Eligibility Consultant

11 days ago

Kansas, United States

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Job Description

The Kansas Department of Health and Environment is hiring an Eligibility Consultant to analyze Medicaid applications and determine eligibility for federal and state medical assistance. The role involves investigating applicant circumstances and applying policies to make eligibility determinations. This is a full-time position with a Monday-Friday schedule, located in Kansas, and offers benefits including medical coverage and paid leave.
Job Posting

Important Recruitment Information for this vacancy

Job Posting closes:June 11, 2025

Required documents uploaded by:June 11, 2025

Kansas Department of Health and Environment:

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.

Verification of identity and employment eligibility to work in the United States is required by federal law. For a list of acceptable documents that establish these criteria, please refer to the federal Form I-9 . KDHE does not provide sponsorships for this position.

E-Verify: Kansas Department of Health and Environment (KDHE) participates in E-Verify and will provide the federal government with your I-9 information to confirm that you are authorized to work in the U.S. For additional information regarding E-Verify, please click here . For additional information regarding Immigrant and Employee Rights (IER) please click here .

About The Position
• Who can apply: Internal (Statewide)
• 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
• Sponsorship:KDHE does not provide sponsorship for this position.

Compensation:
• Hourly Pay Range: $21.66
• Salary can vary depending upon education, experience, or qualifications.

Employment Benefits

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

Visit the Employee Benefits page for more information…

Position Summary & Responsibilities

Position Summary:

The position (K0240409)

Analyze the initial applications and reviews (for Medicaid programs) and supporting documentation provided by applicants to determine eligibility for federal and state medical assistance. Investigate the applicant circumstances through the use of available computer systems (Databases, registries, and informational deposits) researching information provided by the applicant and their contacts. Apply policies and operational processes to evaluate information provided to make eligibility determinations and provide great customer service. Cases assigned to the consultant generally cross over two or more program areas or specialties and are the more complex processing scenarios.

Job Responsibilities may include but are not limited to the following:

Utilize the agency’s workload management tool, presently CURRENT, to claim and place outcomes on case tasks while also entering household information and authorizing eligibility within the Kansas Economic and Enforcement System (KEES). Consultant completes determination using State and Federal regulations to determine eligibility for medical benefits based on financial and non-financial criteria. Document the eligibility decision in the electronic case journal and send appropriate system-based and manual correspondence to customers and representatives explaining the results of the eligibility determination and information regarding appeal rights. Cases assigned to the consultant generally cross over two or more program areas or specialties and are the more complex processing scenarios.

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:
• High school graduate or GED education. At least 1 year experience determining Long-Term Care, Elderly and Disabled, or Family Medical eligibility and have been an Eligibility Professional for at least 6 months
• Preferred Qualifications:
• Bachelor’s degree
• Some post-high school education
• Word, Excel, PowerPoint, Access
• Experience utilizing computer, imaging and eligibility determination system
• Knowledge of Medicaid programs
• Demonstrated analytical skills
• Ability to manage competing priorities
• Demonstrated ability to perform complicated, unrelated tasks efficiently and accurately
• Ability to interpret and apply policy
• Analytical skills - Ability to break information into smaller categories to draw conclusion
• Effective verbal and written communication
• Experience in customer service
• Independent judgement and initiative
• Organizational Skills

Recruiter Contact Information

Name: Tracey N. Benson

Email: Tracey.N.Benson@ks.gov

Mailing Address:1000 SW Jackson St. Suite 580 Topeka, KS 66612

Job Application Process
• 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

Helpful Resources at jobs.ks.gov : “How to Apply for a Job – Instructions” and “How to Search for a Job – Instructions"

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)

Upload these on the Attachments step in your Job Application
• Resume
• Cover Letter

Helpful Resources at jobs.ks.gov : “How, What, & Where do I Upload Documents”

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

How To Claim Disability Hiring Preference

Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without a reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager.

Learn more about claiming Disability Hiring Preference

PLEASE NOTE: The documentation verifying a person's eligibility for use of this preference should not be sent along with other application materials to the hiring agency but should be sent directly to OPS. These documents should be sent either by fax to (785)296-7712, scanned and emailed to Gustavo.Victoriano@ks.gov, or can be mailed/delivered in person to:

ATTN: Disability Hiring Preference Coordinator

Office of Personnel Services

Landon State Office Building

900 SW Jackson, Rm 401

Topeka, KS 66612

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.

Kansas Department Of Health And Environment


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