Benefit Program Specialist

State-of-Missour

Jefferson City (MO)

On-site

USD 35,000 - 43,000

Full time

3 days ago
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Job summary

MO HealthNet Division in Jefferson City seeks a Benefit Program Specialist in the Provider Enrollment Unit. You will review and process provider applications, maintain accurate data, and communicate with providers to ensure compliant enrollment.

The role offers a fast-paced, high-volume environment with opportunities for professional development and some work-from-home flexibility after training. Bachelor’s degree and 0–2 years of experience preferred.

Qualifications

  • Bachelor’s degree and 0-2 years of relevant experience.
  • Attention to detail is essential; strong written and verbal communication.
  • Experience with customer service and ability to work in a team.

Responsibilities

  • Review, evaluate, and process provider applications for MO HealthNet participation.
  • Enter, verify, and maintain provider data across multiple systems.
  • Communicate with providers via email, written correspondence, and phone.
  • Locate and authenticate background documentation in enrollment files.
  • Research and interpret complex correspondence and request additional info.
  • Process and validate updates to provider records.
  • Maintain confidentiality and regulatory compliance in a high-volume environment.
  • Other duties as assigned by supervisor.

Skills

Attention to detail
Clear communication
Teamwork
Customer service

Education

Bachelor’s degree

Tools

eMMIS
Microsoft Office

Job description

The MO HealthNet Division has an opening for a Benefit Program Specialist within the Provider Enrollment Unit located in Cole County.

Semi-monthly salary: The current rate for this position is $1,629.51. Individual(s) selected for this position may receive a higher rate based on a pay differential (e.g. shift, or time-of-service pay). Annual Salary: $39,108.16

Job Posting Number: 4018 8310021. Job Location: This position is located at the Howerton State Office Building; 615 Howerton Court, Jefferson City, MO. All internal promotional applicants are encouraged to apply as there may be alternate office space available.

Department of Social Services partners with families and communities to protect children, rehabilitate youth and move families to self-sufficiency so that Missourians can lead safe, healthy and productive lives. Why you’ll love this position: This position plays a vital role in supporting MO HealthNet by ensuring that qualified healthcare providers are properly enrolled and available to serve program participants. You will contribute directly to maintaining the integrity, accuracy, and accessibility of the provider network. The Provider Enrollment Unit operates in a fast‑paced, high‑volume environment that offers meaningful opportunities for professional development and advancement. The role requires a high level of independence, sound judgment, and attention to detail, while also benefiting from a collaborative and supportive team structure. You will regularly handle non‑routine inquiries and requests from providers, internal partners, and external agencies, requiring strong analytical and communication skills. This position also offers flexibility to work from home after training.

What you’ll do:

  • Review, evaluate, and process new, re-enrolling, and revalidating provider applications to ensure full compliance with federal and state regulations governing MO HealthNet participation.
  • Enter, verify, and maintain accurate provider data within multiple online information systems, ensuring completeness and consistency across all records.
  • Communicate professionally with providers through email, written correspondence, and phone contact to clarify requirements, request additional information, and provide guidance on enrollment processes.
  • Locate, analyze, and authenticate background documentation found in existing enrollment files, electronic repositories, and supplemental materials submitted with applications.
  • Research and interpret complex correspondence from providers or other entities, determine what additional documentation or clarification is required, and clearly articulate those needs in follow‑up communication.
  • Process and validate updates to provider records, including changes to addresses, tax identification numbers, ownership structures, legal names, and other critical information affecting enrollment status.
  • Maintain strict adherence to confidentiality, accuracy, and regulatory standards while managing a high volume of detailed work.
  • Other duties and responsibilities assigned by supervisor.
Minimum Qualifications:

Bachelor’s degree and 0-2 years of relevant experience. (Substitutions may be allowed.)

Preferred Qualifications:

Attention to detail is essential. Clear, accurate, written and verbal communication is important, along with a desire to provide excellent customer service. Experience with eMMIS, Microsoft Office, and data entry a bonus. Must be able to work in a team setting with positivity and a professional demeanor.

Lack of post‑secondary education will not be used as the sole basis denying consideration to any applicant.

The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here.

If you have questions about this position please contact: Lamis Abumghaiseeb at Lamis.Abumghaiseeb@dss.mo.gov. If you experience accessibility issues while applying, please contact Courtney Hall at Courtney.A.Hall@dss.mo.gov.

Recruitment Area: All qualified applicants.

Application Deadline: September 22, 2026

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