Eligibility Specialist II

Overview

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 and is responsible for determining eligibility for Wyoming's Long‑Term Care programs.

• Comprehensive health, dental, and vision insurance
• Paid vacation, sick leave, FMLA, and holidays
• Retirement – Pension and 457B plans that help you build a secure future
• Flexible schedules and work‑life balance options
• Meaningful work that makes a difference for Wyoming communities

and MUCH MORE!  for detailed information, or you can watch this short video to learn about our benefit package! Want to see the full value of your compensation beyond salary? Explore our Total Compensation Calculator: compensation calculator.wyo.gov.

wdhrecruit

• 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.
• Interacts with clients and other state agencies/divisions to determine initial eligibility for programs involving federal and state funds, and determines which program(s) best meet the client’s needs.
• Reviews policies and provides training.
• Interacts with community, state, and federal partners.
• Prepares for and participates in hearings.

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

• 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 Qualification:

Bachelor’s Degree.

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

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.

None.

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

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

to view the State of Wyoming Total Compensation Calculator.  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.

Working for the State of Wyoming means more than a job – it’s a stable, rewarding career that lets you make a difference while enjoying a great quality of life.