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PROGRAM ELIGIBILITY SPECIALIST

Date: Jun 11, 2025

Req ID: 50022

Location:

Little Rock, AR, US, 72202

Category: STATE INSURANCE DEPARTMENT

Anticipated Starting Salary: $36,154.98

Position Number: 22181194

County: Pulaski

Anticipated Starting Salary: $36,154.98

Insurance Department-Medicare Patrol

Position Summary

The Program Eligibility Specialist will function as the Volunteer Coordinator. The Volunteer Coordinator responsible for outreach and education. The Volunteer Coordinator will assist with presentations, exhibit booths, workshops, and fraud bingo. The Volunteer Coordinator will also assist with answering the SMP Hotline and prepare preliminary in-take reporting forms. Performs inner office administrative duties as assigned.

This position requires on-site employment with no remote or hybrid options available

Education and Professional Work Experience

Minimum Qualifications

The formal education equivalent of a bachelor’s degree in psychology, sociology, or a related field. Additional requirements determined by the agency for recruiting purposes require review and approval by the Office of Personnel Management

Preferred Qualification

+ Proficient with using Microsoft Office Suite, including Excel, PowerPoint, and Publisher.

+ Travel and some overnight travel.

+ Excellent social media interaction

+ Excellent written and oral communication skills. (Face Book, Zoom, Teams)

+ Excellent public speaking skills.

Knowledge, Skills, and Abilities

+ Knowledge of federal and state laws, policies, procedures, and guidelines governing client eligibility for assistance programs.

+ Knowledge of community-based programs and services.

+ Ability to interpret and apply policies, procedures, and guidelines in determining eligibility for assistance programs.

+ Ability to evaluate client information, assess client needs, and make referrals.

+ Ability to prepare, present, and review oral and written information and reports.

Job Responsibilities and Expected Results

+ Enters data from subgrantee and volunteer report forms into the internal SIRS database.

+ Maintains volunteers profile information in the internal SIRS database.

+ Outreach to statewide senior organizations for possible presentations, exhibit booths or fraud bingo events.

+ Schedules events on Outlook Calendar and creates event materials. (Flyers and event folders)

+ Requests vehicle reservations.

+ Performs SMP Fraud Bingo presentations, and exhibit booths.

+ Ability to drive is required for in-state travel, when necessary, and some overnight travel may be required.

+ Prepare new volunteer packets and follow up.

+ Processes monthly email blasts of Medicare Minutes and SMP Fraud/Scam Alerts.

+ Dissemination of newsletters, promotional items, and SMP literature to program partners, subgrantees, and senior organizations statewide.

+ Procurement of promotional items and inventory control.

+ Required to attend national conference annually, and SMP advisory council meetings quarterly, and regular update trainings as required.

+ Heavy lifting is required as necessary.

+ Performs other duties as assigned.

Position Information

Class Code: M066C

Grade: GS06

FLSA Status: NON-EXEMPT

Salary Range: $36,155.00 - $57,668.00

Summary

The Program Eligibility Specialist is responsible for obtaining client information, preparing and monitoring case plans, coordinating services with providers, and preparing information and recommendations. This position is governed by state and federal laws and agency/institution policy.

Functions

Reviews referrals for services and interviews applicants and/or family members to explain eligibility requirements, form completion requirements, and community resources. Requests information to determine client eligibility or needs and forwards requests for approval to appropriate staff in accordance with established procedures. Provides information regarding resources, assistance, and services available to applicant and may visit with client and family members in their homes to determine client needs and provide family and/or parent behavior modification counseling. Schedules initial intake conference with client and/or family members, following eligibility determination, to obtain written and oral information regarding psychiatric, psychological, medical background, financial status, and other previous professional recommendations. Evaluates requests and professional findings, in accordance with policies and procedures, and initiates procedures to grant, modify, deny, or terminate eligibility for assistance with recommendations and options for services, referring client to alternative sources, or preparing additional requests for evaluation and assistance. Writes individualized plan of care and contacts participating private and public service providers for assistance. Interprets policy and ensures compliance with state and federal laws, regulations, legal mandates, action plans, and policies. May serve as a liaison to other divisions and agencies to develop policies and procedures for community-based programs. Performs other duties as assigned.

Dimensions

None

Knowledge, Skills and Abilities

Knowledge of federal and state laws, policies, procedures, and guidelines governing client eligibility for assistance programs. Knowledge of community-based programs and services. Ability to interpret and apply policies, procedures, and guidelines in determining eligibility for assistance programs. Ability to evaluate client information, assess client needs, and make referrals. Ability to prepare, present, and review oral and written information and reports. Ability to interview and provide technical assistance. Ability to use computer software to produce reports and written communications.

Minimum Qualifications

The formal education equivalent of a bachelor's degree in psychology, sociology, or a related field. Additional requirements determined by the agency for recruiting purposes require review and approval by the Office of Personnel Management. OTHER JOB RELATED EDUCATION AND/OR EXPERIENCE MAY BE SUBSTITUTED FOR ALL OR PART OF THESE BASIC REQUIREMENTS, EXCEPT FOR CERTIFICATION OR LICENSURE REQUIREMENTS, UPON APPROVAL OF THE QUALIFICATIONS REVIEW COMMITTEE.

Licenses

None

Nearest Major Market:Little Rock