NY HELPNo

AgencyHealth, Department of

TitleMedicaid Eligibility Examiner 3 - 15371

Occupational CategoryOther Professional Careers

Salary Grade17

Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)

Salary RangeFrom $63361 to $80655 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? Yes

Telecommuting allowed? Yes

County Albany

Street Address Office of Health Insurance Program/ Division of Eligibility and Marketplace Integration/ Bureau of Community Enrollment and Eligibility Processing

99 Washington Avenue

City Albany

StateNY

Zip Code12210

Duties Description The Medicaid Eligibility Examiner 3 (MEE 3) will work within the Bureau of Community Enrollment and Eligibility Processing.

Duties will include, but not be limited to the following:

Correctly interpret Medicaid eligibility policy to ensure that staff determine eligibility consistent with DOH policy.
Reviewing reports related to Medicaid eligibility.
Identify, report, and troubleshoot system issues related to the Medicaid eligibility processing.
Develop/draft/update instructions and procedures for monitoring reports to ensure compliance with DOH policy and regulations.
Provide accurate information in communications with stakeholders, providers and co-workers seeking assistance in resolving Medicaid eligibility concerns.
Assisting with Medicaid Data Warehouse (MDW) queries as needed.
Respond to inquiries in the NYSOH Medicaid Reports Mailbox, including professional written and oral communication with external stakeholders and Medicaid recipients.
Research MAGI eligibility and enrollment issues in various data systems, including eMedNY, and NY State of Health.
Assisting with new initiatives and special projects as needed.
Reviewing cases for audit inquiries.
Complete documentation waiver MAXe tasks
Supervise and train subordinate staff on project work procedures.
Other tasks as assigned

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 professional experience in public health insurance programs, including New York’s Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also have excellent verbal and written communication skills; strong analytical skills and attention to detail; strong organizational skills; proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team, and to manage multiple priorities in order to meet deadlines; and experience using electronic data systems, such as eMedNY and NYSOH Back Office.

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

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Corning Tower, Empire State Plaza, Room 2217

City Albany

State NY

Zip Code 12237

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 SPD/MEE3/15371 included in the subject line or by mail to Human Resources Management Group, SPD/MEE3/15371 , 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.