Calvin Alston

• Delivered comprehensive benefits program information to clients, ensuring clarity and understanding of available options.
• Assisted in processing applications for various social services benefits, enhancing overall service efficiency.
• Collaborated with cross-functional teams to streamline benefits enrollment processes, improving client satisfaction rates.
• Monitored compliance with federal and state regulations, ensuring accurate implementation of benefits programs.
• Conduct case reviews to ensure compliance with local, state, and federal guidelines; provide coaching and written feedback to staff.
• Collaborate with management in evaluating team performance metrics and recommending process improvements.

• Act as senior technical expert and policy resource for multiple units within the eligibility division.

• Assist supervisors with policy interpretation, complex case resolution, and quality assurance initiatives.

• Lead special projects, corrective action plans, and internal audits for IV-E Medicaid.

• Supervised daily security operations, ensuring compliance with policies and procedures.
• Trained and mentored junior security staff, enhancing team performance and morale.
• Conducted risk assessments to identify vulnerabilities and implement effective security measures.
• Coordinated incident response strategies, minimizing risks and improving response times.
• Developed and enforced security protocols, maintaining a safe environment for personnel and visitors.

• Benefit Programs Specialist III represents the full-performance level.

• Employee's responsibilities are related to the determination and re-determination of eligibility of individuals and families for financial assistance, food stamps, medical assistance, and for other social services benefit programs. The work is performed within established policies, procedures and guidelines, but certain aspects of eligibility determination require independent judgment, especially as related to evaluation of social factors influencing eligibility.
• Employees seek supervisory help for difficult or unusual situations only.
• Interviews persons for assistance, obtains necessary information, and re-determines their continuing eligibility; Explains benefit programs and determines reasons and need for assistance; Processes applications for financial assistance and diversion; determines eligibility for assistance and benefit levels using automated systems and manual methods; Interprets policies and procedures applicable to the various programs; Monitors cases for changes in recipient circumstances, and implements changes to appropriately reflect benefit level within guidelines; Evaluates employability status of clients and explores potential sources of income; explains client responsibilities, rights and program availability; Refers clients to service worker as the result of overall assessment of situation; prepares reports and maintains client records; Identifies possible fraud and makes appropriate referrals; evaluates consistency and completeness of data secured, and where indicated substantiates its accuracy; Explains programs and rights/responsibilities of applicants and recipients; Explores other possible sources of income; Computes assistance plans; Determines the amount of allowances for special circumstance items such as household equipment; Identifies clearly discernible social problems and makes referrals to Social Workers; Provides applicants or recipients with information about other agencies where they may go for services as needed.

• Developed and implemented benefits programs to enhance service delivery effectiveness.
• Evaluated client eligibility for various assistance programs, ensuring compliance with state regulations.

• Benefit Programs Specialist I represents the entry level-performance level. Employee's responsibilities are related to the determination and re-determination of eligibility of individuals and families for financial assistance, food stamps, medical assistance, and for other social services benefit programs.
• Interviews persons for assistance, obtains necessary information, and re-determines their continuing eligibility;
• Explains benefit programs and determines reasons and need for assistance;
• Processes applications for financial assistance and diversion; determines eligibility for assistance and benefit levels using automated systems and manual methods; Interprets policies and procedures applicable to the various programs;

• Facilitated access to community resources for clients, enhancing service delivery and support.
• Assist Benefit Program Specialist with scheduling appointments for intakes.
• Pull system searches and SVES inquiries.
• Answer calls for Benefit Program Specialist.

• Managed electronic health record systems, ensuring accurate and timely updates for patient information.
• Oversaw compliance with HIPAA regulations, maintaining confidentiality of sensitive health data.
• Developed training materials for new staff, enhancing onboarding processes and knowledge retention.
• Implemented quality assurance procedures to improve data accuracy and reduce discrepancies in records.