Eligibility & Enrollment Specialist

Location: Richmond

Title:

Eligibility & Enrollment Specialist

State Role

Title:

Prog Admin Specialist I

Hiring Range: $57,937 - $64,772

Pay Band: 4

Agency:
Dept of Med Assistance Svcs

Location:

Dept of Medical Asst Services

Agency Website:(Use the "Apply for this Job" box below)..gov

Recruitment Type:
General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Eligibility & Enrollment Specialist in the Eligibility & Enrollment Services/Enrollment Division.

Job responsibilities will include, but are not limited to:

This position will serve as the Eligibility & Enrollment Specialist and provide technical support and assistance ensuring the accuracy of eligibility enrollments.

The incumbent will perform highly technical analysis and support to state and local Department of Social Services agencies to resolve complex enrollment issues.

The incumbent will also serve as a division liaison reviewing various enrollment reports and performing the necessary analysis to troubleshoot complex enrollment issues.

This position regularly communicates with local Department of Social Services and Virginia Department of Social Services staff to resolve complex eligibility and enrollment transaction failures and enrollment failures.

The business needs for this position have in office requirements to include but are not limited to occasional in office meetings.

Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https:///

The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values - service, collaboration, trust, problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Minimum Qualifications

Competitive candidates will meet these minimum qualifications:

Considerable knowledge of publicly administered assistance programs, such as Medicaid (to include Families and Children, Aged, Blind, and Disabled (ABD), Long-Term Supports and Services (LTSS)) and the Children's Health Insurance Program (CHIP)/Family Access to Medical Insurance Security (FAMIS).

Considerable experience providing sound technical and programmatic assistance to individuals inquiring about the Medicaid and FAMIS programs.

Considerable experience in the eligibility and enrollment process with experience determining eligibility for the Medicaid and CHIP programs.

Considerable experience in planning and implementing policy and procedure changes for the Medicaid and CHIP programs.

Considerable knowledge and experience with the Virginia Case Management System (VaCMS) and Medicaid Management Information System (MMIS), or any successor systems, as well as operating a personal computer with spreadsheets, word processing and presentation software to include Excel, Word, and PowerPoint.

Experience analyzing, interpreting, and applying federal and state laws, rules, regulations, and guidelines.

Experience meeting deadlines.

Experience communicating with internal and external stakeholders.

Additional Considerations

There are no additional considerations for this position.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E‐Verify Program.

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth's Department of Human Resource Management Policy 1.61 Teleworking. This position could be expected to work in the office as driven by business needs.

Telework arrangements are a privilege and may be rescinded at any time based on performance and/or business need. The agency reserves the right to modify or terminate a telework arrangement, provided that reasonable notice is given to the employee.

This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.

If you wish to apply for a job with the Department of Medical Assistance Services, an application and/or resume for employment must be submitted electronically through this website. Mailed, faxed, emailed, or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state…