Eligibility Consultant

Kansas Department of Health and Environment; Kansas; On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

Comprehensive medical, dental, vision

Sick & Vacation leave

Paid State Holidays

Retirement and Deferred Compensation

Job summary

Kansas Department of Health and Environment is seeking an Eligibility Consultant to analyze initial Medicaid applications and supporting documents to determine eligibility for federal and state medical assistance. You will use databases and KEES to verify information and apply policies while delivering excellent customer service.

The role requires at least 1 year of eligibility experience, strong analytical and communication skills, and the ability to manage competing priorities in a dynamic

Qualifications

• High School or GED required.
• At least 1 year experience determining Medicaid/health eligibility.
• Preferred: proficiency with Word, Excel, PowerPoint, Access.
• Ability to interpret and apply policy.

Responsibilities

• Analyze initial applications for Medicaid programs and supporting documents.
• Determine eligibility based on financial and non-financial criteria.
• Document eligibility decisions and communicate results and appeal rights.

Skills

Analytical skills

Communication

Customer service

Attention to detail

Time management

Education

High School, GED

Tools

Word

Excel

PowerPoint

Access

Job description

Job Posting

Important Recruitment Information for this vacancy

September 4, 2026

Job Posting closes: September 4, 2026

Required documents uploaded by: September 4, 2026

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. http://www.kdhe.ks.gov/

About The Position

• Who can apply: KDHE Agency Only
• 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: $21.34
• 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 Eligibility Consultant position (K0240425) is responsible for analyzing 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

• 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.

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:
  • 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. Education may be substituted for experience as determined relevant by the agency.
• Preferred Qualifications:
  • Word, Excel, PowerPoint, Access
  • Proofreading, editing, attention to detail
  • Experience utilizing computer, imaging and eligibility determination system
  • Knowledge of Medicaid programs
  • Ability to manage competing priorities
  • Demonstrated ability to perform complicated, unrelated tasks efficiently and accurately
  • Demonstrated analytical skills
  • Ability to interpret and apply policy
  • Effective verbal and written communication
  • Experience in customer service