Benefit Program Specialist

General summary

First-level professional position considered an expert in a broad benefit area (e.g. public assistance programs, Medicaid, unemployment, etc.) that evaluates the effectiveness of benefit programs by auditing processes and reporting findings to the stakeholder. Employees may be the lead worker within a benefit area and assign and review the work of others. Employees at this level may assist in establishing public assistance programs in response to legislative mandate and recommend policy or policy revision to governing bodies. At this level, some employees may be responsible for overseeing and/or determining high value claims, benefits, eligibility (e.g. estate management), or tax liability through consideration of a wide range of legal, medical, occupational, and other factors to develop cases based upon complicated facts. At this level, employees may advocate in an appeals process.

Knowledge, skills & abilities

In addition to those identified in the previous levels: Knowledge of the techniques of financial investigation, research, and resource identification.  Knowledge of principles and techniques interviewing, and negotiation. Ability to interpret, explain, and apply policies, rules, regulations, procedures, and requirements, pertaining to the assigned program(s). Ability to provide direction or advice to program staff. Ability to perform community outreach activities.

Typical qualifications

Bachelor’s degree and 0-2 years of relevant experience. (Substitutions may be allowed.)

Pay grade