Medicaid Long-Term Care Benefit Specialist II

Virginia-Department-of-Social-Service; Stafford (VA); On-site; USD 42,000 - 66,000; Full time

Job summary

Virginia Department of Social Services is seeking a Benefit Programs Specialist II to manage Medicaid Long-Term Care casework and determine eligibility for financial assistance and related services. The role operates within established policies, applying independent judgment for complex cases and maintaining accurate client records.

Responsibilities include interviewing applicants, explaining program options, evaluating income and resources, and updating case files in accordance with state and

Qualifications

• Working knowledge of mathematics to calculate percentages, formulas and averages.
• Ability to interview and gather information from diverse clients.
• Experience with public service programs and eligibility requirements.

Responsibilities

• Interviews applicants for assistance and re-determines continuing eligibility.
• Explains programs and determines need for assistance and benefits.
• Processes applications and determines eligibility using automated systems and guidelines.
• Monitors cases for changes and updates benefit levels accordingly.
• Identifies fraud and refers for further action.

Skills

Interviewing

Public service knowledge

Data interpretation

Mathematics

Education

High school diploma

Bachelor's degree preferred

Tools

VaCMS

MMIS

Job description

Virginia Department of Social Services is seeking a Benefit Programs Specialist II to manage Medicaid Long-Term Care casework and determine eligibility for financial assistance and related services. The role operates within established policies, applying independent judgment for complex cases and maintaining accurate client records.

Responsibilities include interviewing applicants, explaining program options, evaluating income and resources, and updating case files in accordance with state and