Eligibility Specialist Lead

Jefferson County • Golden, CO

22h • $29 - $30 • Hybrid

About The Position

The Eligibility Specialist Lead determines eligibility for Adult Financial and Medical Assistance, Food Assistance, Family Medical, Colorado Child Care Assistance, and Colorado Works. The position interprets and applies county, state, and federal regulations; provides technical expertise in the Colorado Benefits Management System (CBMS); and assists Eligibility Specialists, supervisors, and other department staff. The Lead supports training, reviews work assignments, provides backup support when a supervisor is unavailable, gathers information for state reports, and assists with managing the team’s caseload.

This hybrid position combines remote and in-office work as assigned. Available schedules are either five 8-hour workdays Monday through Friday or four 10-hour workdays on any combination of days Monday through Friday. The scheduled workweek is 40 hours. The hiring range is $28.90–$30.34 per hour, with compensation determined by education, experience, and skills.

Requirements

• High school diploma or GED.
• At least three years of work-related experience.
• At least one year determining eligibility for Medicaid, Food Assistance, Colorado Works, and/or Adult Financial programs.
• An equivalent combination of education and experience is acceptable.
• Successful completion of a background check, which may include criminal history, motor vehicle report, education verification, and references.
• Provide five references, including two supervisors, during the background-check stage.

Nice To Haves

• Three years determining eligibility for Medicaid, Food Assistance, Colorado Works, and/or Adult Financial programs.
• Associate’s or bachelor’s degree in Human Services.
• Current knowledge of CBMS.
• Ability to take direction, adapt to change, establish relationships, and work in a team environment.
• Proficiency in Excel and Outlook.
• Strong customer service skills.
• Strong written and oral communication skills.
• Ability to provide administrative and technical support to colleagues.
• Strong time management and prioritization skills.

Responsibilities

• Support supervisors in monitoring and assisting eligibility staff with eligibility determinations and redeterminations across multiple assistance programs.
• Interpret program rules, regulations, policies, and procedures, and provide technical guidance to support accurate, consistent, and timely determinations.
• Troubleshoot CBMS eligibility system errors and identify appropriate actions to resolve system-related issues.
• Assist staff with complex cases, eligibility questions, and procedural concerns.
• Communicate program and policy changes to support consistent implementation.
• Conduct timely case reviews to assess accuracy, compliance, documentation, and adherence to eligibility policies and procedures.
• Document completed case reviews in the designated quality assurance database.
• Identify errors, trends, and improvement areas through reviews, and provide constructive feedback.
• Collaborate with peers, supervisors, Quality Assurance, and Training staff to promote consistent quality standards.
• Seek clarification on quality findings or policy interpretations and raise unresolved questions at Quality and Training Excellence meetings.
• Share case-review findings, trends, and lessons learned with appropriate staff.
• Train, mentor, and provide ongoing technical support to new and established employees.
• Guide staff on case processing, documentation, policy application, and quality expectations.
• Identify learning opportunities and work with supervisors, Quality Assurance, and Training to address knowledge gaps and recurring errors.
• Promote continuous learning, collaboration, accountability, and shared responsibility for quality outcomes.
• Help customers complete forms and submit documentation needed to process applications and maintain eligibility.
• Request, review, and verify information needed to establish or continue eligibility.
• Help resolve customer complaints, escalated concerns, and complex service issues through effective communication and de-escalation.
• Provide on-site customer assistance and support Human Services lobby staff as needed.
• Coordinate with provider agencies and external partners to resolve eligibility or service-related issues.
• Partner with supervisors and teammates to support daily operations, consistency, resource sharing, and workflow resolution.
• Assist with preparing and completing required monthly and other reports.
• Perform designated interim leadership and operational duties when a supervisor is unavailable, including responding to staff questions and assigning or redistributing workload as authorized.
• Coordinate communication across teams to support efficient workflows and timely completion of responsibilities.
• Perform eligibility functions, including approving or denying benefits, when authorized and in accordance with program requirements.
• Perform other assigned duties and responsibilities.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Paid time off and holidays, including a starting bank of 40 hours of PTO for new hires
• Retirement matching
• Wellness programs
• Tuition reimbursement
• Flexible schedules
• Remote work options

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED