[Hiring] Eligibility Specialist @Russell Tobin

Role Description

We are seeking a Community Assistor (Eligibility Specialist) to support Medicaid members through application renewals, outreach, and enrollment activities. This role focuses on ensuring a positive member experience, assisting with eligibility processes, and strengthening relationships with community partners.

• Level 1 – Eligibility Specialist (Grade 9): Conducts HEAplus application renewals with current members during interactive interviews, supporting member retention efforts.
• Level 2 – Senior Eligibility Specialist (Grade 10): Leads and assists in planning, developing, and organizing community outreach events and activities that drive enrollment and engagement.

Key Responsibilities

• Conduct HEAplus application renewals and assist members in completing required forms and documentation.
• Uphold member care standards and maintain confidentiality of personal information.
• Build and foster relationships with community organizations and referral sources.
• Represent company Medicaid programs at community events and outreach initiatives.
• Communicate complex processes in a clear, step-by-step manner for members.
• Maintain professional relationships with internal and external partners.
• Submit required reports and summaries on processed applications.
• Maintain a secure, private workspace for handling member information.
• Perform additional duties as assigned.

Qualifications

• Required
• Experience (Level 1):
• 1 year of telephonic customer service experience
• 1 year of experience in outreach, marketing, or community relations
• Experience (Level 2):
• 1 year of telephonic customer service experience
• 3 years of experience in outreach, marketing, or health plan services
• Education:
• High School Diploma or GED
• Licenses:
• Valid Arizona Driver’s License with an acceptable driving record
• Preferred
• Experience with AHCCCS/Medicaid, CHIP, health promotion, social services, or related fields
• Bilingual in English and Spanish

Requirements

• Strong customer service and communication skills (verbal and written)
• Ability to multitask and manage time effectively in a fast-paced environment
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
• Strong interpersonal, organizational, and presentation skills
• Ability to work independently while meeting deadlines and performance goals
• Understanding of Medicaid and Medicare regulations and guidelines
• Comfortable working evenings and weekends as needed
• Ability to lift up to 25 pounds

Benefits

• Comprehensive healthcare coverage (medical, dental, and vision plans)
• Supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity)
• 401(k)-retirement savings
• Life & disability insurance
• Employee assistance program
• Identity theft protection
• Legal support
• Auto and home insurance
• Pet insurance
• Employee discounts with some preferred vendors