What are the responsibilities and job description for the Eligibility Operations Field Specialist position at Kansas Department of Health and Environment?
Job Posting
Important Recruitment Information for this vacancy
Our agency is led by Secretary Janet Stanek, who was appointed by Gov. Kelly in Dec 2021. KDHE is comprised of three divisions: Public Health, Environment, and Health Care Finance (which includes the State’s Medicaid program, KanCare). We are the only agency in the nation to have these three entities under one roof which allows us to take a holistic approach to improving and protecting the health and well-being of all Kansans.
http://www.kdhe.ks.gov/
About The Position
Position Summary & Responsibilities
Position Summary:
The Eligibility Operations Field Specialist (K0230792) This position will be based at the Colby DCF Office.
Are you looking for a great team to work with? Are you a curious person who likes to learn? Do you want to do meaningful work? Do you have a passion for helping those in your community? We would love to meet and talk with you about our opportunity to help applicants and community partners with the KanCare process. Please apply : https://jobs.sok.ks.gov/
Kansas Department of Health and Environment is seeking enthusiastic candidates to apply for the Eligibility Operation Field Specialist at the Colby DCF Office in Colby, Kansas. The successful candidate must be flexible, willing to learn and ready to provide quality customer service. This position requires frequent travel and some over-night stays. The Eligibility Operation Field Specialist is responsible for determining Medicaid eligibility for applicants, conducting outreach to communities, and providing direct assistance to community partners such as Area Agencies on Aging, county health departments, and Managed Care Organizations. This role involves processing applications, educating the public on Medicaid (KanCare) services, and assisting walk-in clients at community events and partner locations to ensure eligible individuals and families receive necessary healthcare coverage.
Collaborates with the KanCare Clearinghouse and KDHE eligibility team: Assist consumers with completion of applications, collects information and routes applications, supporting documents to the Clearinghouse for timely determination of eligibility. Helps Kansas consumers embrace the online application process. Maintains current policy and program knowledge in order to authorize Medicaid benefits and answer inquiries from the general public and agencies. Analyzes, interprets, and applies numerous complex policies and regulations to the consumer’s situation. Maintains working knowledge of MMIS, KEES and relative operating systems, assists with answering consumer and agency questions, troubleshooting eligibility situations/problems; Coordinates technical documentation and reports to determine eligibility and conformance to program objectives. Tracks routing of 3160’s between assessing agencies, MCO’s, ADRCs, KDADS, and HCBS eligibility unit. Authorizes Medicaid cases in the KEES computer system for a range of Medicaid programs in a timely and accurate manner. This determination is accomplished by analyzing, interpreting, and applying numerous complex policies and regulations to the customer’s situation. Investigation of the customer’s circumstances through the use of available computer information systems, researching records provided by customers, community sources, and other sources provide the information upon which eligibility decisions are based. Utilization of fundamental accounting principles and a general understanding of legal terminology and principles is necessary in analyzing, quantifying, and applying policy.
Job Responsibilities may include but are not limited to the following:
Medical Assistance Program Coordination and Outreach: Acts as an initial liaison or client advocate resolving conflicts or misunderstanding by explaining, clarifying, and interpreting KanCare practices, procedures, and regulations; advising clients, organizations or general public about specific programs and policies. Serves as community medical assistance and expert and liaison for KDHE DHCF issues. Advises clients, organizations, and the general public about specific KanCare medical programs in an effective and understandable manner. Provides program information to consumers, agencies, community partners, educational events, Health Departments, Hospitals, Clinics. Speaks with local leaders and stakeholders regarding community health needs and establishes positive relationships with community partners. Explains and interprets KanCare operational practices, policies, procedures regulations to clients and agencies. Provides professional expertise and direction for KanCare programs. Provides direct outreach for medical assistance programs within the assigned region through a variety of strategies. Identifies and engages community partners providing information and resources regarding medical programs using a variety of strategies. Speaks to the public to provide information, explain program and changes. Establishes positive relationships with community partners. Explains and interprets program requirements and changes for consumers and community partners. Develops and implements a community outreach plan. These include, but are not limited to, organizing, and conducting outreach and educational events, participating in fairs, community events and speaking with local leaders and stakeholders regarding community health needs and barriers to medical assistance enrollment. Ensures outreach materials are located in key locations throughout community. Serves on community boards and workgroups. Collaborates with entire KDHE DHCF Eligibility Team when necessary to deliver services, including assisting at events in other regions. Activities and strategies are designed to promote medical assistance within the community and increase enrollment in these programs, understanding of program changes. Organizes and provides leadership to other community staff, including volunteers, who assist with the medical assistance application process.
Determine Eligibility for Medical Assistance Programs: Determine eligibility for all medical assistance programs (Family Medical and Elderly and Disabled). The determination is accomplished by analyzing, interpreting, and applying numerous complex policies and regulations to the consumers situation. Investigation of the customers circumstances through the use of available computer information systems, researching records provided by customer and others provide the basis for such decisions. Utilization of fundamental accounting principles and legal terminology is necessary in analyzing, quantifying, and applying policies in the customers situation. Knowledge and effective use of information systems is essential to document eligibility decisions and provide caseload management. Collaborates and coordinates with eligibility staff located at the KanCare Clearinghouse and in DCF Regional Offices as necessary.
Qualifications
Required Documents For This Application To Be Complete
Upload these on the Careers - My Job Applications page
How To Claim Veterans Preference
Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a "veteran"; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determine by the hiring manager.
Learn more about claiming Veteran’s Preference
Equal Employment Opportunity
The State of Kansas is an Equal Opportunity Employer. We value diversity, equity, and inclusion as essential elements that create and foster a welcoming workplace. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability, or any other factor unrelated to the essential functions of the job.
If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.
Important Recruitment Information for this vacancy
- Job Posting closes: April 08, 2025
- Required documents uploaded by: April 08, 2025
Our agency is led by Secretary Janet Stanek, who was appointed by Gov. Kelly in Dec 2021. KDHE is comprised of three divisions: Public Health, Environment, and Health Care Finance (which includes the State’s Medicaid program, KanCare). We are the only agency in the nation to have these three entities under one roof which allows us to take a holistic approach to improving and protecting the health and well-being of all Kansans.
http://www.kdhe.ks.gov/
About The Position
- Who can apply: Anyone (External)
- Classified/Unclassified Service: Unclassified
- Full-Time/Part-Time: Full-Time
- Regular/Temporary: Regular
- Work Schedule: Monday-Friday, 8am-5pm (Flexible schedules available)
- Eligible to Receive Benefits: Yes
- Veterans' Preference Eligible: Yes
- Hourly Pay Range: $21.13- $23.31
- Salary can vary depending upon education, experience, or qualifications.
- Comprehensive medical, mental, dental, vision, and additional coverage
- Sick & Vacation leave
- Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave
- Paid State Holidays (designated by the Governor annually)
- Fitness Centers in select locations
- Employee discounts with the STAR Program
- Retirement and deferred compensation programs
Position Summary & Responsibilities
Position Summary:
The Eligibility Operations Field Specialist (K0230792) This position will be based at the Colby DCF Office.
Are you looking for a great team to work with? Are you a curious person who likes to learn? Do you want to do meaningful work? Do you have a passion for helping those in your community? We would love to meet and talk with you about our opportunity to help applicants and community partners with the KanCare process. Please apply : https://jobs.sok.ks.gov/
Kansas Department of Health and Environment is seeking enthusiastic candidates to apply for the Eligibility Operation Field Specialist at the Colby DCF Office in Colby, Kansas. The successful candidate must be flexible, willing to learn and ready to provide quality customer service. This position requires frequent travel and some over-night stays. The Eligibility Operation Field Specialist is responsible for determining Medicaid eligibility for applicants, conducting outreach to communities, and providing direct assistance to community partners such as Area Agencies on Aging, county health departments, and Managed Care Organizations. This role involves processing applications, educating the public on Medicaid (KanCare) services, and assisting walk-in clients at community events and partner locations to ensure eligible individuals and families receive necessary healthcare coverage.
Collaborates with the KanCare Clearinghouse and KDHE eligibility team: Assist consumers with completion of applications, collects information and routes applications, supporting documents to the Clearinghouse for timely determination of eligibility. Helps Kansas consumers embrace the online application process. Maintains current policy and program knowledge in order to authorize Medicaid benefits and answer inquiries from the general public and agencies. Analyzes, interprets, and applies numerous complex policies and regulations to the consumer’s situation. Maintains working knowledge of MMIS, KEES and relative operating systems, assists with answering consumer and agency questions, troubleshooting eligibility situations/problems; Coordinates technical documentation and reports to determine eligibility and conformance to program objectives. Tracks routing of 3160’s between assessing agencies, MCO’s, ADRCs, KDADS, and HCBS eligibility unit. Authorizes Medicaid cases in the KEES computer system for a range of Medicaid programs in a timely and accurate manner. This determination is accomplished by analyzing, interpreting, and applying numerous complex policies and regulations to the customer’s situation. Investigation of the customer’s circumstances through the use of available computer information systems, researching records provided by customers, community sources, and other sources provide the information upon which eligibility decisions are based. Utilization of fundamental accounting principles and a general understanding of legal terminology and principles is necessary in analyzing, quantifying, and applying policy.
Job Responsibilities may include but are not limited to the following:
Medical Assistance Program Coordination and Outreach: Acts as an initial liaison or client advocate resolving conflicts or misunderstanding by explaining, clarifying, and interpreting KanCare practices, procedures, and regulations; advising clients, organizations or general public about specific programs and policies. Serves as community medical assistance and expert and liaison for KDHE DHCF issues. Advises clients, organizations, and the general public about specific KanCare medical programs in an effective and understandable manner. Provides program information to consumers, agencies, community partners, educational events, Health Departments, Hospitals, Clinics. Speaks with local leaders and stakeholders regarding community health needs and establishes positive relationships with community partners. Explains and interprets KanCare operational practices, policies, procedures regulations to clients and agencies. Provides professional expertise and direction for KanCare programs. Provides direct outreach for medical assistance programs within the assigned region through a variety of strategies. Identifies and engages community partners providing information and resources regarding medical programs using a variety of strategies. Speaks to the public to provide information, explain program and changes. Establishes positive relationships with community partners. Explains and interprets program requirements and changes for consumers and community partners. Develops and implements a community outreach plan. These include, but are not limited to, organizing, and conducting outreach and educational events, participating in fairs, community events and speaking with local leaders and stakeholders regarding community health needs and barriers to medical assistance enrollment. Ensures outreach materials are located in key locations throughout community. Serves on community boards and workgroups. Collaborates with entire KDHE DHCF Eligibility Team when necessary to deliver services, including assisting at events in other regions. Activities and strategies are designed to promote medical assistance within the community and increase enrollment in these programs, understanding of program changes. Organizes and provides leadership to other community staff, including volunteers, who assist with the medical assistance application process.
Determine Eligibility for Medical Assistance Programs: Determine eligibility for all medical assistance programs (Family Medical and Elderly and Disabled). The determination is accomplished by analyzing, interpreting, and applying numerous complex policies and regulations to the consumers situation. Investigation of the customers circumstances through the use of available computer information systems, researching records provided by customer and others provide the basis for such decisions. Utilization of fundamental accounting principles and legal terminology is necessary in analyzing, quantifying, and applying policies in the customers situation. Knowledge and effective use of information systems is essential to document eligibility decisions and provide caseload management. Collaborates and coordinates with eligibility staff located at the KanCare Clearinghouse and in DCF Regional Offices as necessary.
Qualifications
- Education:
- High School, GED
- Licensing & Certification:
- Valid Driver's License - Incumbent is required to have and maintain a valid driver's license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State.
- Minimum Qualifications:
- One year of experience in planning, implementing, monitoring activities, and determining eligibility in FM and/or E&D unit or other related Medicaid eligibility/customer service experience.
- Preferred Qualifications:
- Bachelor’s degree in liberal arts or business
- Word, Excel, PowerPoint, Access
- Proofreading, editing, attention to detail
- Outcome driven independent work skills
- Critical thinking and problem solving
- Customer Service
- Ability to apply policy
- Two years of experience determining Medicaid eligibility or similar income-based eligibility program
- Name: Tracey Benson
- Email: Tracey.N.Benson@ks.gov
- Mailing Address: 1000 SW Jackson St. Suite 580 Topeka, KS 66612
- First Sign in or register as a New User.
- Complete or update your contact information on the Careers> My Contact Information page. *This information is included on all your job applications.
- Upload required documents listed below for the Careers> My Job Applications page. *This information is included on all your job applications.
- Start your draft job application, upload other required documents, and Submit when it is complete.
- Manage your draft and submitted applications on the Careers> My Job Applications page.
- Check your email and My Job Notifications for written communications from the Recruiter.
- Email – sent to the Preferred email on the My Contact Information page
- Notifications – view the Careers> My Job Notifications page
Required Documents For This Application To Be Complete
Upload these on the Careers - My Job Applications page
- Transcripts
- DD214 (if you are claiming Veteran’s Preference)
- Resume
- Cover Letter
How To Claim Veterans Preference
Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a "veteran"; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determine by the hiring manager.
Learn more about claiming Veteran’s Preference
Equal Employment Opportunity
The State of Kansas is an Equal Opportunity Employer. We value diversity, equity, and inclusion as essential elements that create and foster a welcoming workplace. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability, or any other factor unrelated to the essential functions of the job.
If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.
Salary : $21 - $23
