Eligibility Specialist

Position: Eligibility Specialist 2026-00093
Description and Functions

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

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

Qualifications

PREFERENCES:

Preference will be given to candidates with a bachelor's degree in a related field or equivalent experience in the related field.

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 who have 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 cases and client circumstances so that cases are completed without error

MINIMUM QUALIFICATIONS:

None - See "Preferences"

Necessary

Special Requirements

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 anE-Verify employer.

* This position is an At-Will Employment Contract (AWEC) and includes a single Health Insurance plan. This position pays for actual hours worked and is limited to 40 hours per week. The position does not include paid vacation time, paid sick time, paid holidays, family health insurance, retirement, or other benefits. These items are not negotiable by the hiring manager.

Supplemental Information

to view the State of Wyoming Classification and Pay Structure.

URL:

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.