Medicaid Eligibility Unit Lead

City of New York; New York (NY); Sur place; USD 70 000 - 80 000; Plein temps

Résumé du poste

The City of New York is seeking a Principal Administrative Associate III to supervise the Medicaid Eligibility unit within the Home Care Services Program (HCSP). You will oversee case processing productivity, ensure policy compliance, and coordinate with Provider Agencies to resolve eligibility issues.

Lead staff across HCSP units, drive training on Medicaid guidelines, and implement procedures for WMS and Medicaid eligibility. Hours are 9AM-5PM (FLEX) in NYC.

Qualifications

• A baccalaureate degree from an accredited college and two years of clerical/administrative experience, with one year in an administrative supervisory role.
• An associate degree or 60 credits and three years of clerical/administrative experience including one year supervising staff.
• A four-year high school diploma and four years of clerical/administrative experience including one year supervising staff.
• Educational/experience equivalence with required supervisory experience

Responsabilités

• Oversee productivity of case processing and maintain mandated performance metrics.
• Directly supervise Medicaid Eligibility unit staff to support processing of Medicaid cases.
• Interpret Medicaid policies for staff to ensure continuity.
• Clarify policy for Provider Agencies and liaise with HCSP offices to resolve eligibility issues.
• Respond to requests on Medicaid initiatives and guidelines.
• Participate in meetings and liaise with MAP staff on updated Medicaid procedures.
• Oversee review of new/revised Medicaid procedures and distribute to HCSP offices.
• Establish a system to exchange case information for Medicaid specialty units.
• Maintain liaison with hospitals, WMS and community organizations.
• Coordinate training on Medicaid guidelines for staff and ensure proficiency.
• Interpret and train staff on new Medicaid initiatives like Transfer of Assets.
• Ensure staff adhere to state mandates during procedures.

Connaissances

Supervisory experience

Formation

Baccalaureate degree

Associate degree or 60 credits

High school diploma + experience

Education/experience equivalent

Description du poste

The City of New York is seeking a Principal Administrative Associate III to supervise the Medicaid Eligibility unit within the Home Care Services Program (HCSP). You will oversee case processing productivity, ensure policy compliance, and coordinate with Provider Agencies to resolve eligibility issues.

Lead staff across HCSP units, drive training on Medicaid guidelines, and implement procedures for WMS and Medicaid eligibility. Hours are 9AM-5PM (FLEX) in NYC.