CrawlJobs Logo

Benefits & Eligibility Specialist II

dot.state.wy.us Logo

Wyoming Department of Transportation

Location Icon

Location:
United States , Cheyenne

Category Icon
Category:

Job Type Icon

Contract Type:
Employment contract

Salary Icon

Salary:

24.78 USD / Hour

Job Description:

The Wyoming Department of Health, Health Care Financing, Client Services Unit, is seeking a Benefits & Eligibility Specialist for Cheyenne. This position will serve as a Benefits and Eligibility Specialist for the Medicaid Client Services Unit. This position is responsible for determining eligibility for Wyoming's Long-Term Care programs.

Job Responsibility:

  • Assesses and analyzes current life and financial circumstances to determine eligibility and provide long-term care (LTC) medical assistance to individuals and families in need
  • Makes eligibility determinations and performs case management
  • Responsible and accountable for timely and accurate LTC determinations
  • Interact with clients and other State agencies/divisions to determine initial eligibility for programs involving Federal and State Funds
  • Responsible for determining which program(s) best meet the needs of the client
  • Policy review and training
  • Interaction with Community, State, and Federal Partners
  • Preparation for and participation in hearings

Requirements:

  • Bachelor's Degree
  • 0-1 year of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Benefits and Eligibility Specialist I
  • OR 3-4 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Benefits and Eligibility Specialist I
  • Computer literacy and ability to use word processing and tables/mathematical software
  • Knowledge of and ability to communicate and interact with individuals with cognitive, emotional, and/or physical disabilities
  • Mathematical knowledge and ability to make basic and/or algebraic calculations without error
  • Knowledge of and skill in clear, concise, and grammatically correct verbal and written communication
  • Ability to analyze and apply correct policy and procedure to diverse case and client circumstances so that cases are completed without error

Nice to have:

Preference will be given to candidates with a bachelor’s degree in a related field or equivalent experience in the related field or 3-5 years of progressive work experience in a healthcare setting

What we offer:
  • Comprehensive health, dental, and vision insurance
  • Paid vacation, sick leave, FMLA, and holidays
  • Retirement - Pension and 457B plans that help you build a secure future
  • Flexible schedules and work-life balance options

Additional Information:

Job Posted:
February 21, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Benefits & Eligibility Specialist II

Medicaid Enrollment and Outreach Specialist I

As a community, the University of Rochester is defined by a deep commitment to M...
Location
Location
United States of America , Rochester
Salary
Salary:
23.51 - 30.16 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree (preferred)
  • Limited experience with Medicaid programs
  • 1-2 years of experience in case management or related field or equivalent combination of education and experience
  • Foundational knowledge of public benefit rules and regulations (preferred)
  • Demonstrates professionalism, motivation, and strong communication (written and verbal)
  • Possesses customer service skills and the ability to work independently and solve problems in an interdisciplinary team
  • NY State of Health Certified Application Counselor (preferred)
  • Must provide and maintain a valid NYS Class 5 driver’s License
Job Responsibility
Job Responsibility
  • Counsels, guides, advises and provides outreach services to patients requiring public benefits including Medicaid, Child Health Plus, NYS Marketplace Exchange or other public entitlements
  • Accountable for coordinating all activities and necessary documentation needed to secure appropriate benefits
  • Resolves complex problems related to this process
  • Shares expert public benefits knowledge by providing consultation to physicians, social workers and other Health System staff whose patients require benefit assistance for payment and discharge planning
  • Benefit Management: apply for benefits via computer systems and/or paper application and may accompany or represent the patient at eligibility interviews, case conferences or fair hearings
  • Provides application assistance to patients referred by University of Rochester Health System staff through face-to-face interaction, telephone contact and home visitation for patients requiring assistance
  • Referral Coordination: Responsible for assessing referrals to determine eligibility for potential benefits and develops a plan of action to secure each
  • Communicates, coordinates and develops professional relationships with internal departments and external agencies
  • Monitoring Caseload, Documentation, and Reports: monitor caseload and is responsible for accurate and timely documentation in requisite systems
  • Reviews productivity reports and prepares status updates as required by management
  • Fulltime
Read More
Arrow Right

Care Management Specialist II, D-SNP Team

The Care Management Specialist II utilizes clinical skills and training to perfo...
Location
Location
United States , Los Angeles
Salary
Salary:
88854.00 - 142166.00 USD / Year
lacare.org Logo
L.A. Care Health Plan
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
  • Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
  • Experience providing care management with complex/catastrophic conditions
  • Current knowledge of clinical standards of care and disease processes
  • Critical thinking skill
  • Excellent customer service skills
  • Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
  • Ability to triage immediate member health and safety risks
  • Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
  • Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders
Job Responsibility
Job Responsibility
  • Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
  • Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
  • Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
  • Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
  • Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
  • Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
  • Uses claims processing and care management software to look up member information, document contacts, and track member progress
  • Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
  • Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
  • reviewing member claims histories and identifies intervention opportunities through the professional standards of practice
What we offer
What we offer
  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)
  • Fulltime
Read More
Arrow Right

Hris intern

We are looking for a motivated, curious and enterprising candidate to join us at...
Location
Location
Italy , Agordo
Salary
Salary:
Not provided
opsm.com.au Logo
OPSM
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • You love challenges and you take your responsibility seriously
  • Previous experience in HRIS field will be considered a plus
  • You are interested in the HR world
  • You have strong facilitation and communication skills, you are able to present information to audiences at all levels of the organization
  • You have good analytical skills, you are able to understand and tell stories behind processes and data
Job Responsibility
Job Responsibility
  • Contribute to planning for future HR system needs and make decisions within the framework of EssilorLuxottica’s Digital Agenda
  • Evaluate current trends and emerging technologies in HR automated technologies and the capabilities of new products, for all human resources functions and how they may impact existing HR systems
  • Working with IT, Procurement and end users, drive the selection and development of new products, conversions, upgrades, and enhancements for assigned HR systems
  • Help the HRIS development and support process to prioritize and execute requests for changes and/or enhancements to HRIS
  • Collaborate with stakeholders and be able to communicate and report progress all of them
  • Analyze and review existing business processes, control, procedures and applications to develop innovative solutions that maximize efficiency and usability
  • Develop information-reporting requirements, specifications and user reporting capabilities to extract data for a wide range of human resources reporting and for executive decision-making
  • Partner with HR community in the region to define or expand programs and process requirements, translating requirements into optimal utilization of the technology
  • Collaborate with the different stakeholders to ensure employee experience is developed in the Global HRIS solution and roadmap, to continuously improve the Experience processes
  • This includes recommending automation and self-service opportunities
Read More
Arrow Right
New

Sales assistant

We are looking for a salesperson whose main task is to help our customers. A tru...
Location
Location
Switzerland , Geneva
Salary
Salary:
Not provided
inditex.com Logo
Inditex
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Passionate about fashion
  • Enjoys teamwork
  • Enthusiastic, ambitious and flexible
  • Always up to date on the latest trends
  • Commercial and customer service oriented
  • Committed, reliable, completes tasks quickly and efficiently
Job Responsibility
Job Responsibility
  • Advise and welcome customers
  • Guarantee the brand's image
  • Promote customer loyalty
  • Know trends, products and their characteristics
  • Ensure merchandise flow (stocks, deliveries, new arrivals, restocking, etc.)
  • Maintain order and cleanliness in the store
  • Manage fitting room procedures
  • Parttime
Read More
Arrow Right
New

IT Expert for Data Integration

EU funded project: 'Technical Assistance for Strengthening the Capacity of Minis...
Location
Location
Türkiye , Ankara
Salary
Salary:
Not provided
agrotec-spa.net Logo
Agrotec Spa
Expiration Date
April 30, 2026
Flip Icon
Requirements
Requirements
  • Bachelor’s degree or higher in Computer Science, Information Systems, Software Engineering, or a related field
  • Minimum 5 years of professional experience in data integration, database management, or health information systems
  • Proven experience in integrating multiple data sources and ensuring interoperability
  • Experience with database design, APIs, and data exchange protocols
  • Strong problem-solving and analytical skills
  • Ability to work with both technical and non-technical stakeholders
  • Excellent command of English (spoken and written)
  • Fulltime
Read More
Arrow Right
New

District Support Pharmacist

We’re building a world of health around every individual — shaping a more connec...
Location
Location
United States , North Las Vegas
Salary
Salary:
60.00 - 76.00 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
October 18, 2026
Flip Icon
Requirements
Requirements
  • Active Pharmacist License in the state where the Store is located
  • Active National Provider Identifier (NPI)
  • Not on the DEA Excluded Parties list
  • Ability to travel within a reasonable radius to support market staffing as business needs require
  • Regular and predictable attendance, including nights and weekends
  • Ability to complete required training within designated timeframe
  • Attention and Focus
  • Customer Service and Team Orientation
  • Communication Skills
  • Mathematical Reasoning
Job Responsibility
Job Responsibility
  • Traveling the district to fill pharmacist shifts as scheduled by the District Performance Coordinator (DPC)
  • overseeing the pharmacy and serving as the Pharmacy Manager’s proxy during bench shifts without overlap
  • Supporting safe and accurate prescription fulfillment
  • Assumes Pharmacy Manager’s day-to-day duties when serving as the only or the primary pharmacist-on-duty
  • Contributing to positive patient experiences
  • Proactively offering and delivering immunizations
  • Supporting the effective management of pharmacy inventory
  • Remaining flexible for both scheduling and business needs
  • Maintaining relevant clinical and technical skills
  • Supporting access to care and helping to improve patient outcomes through pharmacist delivered clinical care
What we offer
What we offer
  • Affordable medical plan options
  • a 401(k) plan (including matching company contributions)
  • an employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • paid time off
  • flexible work schedules
  • family leave
  • dependent care resources
  • colleague assistance programs
  • tuition assistance
  • Parttime
Read More
Arrow Right
New

Automotive Detailer - Car Washer

Enterprise Mobility is seeking a responsible, dedicated person to join our team ...
Location
Location
United States , Needham
Salary
Salary:
16.00 USD / Hour
enterprisemobility.com Logo
Enterprise Holdings
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Must have a valid driver's license with no more than 2 moving violations and/or at-fault accidents on driving record in the past 3 years
  • No drug or alcohol related conviction on driving record in the past 5 years
  • Must be authorized to work in the United States and not require work authorization sponsorship by our company for this position now or in the future
  • Must be at least 18 years old
Job Responsibility
Job Responsibility
  • Clean, sanitize, vacuum, and prepare vehicle interior according to industry-standard protocols
  • Wash, clean and dry the vehicle's exterior - this might include cars of different sizes, as well as vans and trucks
  • Check fuel level and warning lights: inspect windshield for damage
  • factory reset/restore vehicle setting to clear prior customer data
  • check for customer items and place anything of value in Lost & Found
  • verify that registration is present, current and matches the license plate
  • Check fluid levels and add as needed
  • check tire condition, pressure and tread depth
  • inspect vehicle exterior for damage
  • Fuel and stage vehicle
What we offer
What we offer
  • Paid time off
  • Consistent part time 25 hour per week schedule
  • Employee discount
  • Retirement savings plan including 401k
  • Training and development
  • Parttime
Read More
Arrow Right
New

Pharmacy Technician

We’re building a world of health around every individual — shaping a more connec...
Location
Location
United States , Cambridge
Salary
Salary:
17.00 - 27.00 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
May 22, 2026
Flip Icon
Requirements
Requirements
  • Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
  • If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
  • If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
  • Regular and predictable attendance, including nights and weekends
  • Ability to complete required training within designated timeframe
  • Attention and Focus: Ability to concentrate on a task over a period of time
  • Ability to pivot quickly from one task to another to meet patient and business needs
  • Ability to confirm prescription information and label accuracy, ensuring patient safety
  • Customer Service and Team Orientation: Actively look for ways to help people, and do so in a friendly manner
  • Notice and understand patients’ reactions, and respond appropriately
Job Responsibility
Job Responsibility
  • Living our purpose by following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
  • Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
  • Contributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
  • keeping patients healthy by offering immunizations and other services at the register and over the phone
  • and demonstrating compassionate care by solving or escalating patient problems
  • Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team, such as accurately putting away medication deliveries and completing cycle counts, returns-to-stocks, waiting bin inventories, etc.
  • Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
  • actively seeking opportunities to expand clinical and technical knowledge needed to better assist patients
  • Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
  • voluntarily traveling to stores in the market to work shifts as needed by the business
What we offer
What we offer
  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
  • Parttime
Read More
Arrow Right