Programs Specialist II - UVA Medicaid Unit; Albemarle

Benefit Programs Specialist II - UVA Medicaid Unit (Albemarle)

Albemarle County, Virginia, United States

Administrative

Closing at:
Jul 25 2026 - 00:00 EDT

003-Albemarle Dept Of Social Services

Hiring Range: $58,948 to $65,153

Full Time or Part Time:
Full Time

Essential Functions:

• Interviews applicants/recipients, adapting techniques to meet the needs/abilities of the client; (UVA Hospital)
• Determines eligibility for assistance and benefit levels using automated systems and manual methods; processes applications for benefit programs such as, but not limited to SNAP, Medicaid, Temporary Assistance to Needy Families (TANF), Energy, General Relief, Auxiliary Grants, Refugee Cash and/or Medical Assistance;
• Compiles and analyzes information and policy to determine and redetermine ongoing eligibility for financial, medical and or other governmental programs; computes income and resource eligibility timely, accurately and completely based on complex state and federal guidelines; ensures clients receive maximum eligible benefits;
• Explains available benefit programs, rights and responsibilities, other agency services and community resources identifies social problems and makes referrals to social workers as needed;
• Researches, interprets, and applies mandated programmatic policy and procedures based on state and federal guidelines in the administration of a benefits caseload which may be generic or specialized;
• Ensures integrity in benefits delivery and caseload management by maintaining records according to established guidelines and identifies errors/potential fraud and makes appropriate referrals; evaluates consistency and completeness of data secured, and where indicated substantiates its accuracy;
• Responds to appeal requests, prepares appeal summaries and all supporting documentation, and participates in appeal hearings;
• Attends and participates in unit and agency meetings by sharing knowledge, experiences, and information; participates in agency work groups and/or teams; attends and participates in ongoing training, learning, and growth opportunities;
• Recommends changes in internal policy and procedures based on experience and knowledge;
• Performs related tasks as required.

Competency:

Knowledge/ Skills/Abilities:

• General knowledge of interviewing and time management skills and principles and practices of public social service organizations;
• Some knowledge of current social, economic and health problems and of human behavior and social functioning;
• Knowledge of mathematics to calculate percentages, formulas and averages to solve mathematical problems;
• Knowledge of interviewing techniques such as data collection and investigation.
• Ability to analyze information and policy and determine from a variety of sources missing information and gaps;
• Ability to access data such as estates, retirement accounts, and real estate,
• Ability to maintain professional ethics related to confidentiality;
• Ability to work effectively within and around teams;
• Ability to operate a computer and software;
• High level of attention to detail;
• Ability to establish and maintain effective working relationships with clients, co-workers, management and the public consistent with the agency's Quality Caseload Standards;
• Ability to establish and maintain effective working relationships within a team environment;
• Ability to exercise sound judgment, discretion, tact and resourcefulness in solving problems and drawing logical conclusions;
• Ability to communicate complex ideas effectively, orally and in writing;
• Ability to prepare clear and concise reports;
• Ability to organize/manage own work schedule;
• Ability to plan, manage, coordinate, and prioritize multiple and varied activities and projects.

Required

Education and Experience:

High school diploma supplemented with additional training and related work experience, or equivalent combination of training and experience.

Preferred Qualifications /

Certifications:

Strongly preferred, but not required:

• Bachelor's degree;
• Direct eligibility experience;
• Experience working effectively and successfully within a team;
• Experience working with populations with limited English proficiency.

Physical and Mental Requirements:

• Workers in this…