Medicaid Eligibility Examiner 4
Open to the public.
|Agency||New York State Department of Health|
|Title||Medicaid Eligibility Examiner 4|
|Salary Grade||Grade 21|
|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 two (2) years 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 professional experience [two (2) years of which must have included supervision of staff] 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 (MA) program. These positions will help ensure that the process of determining MA, 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 MA; and perform functions necessary to assume the responsibilities of the LDSS. Specific duties include but are not limited to: analyze and interpret State and Federal legislation to ensure that all mandates are being met; when applicable, contact cooperating agencies (Social Security Administration, Centers for Medicare and Medicaid, etc.) to verify client's documentation for eligibility or clarify information being supplied; based on pertinent eligibility laws, rules, and regulations, make recommendations on administering New York's public health insurance programs; act as an informal mediator in disputes between subordinate employees and applicants/clients; establish necessary criteria for determining unit performance and oversee personnel activities including but not limited to training, performance evaluations, and disciplinary actions; address specific concerns for resolution of complex applications; interact with consumers and advocates as issues arise surrounding various public health insurance programs; based on analyses of information provided by applicants, make eligibility determinations and process applications for public health insurance in difficult and/or special cases; assist with training staff and/or relevant stakeholders in response to indentified needs or when new or revised regulations and procedures are introduced; provide written material, verbally explain and answer questions; provide technical assistance and direction to an assigned group of subordinate staff as well as other paraprofessional and/or support staff; assign and review work of an assigned group of subordinate staff within assigned area of responsibility; monitor the quantity and quality of work completed by staff to ensure accuracy and adherence to procedures and instructions; identify and recommend resolution of issues to supervisor; prepare, compile and organize data for various operating and management reports; assist program areas with quality improvement activities as needed.|
|Conditions of Employment||Permanent appointment, full-time.|
|Application Procedure||Submit resume to Human Resources Management Group, MEE4/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 MEE4/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 #||MEE4 LDSS|
|Issued||October 18, 2013|