Eligibility Operations Field Specialist

Employment BenefitsComprehensive medical, mental, dental, vision, and additional coverageSick & Vacation leaveWork-Life Balance programs: parental leave, military leave, jury leave, funeral leavePaid State Holidays (designated by the Governor annually)Fitness Centers in select locationsEmployee discounts with theSTAR ProgramRetirement and deferred compensation programsVisit the Employee Benefits page for more information…Position Summary & ResponsibilitiesPosition Summary:Position: Eligibility Operation Field Specialist (K0229310)Are you looking for a great team to work with? Are you a curious person who likes to learn? Do you want to do meaningful work? Do you have a passion for helping those in your community? We would love to meet and talk with you about our opportunity to help applicants and community partners with the KanCare process.Kansas Department of Health and Environment is seeking enthusiastic candidates to apply for the Eligibility Operation Field Specialist at the Lawrence DCF Office in Lawrence, Kansas.The successful candidate must be flexible, willing to learn and ready to provide quality customer service. This position requires frequent travel and some over-night stays. The Eligibility Operation Field Specialist is responsible for determining Medicaid eligibility for applicants, conducting outreach to communities, and providing direct assistance to community partners such as Area Agencies on Aging, county health departments, and Managed Care Organizations. This role involves processing applications, educating the public on Medicaid (KanCare) services, and assisting walk-in clients at community events and partner locations to ensure eligible individuals and families receive necessary healthcare coverage.Job Responsibilities may include but are not limited to the following:Collaborates with the KanCare Clearinghouse and KDHE eligibility team by assisting consumers with completion of applications, collects information and routes applications, supporting documents to the Clearinghouse for timely determination of eligibility.Helps Kansas consumers embrace the online application process.Maintains current policy and program knowledge in order to authorize Medicaid benefits and answer inquiries from the general public and agencies.Analyzes, interprets and applies numerous complex policies and regulations to the consumer’s situation. A determination is accomplished by analyzing, interpreting and applying numerous complex policies and regulations to the customer’s situation. Investigation of the customer’s circumstances through the use of available computer information systems, researching records provided by customers, community sources, and other sources provide the information upon which eligibility decisions are based.Utilization of fundamental accounting principles and a general understanding of legal terminology and principles is necessary in analyzing, quantifying and applying policy.Medical Assistance Program Coordination and Outreach provides direct outreach for medical assistance programs within the assigned region through a variety of strategies.Identifies and engages community partners providing information and resources regarding medical programs using a variety of strategies.Speaks to the public to provide information, explain program and changes.Establish positive relationships with community partners.Explains and interprets program requirements and changes for consumers and community partners.Serve as community medical assistance expert and liaison for KDHE DHCF issues.Determine eligibility for all medical assistance programs (Family Medical and Elderly and Disabled).QualificationsEducation: High School, GEDLicensing & 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: One year of experience in planning, implementing, monitoring and determining eligibility in a Family Medical (FM) or Elderly and Disabled (E&D) unit or other related Medicaid eligibility/customer service experience.Preferred Qualifications: Four years of experience in planning, implementing, monitoring and determining eligibility in a Family Medical (FM) or Elderly and Disabled (E&D) unit or other related Medicaid eligibility/customer service experience. Education may be substituted for experience as determined by agency.Working knowledge of the Family Medical and the Elderly and Disabled Medical eligibility processesOutcome driven and analytical skillsAbility to apply policyCustomer serviceProofreading, editing, attention to detailWord, Excel, PowerPoint, AccessPost-Offer, Pre-employment Requirements: Kansas Tax Clearance Certificate: A valid Kansas Tax Clearance Certificate is a condition of employment for all employees of the State of Kansas. Applicants (including non-residents) who receive a formal job offer for a State job, are required to obtain a valid Tax Clearance within ten (10) days of the job offer. A Tax Clearance can be obtained through the Kansas Department of Revenue who reviews individual accounts for compliance with Kansas Tax Law. If you have a missing tax return(s) or you owe taxes to the State of Kansas, please know that the Kansas Department of Revenue will work with you. The Kansas Department of Revenue can set you up on a payment plan to receive a Tax Clearance so you can get a job working for the State of Kansas. The Kansas Department of Revenue can be contacted at 785-296-3199.Kansas Department of Revenue - Tax Clearance Frequently Asked Questions

Created: 2026-02-10