Review Vacancy
TitleMedicaid Eligibility Examiner 3 - 15353
Occupational CategoryOther Professional Careers
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $63361 to $80655 Annually
Appointment Type Contingent Permanent
Street Address Office of Health Insurance Programs/ Division of Eligibility and Marketplace Integration/ Bureau of Third Party Health Insurance, Medicare Savings Pro
99 Washington Ave, One Commerce Plaza
Duties Description This Medicaid Eligibility Examiner (MEE) 3 position,) will work within the Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries (TPHI). The MEE 3 position will work independently to review information submitted relative to Third Party Health Insurance (TPHI) and make the necessary determination regarding when and how to update eMedNY.
Duties will include, but not be limited to:
Take appropriate actions with regard to Medicaid enrollment and premium reimbursement.
When working on MAXe tasks individual will complete an average of 25 – 50 tasks per day with no more than a 5% error rate.
Demonstrate Maxe tasks for new employees and review their task progress
Perform review of premium payments and be able to authorize payments
Review and update records based on reports relative to MSP, TPHI, Potential TPHI, BML inquiries, Managed Care lists and TPL Suppression Reports
Resolve complex cases
Identify potential risk in the TPL premium payment process
Track, update and create reports from departmental data
Answer calls from Medicaid recipients with questions about their premium reimbursement checks or about recoveries
Create and maintain Recovery specific spreadsheets used for tracking and pursuing voluntary overpayments.
Calculate monthly recovery statistics and provide them to TPL Operations staff for inclusion on monthly TPL production reports.
Run simple MDW queries to assist with TPL data needs.
Review HIPP reports to identify anomalies and report possible system defects to TPL management.
Create and maintain Recovery procedural documents.
Oversee the work of subordinate staff and assist with work-related questions or issues.
Minimum Qualifications Reassignment: Current New York State Department of Health employee with permanent or contingent-permanent status as a Medicaid Eligibility Examiner 3, Grade 17
Preferred Qualifications: Preferred candidates will have strong analytical skills and the ability to pay attention to details and will also have good oral and written communication skills. Candidates should have proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team and to manage multiple priorities to meet deadlines. Professional experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health Plus and supervisory experience is a plus.
Additional Comments The NYS Department of Health is committed to making New York a safer, healthier, and more equitable place to live. Understanding health equity, social determinants of health and health disparities is critical to accomplish our goal of eliminating health disparities. For more information on the NYS Department of Health’s Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm
If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.reasonable.accommodation@health.ny.gov to make a request.
NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.
For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.
Some positions may require additional credentials or a background check to verify your identity.
Name Human Resources Management Group
Email Address resume@health.ny.gov
Address
Street Corning Tower, Empire State Plaza, Room 2217
Notes on ApplyingPlease submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference SCD/MEE3/15353 included in the subject line or by mail to Human Resources Management Group, SCD/MEE3/15353, Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY 12237-0012, or by fax to (518) 473-3395. Failure to include the required information may result in your resume not being considered for this position.