Benefit and Eligibility Specialist

4 weeks ago

Roseburg, United States State of Oregon Full time
Job Summary:

We are seeking a highly skilled Benefit and Eligibility Worker to join our Roseburg Oregon Eligibility Partnership (OEP) Team. As a key member of our team, you will play a critical role in determining eligibility for Oregonians applying for and receiving medical, food, cash, and childcare benefits through the ONE eligibility system.

Key Responsibilities:
  • Perform eligibility determinations, redeterminations, periodic reviews, and updates to changes for ODHS, Oregon Health Authority (OHA), and Department of Early Learning and Care (DELC) programs.
  • Create and maintain written documentation of interactions and determinations regarding clients.
  • Communicate eligibility decisions to applicants and send all required notifications within appropriate time frames.
  • Explain applicant rights and responsibilities during the initial application interview and when benefits are changed and renewed.
  • Make appropriate referrals to other ODHS programs and resources, as well as provide other community resource options and referrals based on the different strengths and needs of each client.
Requirements:
  • Two years of experience determining eligibility for an agency program by interviewing to assess the needs of clients and interpreting and applying the policies, rules, and guidelines applicable to the client's situation.
  • An equivalent combination of education, training, and experience relative to the class concept.
Working Conditions:
  • Work is conducted in offices and other program sites.
  • Works a traditional work week, Monday – Friday.
  • Occasional overtime may be available with supervisor approval.
  • This position requires a good attendance pattern and appropriate use of accrued paid leave to ensure branch coverage for vacations and other leaves.

We are committed to building an antiracist and equitable agency. Equity is foundational to our role as a human services agency, and we are committed to integrating equity into all we do. The has four points that explain the agency's goals related to equity, inclusion, and racial justice.

We know that life is unpredictable and ODHS cares about keeping you well. Enjoy a work-life balance, 11 paid holidays a year, flexible work schedules, and including health, dental, vision, and much more.

Candidates must clearly demonstrate meeting the minimum qualifications (What you need to qualify) in their submitted resume or application. This is best done by submitting a complete (long version) resume and/or application with all work experience, including all job duties, education, and relevant volunteer work.

We cannot accept updated or additional materials after the posting deadline, please ensure your materials are current and complete.

We are looking for candidates with:

  • Experience interviewing customers/clients to elicit pertinent information for determining eligibility for services.
  • Experience cooperating within a team to find solutions and make decisions that support agency goals.
  • Experience working with people under emotional and/or financial stress and from a variety of cultures and backgrounds.
  • Experience completing technical and detailed work using basic mathematics and software tools while maintaining accuracy.
  • Experience communicating decisions regarding the approval or denial of benefits while engaging diverse populations and individuals that face communication challenges.
  • Experience researching, interpreting, and applying policies and regulations in a work environment with frequently changing processes.

Please be sure to clearly describe how you meet these attributes within your application materials. These attributes will be used to determine which candidates will be selected to move forward in the process.

As an employee working within (OEP), you will provide direction and resources to everyone working to determine eligibility for Oregonians applying for and receiving medical, food, cash, and childcare benefits through the ONE eligibility system. You will be a critical part of the eligibility process that moves beyond integration and equality, to focus on equity of services and providing timely, accurate, and necessary eligibility determinations through a person-centered approach.

As an Eligibility Worker, you will:

  • Perform eligibility determinations, redeterminations, periodic reviews, and updates to changes for ODHS, Oregon Health Authority (OHA), and Department of Early Learning and Care (DELC) programs.
  • Create and maintain written documentation of interactions and determinations regarding clients.
  • Be responsible for accurate and timely eligibility determinations across the state to ensure recipients meet requirements for all OEP programs.
  • Communicate eligibility decisions to applicants and send all required notifications within appropriate time frames.
  • Explain applicant rights and responsibilities during the initial application interview and when benefits are changed and renewed.
  • Make appropriate referrals to other ODHS programs and resources, as well as provide other community resource options and referrals based on the different strengths and needs of each client.
  • Communicate and collaborate frequently and effectively with colleagues, leads, and managers.
  • Attend trainings and meetings to keep your working knowledge up to date with ongoing changes.
  • Handle and protect sensitive and confidential information as well as Oregonian and agency data appropriately.

We are committed to building an equitable agency. We believe that teams in which everyone can show up as their full authentic self are key to creating a thriving workforce that can better serve communities. We welcome members of historically underrepresented racial/ethnic groups, women, individuals with disabilities, veterans, LGBTQIA2S+ community members, and others to apply.

We are proud to be an Equal Opportunity Employer. We are actively working to build an equitable agency with the as our guide toward our vision of an agency free of racism, discrimination, and bias.

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