QRC Hearings Eligibility Specialist - Denver Human Services

About Our Job

With competitive pay, great benefits, and endless opportunities, working for the City and County of Denver means seeing yourself working with purpose - for you, and those who benefit from your passion, skills, and expertise. Join our diverse, inclusive, and talented workforce of more than 11,000 team members who are at the heart of what makes Denver, Denver.

What We Offer

The City and County of Denver offers a competitive salary commensurate with education and experience. We also offer generous benefits for full-time employees which include but are not limited to:`

• A guaranteed life-long monthly pension, once vested after 5 years of service

• 457B Retirement Plan

• 140 hours of PTO earned within first year + 11 paid holidays, 1 personal holiday and 1 volunteer day per year

• Competitive medical, dental and vision plans effective within 1 month of start date

About Denver Human Services:

At Denver Human Services (DHS), we are creating an extraordinary human services organization that is equipped to carry out our vision of a healthy community where every person is connected, supported, safe, and well. Currently, DHS serves one in three Denverites, about a quarter million people, in the moments that matter most. We are driven every day to serve our community with integrity, kindness, and respect, and to seek out new ideas and opportunities so that over time we can prevent more people from needing our services in the first place. Our 1,100+ member workforce is our most important resource, and we embrace a values-driven culture focused on creating the conditions for our staff and partners to be bold in our thinking and achieve big results for our community.

Diversity at Denver Human Services

Over the past three years, Denver Human Services has worked to further define what it means to "Be Human". While our work has been rooted in providing services that support basic human needs, or what we call essential services, we acknowledge that the whole person cannot thrive without addressing those structural and systemic barriers that prevent all from experiencing equity, inclusion, and respect for diversity. Our mission is "to partner with the community to protect those in harm's way and help all people in need." In fulfilling this mission, we understand that the intersections of race and poverty have impacted the disproportionate representation of Black, Indigenous, and people of color (BIPOC) involvement and experience with our agency, the criminal justice system, homelessness, poverty, and poor health outcomes. We believe in and are guided by working to improve: Equity and Access; Safety and Wellness; Connectivity; Economic Resilience; and supporting our Workforce. We are committing to include in our work a strategic focus on Equity, Diversity, and Inclusion for all people.

Denver Human Services is currently seeking a dedicated, detail-oriented individual to serve as an Eligibility Hearings Specialist for the Questions, Resolutions & Compliance (QRC) team within the Family and Adult Assistance Division (FAAD). In this role, you will specialize in handling administrative hearings and addressing concerns and escalations pertaining to Adult Financial, SNAP, and Medical Assistance programs.

Additionally, the Hearings Specialist:

• Maintains their own caseload and handles client appeals through all stages of the dispute resolution/hearing process.

• Provides outstanding customer service to clients inquiring about benefit determinations and deescalates dissatisfied clients.

• Completes evidence packets supporting the county's position in appeals cases.

• Is the agency representative responsible for presenting cases to the Office of Administrative Courts/CDHS SNAP Hearings Office in benefit appeals.

• Is the agency representative responsible for presenting the county's position in Dispute Resolution Conferences (DRCs) in informal benefit appeals.

• Receives and processes court documents pertaining to client appeals of benefit determinations.

• Reviews and interprets legal documents provided by the client such as court documents/orders, property transactions, trusts, annuities, life insurance policies, financial transactions, and transfers of resources to determine eligibility for public assistance programs.

• Monitors changes in cases, contacts clients to verify changes, and makes appropriate adjustments to benefits.

• Acts as an eligibility determination subject matter expert for eligibility staff by assisting with complex cases, formulating approaches to address problems and briefing supervisors/managers on recurring issues.

• Responds to inquiries about case records for administrative hearings, fraud investigations, and federal and state program management evaluations and audits.

• Determines initial and ongoing eligibility for public assistance programs in accordance with federal, state, and county rules and regulations.

• Maintains current knowledge of the Colorado Benefits Management System (CBMS), programs, policies, and community resources and adjusts work processes to ensure accurate provision of benefits.

• Performs other related duties as assigned.

About You

Ideal Candidate Summary

• Have at least 1 year of professional level experience and knowledge with Adult Financial (AF) programs, Supplement Nutrition Assistance Program (SNAP) and Medicaid Programs including MAGI and Non-MAGI.

• Be trained in, or willing to be trained in, the Long-Term Care (LTC) program.

• Have at least 3 years of professional level experience and knowledge working with the Colorado Benefits Management System (CBMS).

• Be able to work independently with minimal supervision.

• Possess top-notch writing and problem-solving skills.

• Show understanding, courtesy, tact, empathy, and concern.

• Develop and maintain working relationships while encouraging cooperation, pride, and a commitment to teamwork.

• Be sensitive to cultural diversity, race, gender, and other individual differences in the workforce.

• Spanish fluency is preferred, but not required.

We realize your time is valuable so please do not apply if you do not have at least the following required minimum qualifications:

• Education requirement: Graduation from high school or the possession of a GED, HiSET or TASC Certificate.

• Experience Requirement: Three (3) years of experience determining eligibility for a variety of public assistance programs.

• Education/Experience Equivalency: Additional appropriate education may be substituted for the minimum experience requirement.

About Everything Else

Job Profile

CA2666 Eligibility Specialist

To view the full job profile including position specifications, physical demands, and probationary period, click here.

Position Type

Unlimited

Position Salary Range

$24.11 - $36.17

Starting Pay

Based on Experience and Education

Agency

Denver Human Services

The City and County of Denver provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, national origin, disability, genetic information, age, or any other status protected under federal, state, and/or local law.

Applicants for employment with the City and County of Denver must have valid work authorization that does not require sponsorship of a visa for employment authorization in the U.S.

For information about right to work, click here for English or here for Spanish.