Position Information

NY HELPYes

AgencyHealth, Department of

TitleMedicaid Eligibility Examiner 2 (NY HELPS) - 15432

Occupational CategoryOther Professional Careers

Salary Grade14

Bargaining UnitASU - Administrative Services Unit (CSEA)

Salary RangeFrom $59049 to $71719 Annually

Employment Type Full-Time

Appointment Type Contingent Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

Schedule

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

Location

County Albany

Street Address Office of Health Insurance Programs/Division of Eligibility and Marketplace Integration/ Bureau of Consumer Assistance and Training

99 Washington Avenue, One Commerce Plaza

City Albany

StateNY

Zip Code12210

Job Specifics

Duties Description As part of the Office of Health Insurance Programs, Division of Eligibility and Marketplace Integration, Bureau of Consumer Assistance and Training, MEE 2 incumbents will perform functions related to oversight and technical assistance for the NY State of Health Assistor Programs. Staff in the Bureau provide oversight and technical assistance to more than 300 agencies with approximately 6,000 application assistors, including Health Plan Facilitated Enrollers, Certified Application Counselors, and Navigators, who assist individuals and families applying for health insurance coverage through NY State of Health. This includes providing initial training and recertification for application assistors and oversight of a contract with an organization that provides training to local Departments of Social Services.

Specific duties include:
Performing data entry and maintaining information in an Access database;
Creating reports to support contract managers; producing and sending customized reports and communications to Marketplace Facilitated Enrollers, Navigators and Certified Application Counselors;
Triaging eligibility and enrollment issues submitted by assistors; entering monthly payment voucher data;
Reviewing and tracking deliverables; recording meeting minutes; Assisting in organizing and maintaining financial reports.
Assists in planning and conducting staff training in response to identified needs or new or revised regulations and procedures and develops written materials and orally explains information and answers questions.
Responds to inquiries concerning applicable Medicaid laws, rules and regulations and addresses unusual or problematic eligibility matters.
Makes eligibility determinations on applications that fall within specified protocols and guidelines.
Monitors the quantity and quality of work completed by staff to ensure accuracy and adherence to procedures and instructions and identifies and resolves inaccuracies.
Schedules work, monitors workload volumes, and reassigns staff to ensure timely eligibility determinations and equitable work distribution.
Performs supervisory duties, including approving time off, maintaining time and attendance, conducting performance evaluations, and counseling subordinates.
Develops and reviews eligibility scenarios to test new computer applications and systems.
Prepares, compiles and organizes data for operating and management reports and drafts papers explaining problems or deficiencies and proposing solutions.

Minimum Qualifications Permanent Transfer:

A New York State employee with one year or more of permanent or contingent-permanent, competitive service in a position allocated to SG-12 or above and eligible for transfer under Section 70.1 of the Civil Service Law.

Non-Competitive Candidates via NY HELPS Program:

Either 1. Three years of experience performing one or more of the following activities in a health care delivery system including health care facilities, health care agencies, hospitals, Medicaid programs, and/or other public or private health insurance programs
•Determining financial eligibility for healthcare to ensure individuals meet eligibility criteria specified in State and/or federal laws, rules, and regulations.
•Performing quality assurance activities to ensure compliance with laws, rule, regulations and policies and interpretation/application of standards of health care.

OR 2. 30 semester credit hours AND two years of experience performing one or more of the following activities in a healthcare delivery system including health care facilities, health care agencies, hospitals, Medicaid programs, and/or other public or private health insurance programs
•Determining financial eligibility for healthcare to ensure individuals meet eligibility criteria specified in State and/or federal laws, rules, and regulations.
•Performing quality assurance activities to ensure compliance with laws, rule, regulations and policies and interpretation/application of standards of health care.

Provisional Appointment: In the absence of an eligible list with three or more candidates willing to accept a position, a temporary provisional appointment may be considered. For provisional appointment, candidates must meet one of the following minimum qualifications: Current New York State Department of Health employee with one year of permanent or contingent-permanent, competitive service as a Medicaid Eligibility Examiner 1 or Medicaid Eligibility Examiner 1SL.

If three or fewer New York State Department of Health promotional candidates respond to this notice, the agency may, at its discretion, nominate a qualified employee for non-competitive promotion under the provisions of Section 52.7 of the Civil Service Law.

Preferred Qualifications: Preferred candidates will have professional experience in public health insurance programs, including New York’s Medicaid, Child Health Plus, Essential Plan, and Qualified Health Plans. 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, and 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.

Additional Comments When reviewing qualifications, omissions and vagueness cannot be interpreted in the candidate’s favor. Candidates are responsible for providing accurate and clear descriptions of their experience demonstrating how they meet the minimum qualifications.

This position is part of the NYS HELPS program. No examination is required.

We offer a work-life balance and a generous benefits package, worth 65% of salary, including:

• Holiday & Paid Time Off
• Public Service Loan Forgiveness (PSLF)
• Pension from New York State Employees’ Retirement System
• Shift & Geographic pay differentials
• Affordable Health Care options
• Family dental and vision benefits at no additional cost
• NYS Deferred Compensation plan
• Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds
• And many more...

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.

The 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 of the position (beginning of the salary range). 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.

How to Apply

Name Human Resource Management Group, SPD/MEE2/15432

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/MEE2/15432 included in the subject line or by mail to Human Resources Management Group, SPD/MEE2/15432, 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.