Medicaid Eligibility Examiner 3
Open to the public.
|Agency||New York State Department of Health|
|Title||Medicaid Eligibility Examiner 3|
|Salary Grade||Grade 17|
|Location||NYS Department of Health, Office of Health Insurance Programs Division of Eligibility and Marketplace Integration Albany, New York|
|Minimum Qualifications||Candidates must be a current NYS County Department of Social Services employee with permanent competitive status and have five (5) 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 employees who determine financial eligibility for applicants of the various programs administered by the local social services district.|
|Preferred Qualifications||" Expertise with New York's Medicaid, CHPlus, and FHPlus 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 written and verbal communication, interpersonal and organizational 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.|
|Responsibilities||The Division of Eligibility and Marketplace 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 and under general supervision of higher level staff, the incumbent will serve as supervisor of a small group of paraprofessional and/or support staff that performs a variety of duties related to accepting and processing applications for public health insurance. 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 include but are not limited to: maintain cooperative working relationships with other units, division, departments, and agencies to facilitate the delivery of public health insurance; interpret and communicate a variety of Federal and State laws and codes to implement policies, procedures and maintain compliance in the delivery of public health insurance benefits; review, sign or authorize eligibility determinations; monitor the quantity and quality of work completed by staff to ensure accuracy and adherence to procedures and instructions; identify and resolve inaccuracies; prepare, compile and organize data for various reports; may appear at judicial or administrative proceedings when required to interpret decisions; and develop and review eligibility scenarios to test new computer applications and systems.|
|Conditions of Employment||Permanent appointment, full-time.|
|Application Procedure||Submit resume to Human Resources Management Group, MEE3/LDSS/RD, Room 2217, Corning Tower Building, Empire State Plaza, Albany, New York 12237-0012, or by e-mail to firstname.lastname@example.org or by fax to (518) 473-3395. Please use a subject line of MEE3/LDSS/RD.|
|Submit resumes by||Until the position is filled.|
An affirmative action/equal opportunity employer. Women, minorities and people with disabilities are encouraged to apply.
|Item #||MEE3 LDSS|
|Issued||October 18, 2013|