkedIn Learning access</li></ul><div></div><div><b><br>
Equal Employment Opportunity:</b></div><div>
The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov.</div></div></div></div></div></div><p></p>

State Eligibility Consultant

State of Tennessee

<div><p><b>Executive Service</b>
</p><p></p><h2 class="jobSectionHeader"><b>QUALITY ASSURANCE SPECIALIST</b></h2><h3 class="jobSectionHeader"><b>
Division of TennCare</b></h3><h3 class="jobSectionHeader"><b>
Member Services</b></h3><h3 class="jobSectionHeader"><b>
Nashville, TN</b></h3><h3 class="jobSectionHeader"><b>
Salary: Minimum Salary $48,684/month
</b></h3><h3 class="jobSectionHeader"><b>TennCare compensation is equitable and will be based on education and experience for a qualified candidate in accordance with Department of Human Resources (DOHR) policy.</b></h3><h3 class="jobSectionHeader"><b>
Closing Date: 03/09/2026</b></h3><h3 class="jobSectionHeader"><b>
The Division of TennCare is dedicated to providing our employees with a hybrid work environment. All TennCare positions have a combination of work from home and work in the office, which varies by position, department, and business need. You may review the specific expectations with our hiring team.</b></h3><p><b><br>
Background Check:</b></p><p>
This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position</p><p><b><br>
Who we are and what we do:</b></p><p>
TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.7 million Tennesseans and operates with an annual budget of approximately $14 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS).
</p><p>TennCare's mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and worked collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.</p><p><b>
Job Overview:</b></p><p>
The Division of TennCare is seeking a Quality Assurance Specialist in the Eligibility Operations Group within Member Services. This position will report directly to an Eligibility Operations Group Manager. In general, TennCare Program Coordinators on this team will work in TEDS processing applications to determine eligibility for regular TennCare programs. This includes performing case reviews submitted by contract employees. The TennCare Program Coordinator will lead weekly team meetings for contract employees. The TennCare Program Coordinator will work with customers, families, facilities, and Authorized Representatives to relay clear information and expectations of the information needed for an accurate eligibility determination. Additionally, the TennCare Program Coordinator will document actions in TEDS (&amp; other systems) when necessary.</p><p><b>
Key Responsibilities:</b></p><ul><li>
Review all received documents and make an eligibility determination in accordance with all rules, regulations, polices and guidelines.
</li><li>Process Medicaid applications timely according to the established policies and regulations.
</li><li>Provide support and guidance to assigned staff on matters relating to Medicaid rules, regulations, policies and procedures and organizational databases.
</li><li>Evaluate production to ensure accuracy and that production standards are met.
</li><li>Provide and participate in training, resources, and tools to increase performance and professional development of staff
</li><li>Provide excellent customer service to both internal and external stakeholders
</li><li>Complete secondary reviews for contract employees
</li><li>Lead weekly team meetings with contract employees</li></ul><p><b>
Minimum Qualifications:</b></p><p>
Education and Experience:
</p><ul><li>Graduation from an accredited college or university with a bachelor's degree in a related field (preferred degree in business administration, management, public health, health policy, paralegal, or legal assistant studies) and 2 years of relevant work experience.
</li></ul><p>OR
</p><ul><li>An equivalent combination of education and work experience may be considered.
</li></ul><p><b>Desirable Qualifications</b>
</p><ul><li>Graduation from an accredited college or university with a bachelor's degree in business administration, management, public health or health policy and one of the following:
</li><li>Four (4) years of experience within TennCare -Four (4) years of experience within a Medicaid, managed care or healthcare organization.
</li><li>Ability to foster and maintain cohesive working relationships
</li><li>Ability to adapt to changing priorities and deadlines -Ability to exercise sound judgment
</li><li>Strong organizational skills necessary, including the ability to prioritize, multi-task and manage workload to meet specific timeframes and deadlines
</li><li>Advanced writing and communication skills</li></ul><p>
</p><p><i>Pursuant to the State of Tennessee's Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State's policy to provide an environment free of discrimination and harassment of an individual because of that person's race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran's status or any other category protected by state and/or federal civil rights laws.</i></p></div>

QUALITY ASSURANCE SPECIALIST - 75525

BeneSys, Inc.

<div><div><b>Eligibility Coordinator (Columbia, MD)</b></div>
<div></div><div><b>Summary &ndash;</b> The Eligibility Coordinator is an entry level position and will provide customer service, determine, maintain and terminate member and/or dependent eligibility for health care benefits. This is a collective bargaining union position.</div>
<div></div><div><b>Essential Duties and Responsibilities</b> included but not limited to</div>
<ul><li>Know the plan rules for eligibility as outlined in the Summary Plan Description (SPD) for each fund.</li>
<li>Collect completed enrollment forms and add all members and their eligible dependents to the BeneSys computer system and any/all outside carrier systems; send requests for additional documentation on incomplete enrollment forms and/or denial with rights to appeal.</li>
<li>Audit vendor reports and invoices on a monthly or weekly basis.</li>
<li>Determine qualifying events and notify member/dependent of COBRA rights.</li>
<li>Prepares and mails eligibility correspondence including but not limited to enrollment forms, enrollment packages and self-payment notices.</li>
<li>Scan and index documents into document storage system.</li>
<li>Provides exceptional customer service via phone and email to internal and external customers.</li>
<li>Regular and predictable attendance is an essential function of this job.</li>
</ul><div><b>Qualifications
</b></div><ul><li>Prior experience in a clerical and customer service, preferred but not required</li>
<li>Post High School education or prior related work experience preferred</li>
<li>Excellent customer service and phone skills</li>
<li>Proficient in MS Word, Excel and Outlook</li>
<li>Ability to read and interpret eligibility plan rules, department rules and procedures manual and COBRA compliance manual
</li><li>Ability to speak clearly and effectively in order to explain eligibility requirements to members, dependents, providers and union officials</li>
<li>Ability to multi-task</li>
</ul><div><b>Work Environment - </b>Fast paced department. Phone calls are continuous and often unpleasant. Must be able to maintain composure with difficult caller. Most work is done independently. Must be able to multi-task. Must be detailed oriented.</div>
<div></div><div><b>Work Schedule - </b>Full-time. Monday - Friday, 8:30am &ndash; 5:00pm. Required in office (no at-home days).</div>
<div></div><div><div><b>Competitive Benefits and Compensation Package</b></div>
<ul><li>14 paid holidays</li>
<li>10 paid vacation days</li>
<li>12 paid sick days</li>
<li>6 weeks paid adoption/foster care leave</li>
<li>Employer-paid basic life</li>
<li>Long-term disability and short-term disability insurance</li>
<li>Medical, dental and vision insurance, with option for dependent coverage</li>
<li>401(k) with employer match</li>
<li>Tuition reimbursement</li>
</ul></div><div><b>Pay
</b></div><div>The current starting rate for this position is $21.68 per hour. This is a union position. The wage rate for this position is determined by the collective bargaining agreement and may be dependent on experience, skills, education and other business factors.</div>
<div></div><div><b>Our Culture
</b></div><div>BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees&rsquo; successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.</div>
<div></div><div>Our culture focuses on three core values:</div>
<ul><li>Collaboration: working together across 31 locations to achieve the best for the company and our clients</li>
<li>Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues</li>
<li>Integrity: doing what we say we will do. Upholding strong ethical and moral principles</li>
</ul><div><b>ADA &amp; EEO</b></div>
<div></div><div><b><i>Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.</i></b></div></div>

Eligibility Coordinator (Columbia, MD)

TeamHealth

<div><div><div><b>TeamHealth</b> is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. <b>TeamHealth has been recognized by Newsweek as one of America&rsquo;s Greatest Workplaces in Health Care for 2025</b>. Becker&rsquo;s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!<br>
<br>
<b>What we Offer:</b><ul>
<li>Career Growth Opportunities</li>
<li>A Culture anchored in a strong sense of belonging</li>
<li>Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment</li>
<li>401k (Discretionary match)</li>
<li>Generous PTO</li>
<li>8 Paid Holidays</li>
<li>Equipment Provided for Remote Roles</li>
</ul><br>
<b>OVERVIEW:</b><br>
The Eligibility Representative is responsible for working denial reports and correcting or refiling claims based on denial or rejection and eligibility responses. This person will note each patient&rsquo;s account clearly so that all who need to review accounts will understand the documentation. The Eligibility Representative will also identify FSC according to eligibility website responses and will work from various source documents. This work is routine and repetitive.<br>
<br>
<b>ESSENTIAL DUTIES AND RESPONSIBILITIES:</b><ul>
<li>Identifies appropriate FSC and insurance company</li>
<li>Analyzes rejections and denials, identifies probable cause, and makes necessary corrections to refile claims</li>
<li>Accurately note all patient accounts so that this information can be viewed and understood in the future</li>
<li>Notifies the Sr. Representative and/or Supervisor of system malfunctions and problems arising from erroneous items, codes, or missing information</li>
<li>Performs any and all duties as directed by management</li>
</ul><br>
<b>QUALIFICATIONS / EXPERIENCE:</b><ul>
<li>High School diploma or equivalent required</li>
<li>6 months or more of registration and/or eligibility experience</li>
</ul></div><div><div>Get job alerts by email. <b>Sign up now!</b><b>
</b><p></p>
</div><div></div><div><div>Job Snapshot</div>
<div><h4 class="jobSectionHeader"><b>Employee Type</b></h4>
Full-Time
</div><div><h4 class="jobSectionHeader"><b>Location</b></h4>
Louisville, TN (Hybrid)
</div><div><h4 class="jobSectionHeader"><b>Job Type</b></h4>
Admin - Clerical
</div><div><h4 class="jobSectionHeader"><b>Experience</b></h4>
Not Specified
</div><div><h4 class="jobSectionHeader"><b>Date Posted</b></h4>
03/01/2026
</div></div></div></div><div><div><div><div><h3 class="jobSectionHeader"><b>Apply to this job.</b></h3>
Think you're the perfect candidate?</div></div></div></div></div><p></p>

Eligibility Representative

Central Health

<div>Overview:
<div>
Under general direction, assists Eligibility Supervisor or Manager in a lead capacity in providing daily oversight and coordination for MAP mail-in, electronic application processing and performance improvement activities. Responsible for new employee and electronic application training and assisting in the application of performance standards, resolving complex customer problems and complaints, answering staff questions and interpreting and enforcing policy and procedure, and providing input into employee performance appraisals.</div><div><i><br>
This position is considered Hybrid, which means that individuals in this position may work both at an approved Offsite location and Onsite at a primary location or multiple locations based on Business Needs.</i></div>
Responsibilities:
<div><b>
Essential Duties</b> (at least 5 that are non-negotiable duties and are absolutely pertinent to successfully completing the job without accommodations):</div><div><ul><li><br>
Leads work group activities as directed by program supervisor including providing daily oversight and coordination for assigned eligibility work sites, applying performance standards, training, answering staff questions and interpreting and enforcing policy and procedure, and providing input into employee performance appraisals.</li><li>Develop tools utilized to conduct audits on activities performed by Eligibility Services staff or outside contractor.</li><li>Analyzes the outcome of audits and complies reports on audit results including common trends.</li><li>Assists in training of new eligibility staff utilizing new staff training outlines and materials.</li><li>Makes decisions regarding a client&rsquo;s eligibility for healthcare services including interpreting and applying complex program requirements explaining in both English and another foreign language program benefits and how to access services.</li><li>Assists customers in both English or another language in which you are fluent in resolving complicated problems and complaints regarding services.</li><li>May monitor changes to program guidelines and requirements, identify and coordinate implementation of changes as directed by program manager including the use of automated tools and plan, create, implement and maintain training programs as required.</li><li>Coordinates and oversees MAP mail-in and electronic application processing to include making work assignments to staff and following-up to ensure applications are processed as per deadlines, resolving problems, answering staff questions and interpreting and enforcing policy and procedure.</li><li>Provide oversight for the various audits of activities performed by Eligibility Services staff including site, file, interview and outcome audits as well as occasional audits of contractors.</li><li>Performs over duties as assigned</li></ul></div><div><b><br>
Knowledge/Skills/Abilities:</b></div><div><br>
Knowledge of:<br>
<ul><li>Administrative and clerical procedures and systems such as word processing and data base systems, filing and records management systems, transcription, and other office procedures and terminology</li><li>On-the-job training techniques and adult education methods.</li><li>Techniques used in change and culture management</li></ul></div><div><br>
Skill in:<br>
Ability to:<br>
<ul><li>Communicating effectively in writing and speaking as indicated by the needs of the audience</li><li>Identifying the nature of problems, implementing solutions, observing and evaluating the outcomes of a problem solution to identify lessons learned or redirect efforts</li><li>Determining what is causing an operating error and deciding what to do about it</li><li>Determining what needs to be recorded and accurately and completely recording information to meet all policy, procedure and regulatory requirements</li><li>Knowing how to find information and identifying essential information</li><li>Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards</li><li>Analyzing information and evaluating results to choose the best solution and resolve problems</li><li>Communicating effectively in speaking and writing as indicated by the needs of the audience</li><li>Coordinating activities by adjusting actions in relation to others&rsquo; actions</li><li>Fluently communicating verbally in English/Spanish</li><li>Being aware of others&rsquo; reactions and understanding why they react the way they do</li><li>Performing complex operations in Microsoft Office Suite</li><li>Listening to what other people are saying and asking questions as appropriate</li><li>Actively looking for ways to help people and establishing and maintaining effective working relationships</li><li>Scheduling people to meet the responsibilities of the work unit</li><li>Motivating people to achieve goals</li><li>Teaching others how to do something ad assessing how well one is doing when learning or doing something</li><li>Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.</li><li>Efficiently shift back and forth between two or more activities or sources of information</li><li>Correctly follow a given rule or set of rules in order to arrange things or actions in a certain order including procedures, orders or logical operations</li><li>Use deductive reasoning to apply general rules to specific problems to come up with logical answers and decide if an answer makes sense</li><li>Add, subtract, multiply or divide quickly and correctly and to understand and organize a problem and then to select a mathematical method or formula to solve the problem</li><li>Pay attention to details</li><li>Work effectively with individuals from diverse backgrounds</li><li>Read and understand basic foreign language on documents and forms</li><li>See details of objects at a close range (within a few feet of the observer)</li><li>Make fast, simple, repeated movements of the fingers, hands, and wrists</li></ul></div><div><br>
Physical Abilities:<br>
<ul><li>While performing the duties of this job, the employee constantly is required to: Grasp, handle, feel, see, sit, listen, and talk.</li><li>The employee frequently is required to: Reach, drive a vehicle, teaching others how to do something and assessing how well one is doing when leaning or doing something, utilize a personal computer and commonly used software, e.g. Word, Excel and PowerPoint, to enter, retrieve, and communicate data.</li><li>The employee occasionally is required to: Lift up to 10 pounds</li></ul></div>
Qualifications:
<div><b>
MINIMUM EDUCATION:</b></div><ul><li>
High School Diploma or equivalent (higher degree accepted)</li><li>
Sixty (60) semester hours from an accredited college</li></ul><div><b><br>
MINIMUM EXPERIENCE:</b><br>
<ul><li>a minimum of 4 years related experience and verbal fluency in English and one or more foreign languages and some basic reading comprehension in both languages.</li><li>Any equivalent combination of education and experience may substitute.</li></ul></div></div>

Eligibility and Financial Specialist Senior

<p></p><div><div><div><div><div><b>Date Posted: </b>Feb 23, 2026
</div></div></div></div><div><div><div><div><b>Requisition ID: </b>473197
</div></div></div></div><div><div><div><div><b>Location:
</b>Indianapolis, IN, US, 46219<br>
</div></div></div></div><div></div><div><div><div><div><div><b>Work for Indiana</b></div><div></div><div><div><br>
Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.</div></div><div></div><div><b><br>
About the Family &amp; Social Services Administration</b><b>:</b></div><div>
The Division of Family Resources (DFR) within the Family and Social Services Administration (FSSA) is responsible for establishing eligibility for Medicaid, Supplemental Nutrition Assistance Program and Temporary Assistance for Needy Families benefits. The division also manages the timely and accurate delivery of SNAP and TANF benefits. DFR also provides employment and training services to some SNAP and TANF recipients. The division&rsquo;s overarching focus is the support and preservation of families by emphasizing self-sufficiency and personal responsibility.</div><div></div><div><b><br>
Role Overview</b>:</div><div>
The State Eligibility Consultant meets with clients, explains programs and benefits, and reviews applications for public assistance programs. You will determine amounts, keep records, and gather additional information when needed for continued eligibility.</div><div></div><div><b><br>
Salary Statement</b>:</div><div>
The salary for this position traditionally starts at $37,648.00 but may be commensurate with education or work experience.</div><div><div><div><div><b>
A Day in the Life:</b></div>
</div><div><div>
The essential functions of this role are as follows:</div><ul><li>
Review all eligibility recommendations and information provided by contract staff.</li><li>
Make an eligibility determination for appropriate benefits and waiver programs in compliance with state and federal rules, regulations, and guidelines.</li><li>
Examine data matches to find inconsistent and unreported data.</li><li>
Approve claims referred and calculated by the Contractor.</li><li>
Conduct full eligibility interviews for SNAP, TANF and Medicaid applicants.</li><li>
Keep current on all changes in rules, regulations, and guidelines regarding the individual benefit programs.</li></ul><div>
The job profile is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.</div></div></div><div><div><div><b>
What You'll Need for Success:</b></div>
</div><div><ul><li>Be willing to travel with reasonable accommodation.</li><li>
Thorough knowledge of public assistance policy, practices, and procedures.</li><li>
Thorough knowledge of federal, state, and local rules and regulations related to public assistance programs.</li><li>
Working knowledge of computerized eligibility systems.</li><li>
Ability to identify problems, evaluate alternatives, and implement effective solutions.</li><li>
Ability to use tact and empathy in dealing with people from varied backgrounds.</li><li>
Ability to use discretion in dealing with all clients, and fellow employees&rsquo; personal information.</li><li>
Demonstrates effective interview and communication skills.</li><li>
Ability to be flexible and self-motivated in managing multiple priorities.</li><li>
Ability to work independently and as part of a team.</li><li>
Ability to perform basic mathematical calculations.</li><li>
Able to perform essential functions with or without reasonable accommodation.</li></ul></div></div><div><div><div><b>
Supervisory Responsibilities/Direct Reports:</b></div>
</div><div><div>This role may be utilized in a supervisory capacity based on agency needs.</div></div></div></div><div></div><div><b><br>
Benefits of Employment with the State of Indiana:</b></div><div>
The State of Indiana offers a comprehensive benefit package for full-time employees which includes:</div><ul><li>
Three (3) medical plan options (including RX coverage) as well as vision and dental plans</li><li>
Wellness Rewards Program: Complete wellness activities to earn gift card rewards</li><li>
Health savings account, which includes bi-weekly state contribution</li><li>
Deferred compensation 457(b) account (similar to 401(k) plan) with employer match</li><li>
Two (2) fully-funded pension plan options</li><li>
A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:<ul><li>
150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers</li><li>
Up to 15 hours of paid community service leave</li></ul></li><li>
Combined 180 hours of paid vacation, personal, and sick leave time off</li><li>
12 paid holidays, 14 on election years</li><li>
Education Reimbursement Program</li><li>
Group life insurance</li><li>
Referral Bonus program</li><li>
Employee assistance program that allows for covered behavioral health visits</li><li>
Qualified employer for the Public Service Loan Forgiveness Program</li><li>
Free Parking for most positions</li><li>
Free LinkedIn Learning access</li></ul><div></div><div><b><br>
Equal Employment Opportunity:</b></div><div>
The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov.</div></div></div></div></div></div><p></p>

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