Analyst Jobs

About The Position

Requirements

• Three years of social services experience; OR Six years of full-time experience in any field; OR A bachelor's degree.
• Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field.
• The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.

Nice To Haves

• Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.
• Demonstrating Accountability: The ability to take ownership of actions, behaviors, performance, decisions, and outcomes.
• Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.

Responsibilities

• Applies Medicaid policy and procedures to determine eligibility accurately and within required timeframes
• Reviews applications, verifications, and supporting documentation to make consistent and compliant eligibility decisions
• Provides eligibility assistance to applicants and members through multiple channels including phone, email, mail, in-person, and electronic platforms
• Conducts interviews and gathers necessary information to support eligibility determinations
• Utilizes web-based systems and databases to process applications, update case records, and maintain accurate documentation
• Responds to inquiries and resolves issues in a call-center environment while delivering high-quality customer service
• Monitors case deadlines and ensures timely completion of eligibility actions and follow-ups
• Maintains detailed and accurate case notes in accordance with program standards and audit requirements
• Works independently to manage assigned caseload while collaborating with team members to ensure service continuity
• Stays current on changes to Medicaid policies, procedures, and system updates to support ongoing accuracy and compliance

Benefits

• Special Entrance Rates (SER)
• Premium Pay of up to $2.00/hr. for hours worked based on longevity