AHCCCS

Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.

AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.

Come join our dynamic and dedicated team.

Benefits and Eligibility Specialist

Division of Member and Provider Services (DMPS)

Job Location:

Statewide Training Unit

Address: 150 North 18th Avenue Phoenix, Arizona 85007

This position offers the flexibility to work remotely on a full-time basis. However, in-office presence may be required on occasion, based on business needs or operational requirements.

Posting Details:

Salary: $41,693

FLSA Status: Non-Exempt

Grade: 18

Closing Date: January 5, 2026

Job Summary:

Benefit & Eligibility Specialists (BESs) are responsible for making financial eligibility determinations for Medicaid programs. BESs provide customer service to diverse populations in a variety of settings that may include in person, phone, and/or call center.

The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.

 

Major duties and responsibilities include but are not limited to:
• Completing financial eligibility determinations for ALTCS, SSI MAO, Medicare Savings, KidsCare, Specialty Medicaid and the FTW programs following productivity, timeliness, and quality guidelines. Scheduling and conducting interviews. Communicate with customers after the interview to include requesting information, status updates and final decision.
• Requesting eligibility verification from multiple sources and reviewing documentation in various systems.
• Researching, following, and applying prescribed policies and procedures.
• Documenting throughout the application process as needed, actions taken, relevant case information, and eligibility related material in case records until final case determination is made using HEAplus system.
• Participate in team meetings, AMS Process improvement, and assisting with special projects.

Knowledge, Skills & Abilities (KSAs):

Knowledge:
• A call center environment.
• Medicare and Medicaid Programs.
• State and Federal rules and statutes.
• ALTCS, SSI MAO, Medicare Savings, KidsCare, Speciality Medicaid, and the FTW financial eligibility policies and procedures.
• Budget calculations used to determine eligibility.
• Community resources.
• Arizona Management System (AMS).

Skills:
• Written and verbal communication.
• Conducting research.
• Investigative interviewing techniques.
• Two way interaction and exchange of information with customers either face to face or over the phone.
• Interpersonal relationships.
• Problem solving and decision making.
• Manage multiple tasks in a caseload.
• Self-prioritize job functions as needed.
• Mathematical calculations.
• Phone etiquette.

Abilities:
• Organize and prioritize a caseload.
• Communicate both verbally and in writing.
• Effectively document actions taken and decisions made.
• Accurately calculate mathematical equations.
• Apply current laws, rules and regulations in making eligibility dete