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DHS PROGRAM ELIGIBILITY ANALYST

The DHS (Department of Human Services) Program Eligibility Analyst is responsible for researching and drafting new and revised policies and procedures, providing technical assistance,

Class Code:

G267C

Job Grade:

GS07

Special Job Requirements:

Infrequent travel within assigned region is required.

Typical Functions:

Researches, analyzes, and interprets state and federal laws and regulations related to assigned programs or agency; gathers information from appropriate organizations regarding policy recommendations for change; makes recommendations for policy development and drafts new policies, or revises existing policies based on research and analysis; develops and monitors the implementation of new or revised policy and corrective action plans. Interprets and communicates eligibility requirements, policies, and procedures to internal and external customers and writes and/or completes reports, correspondence, eligibility decisions, and summary forms regarding findings. Requests and compiles evidence from sources, including employers, claimants, physicians, hospitals, and health agencies, by contacting parties via telephone or correspondence in order to make claim determination. Reviews evidence ofcompliance by comparing claim evidence provided to applicable federal rules and regulations; determines the need for independent medical evidence, such as consultative examinations, by reviewing case files and supporting medical documentation. Prepares written vocational analyses by reviewing vocational requirements, considering individual’s capacity to perform past work or ability to transfer to other work, reading vocational rule tables, noting age, education, and skills of individual, and consulting vocational consultant. Confers with medical consultants for interpretation and analysis of technical medical data by phone or correspondence. Attends staff meetings to review problems, provide input into policy and procedure review and development, and address community-based support issues. May serve as mentor by training program eligibility assistants, technicians, or specialists. Performs other duties as assigned.

Knowledge, Abilities, and Skills:

Knowledge of state and federal laws and regulations related to assigned program oragency. Knowledge of policies, procedures, and regulations used in applying and interpretingeligibility criteria for the respective program. Knowledge of policy development and program management and evaluation. Knowledge of interviewing/referral techniques. Ability to research, analyze, and evaluate information. Ability to resolve problems. Ability to communicate both orally and in writing. Ability to interpret and apply policies, procedures, and guidelines in determiningeligibility for assistance programs. Ability to evaluate client information, assess client needs, and make referrals. Ability to evaluate case information and determine eligibility for programs.

Minimum Qualifications:

The formal education equivalent of a bachelor’s degree in psychology, sociology or a related field; plus two years of experience in policy development, researching or determining eligibility for social service programs.

Required Certificates:

Exempt:

E
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