BENEFITS AND ELIGIBILITY SPECIALIST SENIOR

Arizona Department of Administration•Phoenix, AZ

2d•Remote

About The Position

The Department of Economic Security, Division of Benefits and Medical Eligibility is seeking an experienced and highly motivated individual to join our team as a Benefits and Eligibility Senior for the Client Liaison Unit (CLU). This position is recognized as an expert and investigates a diverse caseload of specialized situations, conducting in-depth research and analysis into the conditions or circumstances that are unique and require review to ensure determination of benefits is appropriate. Performs professional casework reviewing program determinations, quality assurance, compliance, utilization, application and interpretation of applicable rules, policies and procedures. This position is available for remote work on a full-time basis within Arizona (including virtual office arrangements). The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.

Requirements

Public assistance eligibility determination processes and FAA case read process.
Federal and State laws, statutes, regulations, policies and procedures pertaining to public assistance programs; high emphasis on information related to overpayments.
Communication, conflict resolution, mediation and collaboration techniques.
Independent problem solving, analyzing, and decision-making for complex issues.
Customer service, interviewing, listening, negotiation, and effective public speaking.
Critical thinking, analytical, Detail-oriented, and conducting research.
Perform quality case reviews of eligibility determinations for NA, MA, and/or CA.
Manage conflict and resolve problems.
Engage in appropriate verbal and written communication with staff and outside entities.

Nice To Haves

Minimum of two years of FAA eligibility determination experience.
OR a Bachelor's or Master's degree in a field appropriate to the assignment.

Responsibilities

Performs quality case reviews of eligibility determinations for Nutrition Assistance (NA), Medical Assistance (MA) and Temporary Assistance for Needy Families (TANF) on specialized cases to verify accuracy of benefit determinations based on the established Federal and State rules, regulations, policies and procedures, works cases to complete eligibility determinations as necessary. Confers with clients to gather additional information to resolve issues, explain facts in case and offers community or other support options.
Works as a liaison between FAA, Arizona Health Care Cost Containment System (AHCCCS), and the Ombudsman's office to complete complex actions related to NA, MA and TANF that arise from both DBME and the Arizona Medicaid Agency. Partners with the Arizona Department of Corrections (AZDOC) to complete MA Eligibility determinations for recently released former inmates. Responsible for cases involving foster children returning to their homes and determining whether those children are eligible for MA following the assistance they were receiving as foster children. Determines if clients are eligible to receive MA once the individual is no longer receiving Social Security Insurance (SSI) benefits. Provides special accommodation on notices for customers with visual impairment and performs customer service-related tasks.
Provides assistance, guidance, and instructions to clients. Responds to complex, time sensitive complaints and feedback. Provides conflict de-escalation in dealing with emotional or irate clients. Formulates detailed responses on a resolution to clients, various entities, DES Director, and DES Executive Team.
Works closely with local office staff to correct errors if they were caused by the agency and to ensure immediate resolution. Meeting with community groups/organizations establishing and maintaining effective working relations. Attends and participates in work groups involving region and local office process improvements, attends local office management meetings, and communicates updates with staff. Confers with management to develop and implement local office procedures to ensure compliance with Federal and State Laws.
Ensure accuracy and timely completion of caseload. Ensuring assignments and projects are completed to meet the daily objectives, performance measures and goals of the agency. Plan workflow and control the daily working arrangements for assignments assigned. Consult with appropriate personnel regarding program objectives, accountability and delivery of services.
Works with agencies in other states from which individuals are requesting benefits, determine if they are still receiving benefits from Arizona, which state offered benefits first, and submits overpayment referrals, in compliance with federal regulations.

Benefits

Affordable medical, dental, life, and short-term disability insurance plans
Participation in the Arizona State Retirement System (ASRS) and long-term disability plans
10 paid holidays per year
Paid vacation and sick time
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child.
Deferred compensation plan
Wellness plans
Tuition Reimbursement
Stipend Opportunities
Infant at Work Program
Rideshare and Public Transit Subsidy
Career Advancement & Employee Development Opportunities