Eligibility Specialist- Waiver

The Senior Alliance; Dearborn (MI); On-site; USD 38,000 - 50,000; Full time

Job summary

The Senior Alliance in Dearborn, MI is seeking a Waiver Eligibility Specialist to support Medicaid eligibility determinations and coordinate services for older adults and caregivers. The role requires strong customer service, data accuracy, and team collaboration.

Responsibilities include home visits, gathering documentation for MDHHS determinations, maintaining records, and supporting Community Care tasks.

Qualifications

• High School Diploma or equivalent required.
• At least two years in program intake or customer service, preferably in publicly funded programs.
• Experience with Medicaid applications is preferred.
• Familiarity with record keeping and filing; knowledge of senior services is a plus.

Responsibilities

• Assist participants in applying for assistance programs (Medicaid, Food Assistance, Section 8, etc.).
• Maintain and ensure eligibility for MDHHS Medicaid and related programs.
• Coordinate with participants to obtain documentation for determinations.
• Prepare and analyze reports to track eligibility changes.
• Conduct home visits and collect required documentation.
• Ensure data integrity across internal and state systems.

Skills

Interpersonal skills

Customer service

Teamwork

Documentation

Microsoft Office

MDHHS systems

Education

High school diploma

Tools

Record keeping systems

MDHHS systems

Job description

Start Your Career at The Senior Alliance

The Senior Alliance is a trusted resource for aging adults. Our team’s experience, skill, creativity, and proactive approach to care empowers older adults, adults living with disabilities, and caregivers to help them continue to live enjoyable and respectful lives. We couldn’t do this work without our dedicated, passionate team.

Position:Eligibility Specialist- Waiver

Location: Dearborn, MI

Job Id:317

# of Openings:1

Job Title: Waiver Eligibility Specialist

Salary: Commensurate with education and experience and within budget constraints.

Education: High School Diploma or equivalent

Experience: At least two years experience in program intake or customer service in private industry or public grant funded programs such as those under the Older Americans Act. Experience in completing Medicaid applications. Familiarity with record keeping and filing systems is desirable. Knowledge of community organizations serving seniors is preferred.

Requirements: Has excellent interpersonal and group process skills. Is accurate, conscientious and flexible with attention to detail. Is familiar with computers and can work within multiple systems. Accepts direction, is well organized, and has the ability to meet deadlines. Position requires excellent customer service skills. Willingness to work in a team environment. Home visits and field work required. The Senior Alliance is a non‑profit 501c(3) where philanthropy on behalf of the agency is a requirement of all employees. Perform job functions with ethics, honesty and integrity.

General Job Description: Works in a team environment to assist in maintaining eligibility for community service programs. Makes home visits to gather appropriate documentation for Medicaid eligibility. Also assists with administration and program tasks when necessary.

Physical Requirements: Regularly required to sit for extended periods of time. Regularly spend long hours using office equipment including computers. Regularly work on repetitive tasks and motions. Ability to lift up to 20 pounds

Duties:

• Assists participants in applying for assistance programs such as Medicaid, Food Assistance, Section 8 Housing, and other programs.
• Achieving and maintaining participant eligibility in MDHHS Medicaid, MI-Choice Waiver and Related Programs (SER/FAP).
• Coordinating with participants to obtain necessary documentation for regular MDHHS determinations.
• Completing and analyzing various reports to track changes in participant eligibility.
• Communicating with MDHHS regarding changes in participant’s eligibility for community services.
• Assuring continuity of internal TSA data with State of Michigan systems.
• Verify Medicaid eligibility for Waiver.
• Maintains and inputs a record keeping system that includes all required data for the waiting lists and eligibility documentation for the Community Care department programs.
• Completes word processing, data entry, administrative support and budget records for the Community Care Department and agency.
• Responsible for various programs and projects as assigned.

Career Benefits with the Senior Alliance

The Senior Alliance offers a range of benefits designed to support and empower our employees.