Benefit Program Senior Specialist

Job Description:

Benefit Program Senior Specialist

Description

The MO HealthNet Division has openings for a Benefit Program Senior Specialist within the Clinical Program and Policy Unit located in Cole County.

Semi-monthly salary: The current rate for this position is $2,020.69 . Individual(s) selected for this position may receive a higher rate based on a pay differential (e.g. shift, or time-of-service pay).

Job Location: This position is located at the Howerton State Office Building; 615 Howerton Court, Jefferson City, MO.

The Department of Social Services partners with families and communities to protect children, rehabilitate youth and move families to self-sufficiency so that Missourians can lead safe, healthy and productive lives.

Why you’ll love this position: The person in this position will work with a dedicated team of employees while gaining new and valuable skills. This is an independent and responsible position that assists with oversight of MO HealthNet’s Dental, Durable Medical Equipment (DME), Hearing Aid, Nursing Home, and Optical Programs and serves as a backup for the Non-Emergency Medical Transportation (NEMT) Program.

• Assist in developing, maintaining and interpreting policy/procedure guidelines, laws, rules/regulations to improve program efficiency and effectiveness.
• Assist with ongoing oversight of assigned program areas through monitoring of reports, claims, and inquiries.
• Assist with modifying policy as required due to legislative changes or identified problem areas with effective decision-making and resolution.
• Complete provider manual updates.
• Review and respond to internal and external inquiries.
• Review and process prior authorizations and requests for change.
• Review and price claims that require manual pricing.
• Process MO HealthNet consultant invoices.
• Research and maintain a basic knowledge of diseases, procedures, and medical terminology relative to assigned programs.
• Log complaints/ensure resolution, process legislative inquiries, and process Authorization for Transportation Requests for the NEMT Program (backup only).
• Complete special projects upon the request of management staff.

Minimum Qualifications:

Bachelor’s degree and 1-3 years of relevant experience. (Substitutions may be allowed.)

Preferred Qualifications:

• Self-motivated with attention to detail and ability to meet deadlines.
• Excellent problem-solving and time management skills.
• Ability to communicate complex ideas, plans, procedures, and programs.
• Ability to work independently and as part of a team.
• Relevant experience with policy and interpretation.

Lack of post-secondary education will not be used as the sole basis denying consideration to any applicant.

The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here .

If you have questions about this position please contact: Julie Phillips at Julie.A.Phillips@dss.mo.gov . If you experience accessibility issues while applying, please contact Courtney Hall at Courtney.A.Hall@dss.mo.gov .

Recruitment Area : All qualified applicants.

Application Deadline : September 18, 2025

Salary:

$48,496.65 per Year