Benefit Programs Specialist II – Medicaid

Albemarle County

Benefit Programs Specialist II managing eligibility processes for various assistance programs. Interviewing clients and ensuring accurate benefit determination in the UVA Medicaid Unit.

Posted 7/11/2026full-timeCharlottesville • Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $58,948 - $65,153 per yearWebsite

About the role

Key responsibilities & impact

Interviews applicants/recipients, adapting techniques to meet the needs/abilities of the client
Determines eligibility for assistance and benefit levels using automated systems and manual methods
Processes applications for benefit programs such as, but not limited to SNAP, Medicaid, Temporary Assistance to Needy Families (TANF), Energy, General Relief, Auxiliary Grants, Refugee Cash and/or Medical Assistance
Compiles and analyzes information and policy to determine and redetermine ongoing eligibility for financial, medical and or other governmental programs
Computes income and resource eligibility timely, accurately and completely based on complex state and federal guidelines
Ensures clients receive maximum eligible benefits
Explains available benefit programs, rights and responsibilities, other agency services and community resources
Identifies social problems and makes referrals to social workers as needed
Researches, interprets, and applies mandated programmatic policy and procedures based on state and federal guidelines in the administration of a benefits caseload which may be generic or specialized
Ensures integrity in benefits delivery and caseload management by maintaining records according to established guidelines and identifies errors/potential fraud and makes appropriate referrals
Evaluates consistency and completeness of data secured, and where indicated substantiates its accuracy
Responds to appeal requests, prepares appeal summaries and all supporting documentation, and participates in appeal hearings
Attends and participates in unit and agency meetings by sharing knowledge, experiences, and information
Participates in agency workgroups and/or teams
Attends and participates in ongoing training, learning, and growth opportunities
Recommends changes in internal policy and procedures based on experience and knowledge
Performs related tasks as required

Requirements

What you’ll need

High school diploma supplemented with additional training and related work experience, or equivalent combination of training and experience
Bachelor's degree (strongly preferred, but not required)
Direct eligibility experience (preferred)
Experience working effectively and successfully within a team (preferred)
Experience working with populations with limited English proficiency (preferred)

Benefits

Comp & perks

12 paid holidays
paid vacation and sick leave
health insurance options with employer contribution
employer-paid life insurance
VRS retirement
continuing education/training opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Eligibility AssessmentApplication ProcessingIncome ComputationPolicy InterpretationRecord MaintenanceFraud DetectionAppeal PreparationData EvaluationProgrammatic Policy ApplicationBenefit Maximization

Soft Skills

Team CollaborationClient AdvocacyProblem SolvingAdaptabilityEffective Communication