Description & Requirements

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-spo nsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.ma ximus.com .

The Eligibility Specialist is responsible for gathering information related to applications and changed for various public assistance programs in the State eligibility system ensuring that client service issues are resolved in a timely manner and in accordance with FSSA policies and procedures. Additionally, the Eligibility Specialist is responsible for handling inbound calls from Medicaid, SNAP, and TANF applicants, recipients, and other members of the community.

Location and Training:

• Location: Onsite - Terre Haute, IN
• Work Hours: 8-4:30 M-F local time
• Training length: 9-10 weeks followed by a nesting period, generally 1 month
• Training Attendance: Attendance is mandatory for the full 9 weeks.
• Class Start: 4/24/24

Essential Duties and Responsibilities:

• Execute managed care enrollment tasks using the Welfare Management System (WMS).
• Review enrollment concerns through WMS, and other State Medicaid Data systems.
• Assess managed care issues within the State of Health framework and determine subsequent actions.
• Collaborate with local district, State Department Of Health and Enrollment Broker personnel to address managed care issues.
• Adhere to all standards specified for this role as outlined in the corresponding annual performance criteria and bonus template.
• Perform managed care enrollment activities on the Welfare Management System (WMS).
• Review enrollment issues using WMS, eMedNY and other State Medicaid Data systems.
• Evaluate State of Health managed care issues and make next step determinations.
• Interact with local district, SDOH, eMedNY and Enrollment Broker staff to resolve MC issues.
• Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.

Minimum Requirements:

• High school diploma or GED required and 0-2 years of relevant professional experience required, or equivalent combination of education and experience.

EEO Statement

Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

Hourly Base Pay Minimum for this Position

$ 18.00

Hourly Base Pay Maximum for this Position

$ 18.00

As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs.