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Eligibility Specialist

Pay Grade: G


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Who we are. We protect lives. The Georgia Department of Public Health is the lead agency entrusted by the people of Georgia to proudly protect lives and promote healthy lifestyles in diverse communities statewide. We are committed to preventing disease, injury, and disability; promoting health and well-being; and preparing the State of Georgia for responding to disasters. 
  
What we offer. As a member of the Georgia Department of Public Health team, you will join a passionate group of individuals who are dedicated to making an impact. No matter your role, you will individually contribute to protecting the lives of all Georgians while receiving a wide range of benefits, so you can:


  • Make a Professional Impact – Build your career where it matters and protect lives in the community where you live, work, and play
  • Enjoy Workplace Flexibility – Experience flexibility in how you work so you can be your best self for you and Georgia Residents
  • Work with a Dynamic and Diverse Team– Collaborative and inclusive way of working where employees share ideas and leverage collective strengths 
  • Achieve Career Longevity – Countless opportunities for continuous learning/development that support a long-term career
  • Take Part in a Hands-on Working Culture – Unique culture of active engagement and problem-solving, no matter your role
  • Feel Pride in Where you Work – Be part of making an impact in public health alongside dedicated people just like you

Come join our team! As an Eligibility Specialist at the HOPE Center in Macon, Georgia, you will join a dedicated team of public health professionals working to protect the health and well-being of communities across the state by supporting vital public health initiatives. This role offers the opportunity to make a meaningful impact, a great schedule, and a healthy work-life balance, allowing you to grow your career while maintaining time for what matters most to you.


Requirements

Under general supervision, the Eligibility Specialist is responsible for conducting interviews, reviewing documentation, and evaluating both personal and financial information to determine an applicant’s or recipient’s eligibility for public assistance programs. This role ensures compliance with federal, state, and program-specific regulations, and requires ongoing interaction with clients, accurate documentation, and coordination with internal and external resources.


Primary Duties & Responsibilities


  • Eligibility Determination: Review and process new applications, annual recertifications, interim changes, and special case reviews to determine client eligibility for the Ryan White program
  • Client Interviews & Assessments: Conduct in-person, phone, or virtual interviews to gather information on clients’ income, assets, household, medical needs, and housing status. Verify documentation and identify discrepancies or potential fraud.
  • Program Compliance & Documentation: Ensure cases meet program rules and deadlines. Maintain accurate case files, update internal databases (e.g., eClinicalWorks, CAREWare), and track eligibility outcomes in line with agency and external reporting standards.
  • Client Support & Navigation: Educate clients on eligibility, documentation, and next steps. Collaborate with case managers, providers, and community partners to coordinate services.
  • Intake Assistance: Guide clients through applications and renewals, ensuring forms are complete and documentation submitted. Provide professional, trauma-informed, client-centered support.
  • Program Actions & Notifications: Process eligibility decisions (approvals, denials, modifications, terminations) and issue formal notices as required.
  • Reporting & Caseload Management: Monitor assigned caseloads, prepare reports, and ensure timely processing and follow-up.
  • ADAP & HICP Application Assistance: Process AIDS Drug Assistance Program (ADAP) and Health Insurance Continuation Program (HICP) applications, verify supporting documentation, and ensure compliance with program standards.
  • Community Outreach & Resource Development: Build relationships with local service providers, stay informed on program changes, and identify resources to support clients.
  • Additional Duties: Perform other professional responsibilities as assigned.

Qualifications

High school diploma/GED and two (2) years of experience in eligibility determination, social services, healthcare access, administrative casework, or a related field.


Preferred Qualifications

  • Associate degree or higher from an accredited college or university.

  • Experience working with the Ryan White HIV/AIDS Program or other federally funded health/social service programs

  • Strong background in eligibility verification, income documentation review, or public benefits processing (e.g., Medicaid, SSI, housing programs)

  • Previous experience using relevant databases (e.g.,eClinicalWorks, CAREWare, GAMMIS)


The DPH Commissioner and agency leaders encourage all employees to engage in regular wellness activities and to make lifestyle choices that promote health and well-being. 

The use of physical activity breaks during the workday is authorized to support this philosophy and help employees meet their wellness goals. A maximum of 30 minutes of physical activity may be allocated per workday, typically in the form of two 15-minute breaks or one 30-minute break.

Employment Information

State of Georgia employees are subject to the rules of the State Personnel Board regarding salary.

DPH accepts educational credentials recognized by the Council for Higher Education Accreditation (CHEA) and/or the US Department of Education (DOE) as valid. DPH will contact educational institutions to verify degrees, diplomas, licensures, and other relevant credentials.

The candidate selected for this position may be subject to pre-employment drug screening and a criminal background check.

Relocation assistance is not provided.

In the event of an identified emergency, you may be required, as a term and condition of DPH employment, to assist in meeting the emergency responsibilities of the department. 

ADA Statement

DPH is committed to providing access and reasonable accommodation in its services, programs, activities, and employment for individuals with disabilities. To request a reasonable accommodation for the application or interview process, email DPH-HR@dph.ga.gov. 

DPH is an Equal Opportunity Employer

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Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered, but may not receive an interview.  DPH will contact selected applicants to proceed with the application process. Applicants who are not selected will not receive notification.

This position is subject to close at any time once a satisfactory applicant pool has been identified.

BENEFITS

Standard Benefits for Full-Time Salaried Employees
 In addition to a competitive salary, we offer a generous benefits package that includes a flexible schedule, training opportunities, health insurance, employee retirement plan (ERS GSEPS), deferred compensation, 13 paid holidays, vacation and sick leave, paid parental leave, dental, vision, long-term care, and life insurance.


 Standard Benefits for Part-Time Employees

Part-time employees are eligible to participate in the Georgia Defined Contribution Plan and receive paid parental leave.

Date Posted
03/20/2026
Job Reference
2026-00228
Organization
District 5-2 County Position, District 5-2 Hope Center
Location
Macon - District 5-2 Hope Center, GA
Category
Administrative
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