||New York State Department of Health
||Medical Assistance Specialist 1
||NYS Department of Health- Office of Health Insurance Programs, Division of Health Reform and Health Insurance Exchange Integration, Albany, New York
||Candidates must be a current NYS County Department of Social Services employee with permanent competitive status and have one (1) year or more service as a Supervising Eligibility Examiner; Principal Social Welfare Examiner; Eligibility Examiner 3, or in a position where the work involves responsibility for planning, coordinating, supervising, and managing the performance and activities of income maintenance functions of the agency (Food Stamps, Temporary Assistance, Medicaid, and Screening Units); OR six (6) years or more service as a Senior Social Welfare Examiner, Senior Social Services Examiner, Eligibility Examiner 2, Senior Social Services Program Specialist, or in a position where the work involves responsibility for monitoring and assisting a group of employees establish financial eligibility for the various programs administered by the local social services district.
||" Expertise with New York's Medicaid, CHPlus, and FH Plus eligibility and coverage policy issues; " Experience with Medicaid policy and procedures related to the Medicare Savings Program, Family Planning Benefit Program and Third Party Health Insurance; " Strong, writing, verbal communication, interpersonal, and organization skills; " Expertise in public health insurance programs; especially with eligibility and coverage policy issues; " Ability to function independently and as part of a team; and Ability to work well under pressure and meet deadlines.
||The Office of Health Insurance Programs (OHIP), Division of Health Reform and Health Insurance Exchange Integration is looking to fill multiple positions that will focus on assuming some of the functions currently performed by the Local Departments of Social Services (LDSS) for the Medicaid program. These positions will help ensure that the process of determining Medicaid, Family Health Plus (FHPlus) and Child Health Plus (CHPlus) eligibility is efficiently and effectively transitioned from the LDSS and the participating CHPlus health plans to a centralized processing unit. Within the Division of Health Reform and Health Insurance Exchange Integration, the incumbents will provide support for activities related to expansion and eligibility initiatives implemented through the Enrollment Center; technical assistance on eligibility policy for Medicaid; and perform functions necessary to assume the responsibilities of the LDSS. Specific duties and responsibilities include, but are not limited to: " Assisting in developing operational procedures related to centralizing Medicaid eligibility and renewal activities; " Reviewing cases to ensure that eligibility was determined correctly; " Resolving discrepancies in various data match processes; " Ensuring systems are operated in a manner consistent with federal and State statute and regulations; " Assisting in the implementation of policy and regulation changes; " Preparing formal communication regarding program administration; " Working collaboratively with other DOH program areas to identify and discuss administrative changes, recommendations and suggestions to improve operations and solve problems; " Reviewing information and identifying inconsistencies to determine whether additional review is necessary; " Identifying the program the applicant is eligible for, i.e. Medicaid, Child Health Plus, Family Health Plus, etc.; and " Researching applicant status, prior history and payment history, utilizing various data storage and retrieval systems.
|Conditions of Employment
||Permanent appointment; full-time.
||Submit resume to Human Resources Management Group, MAS1/LDSS/RD, Room 2217, Corning Tower Building, Empire State Plaza, Albany, New York 12237-0012, or by e-mail to email@example.com or by fax to (518) 473-3395. Please use a subject line of MAS1/LDSS/RD.
|Submit resumes by
||Until positions are filled
An affirmative action/equal opportunity employer. Women, minorities and people with disabilities are encouraged to apply.