Medicaid Eligibility Unit Lead

NYC Department of Social Services; New York (NY); On-site; USD 68,000 - 78,000; Full time

Job summary

NYC Department of Social Services seeks a Principal Administrative Associate III to supervise the Medicaid Eligibility unit within the Home Care Services Program (HCSP). The role focuses on overseeing case processing, ensuring productivity, and interpreting Medicaid policies for staff and providers.

You will coordinate training, liaise with hospitals and agencies, and implement procedures to support eligibility decisions while maintaining compliance with state mandates.

Qualifications

• Bachelor’s or higher degree with progressive clerical/administrative experience; supervisory experience preferred.
• Multiple pathways accepted: Baccalaureate, Associate, or High School diploma plus corresponding years of experience.
• Experience supervising staff performing clerical/administrative work of moderate to higher difficulty is required.
• Knowledge of Medicaid policies and City Time and Leave regulations is essential.

Responsibilities

• Oversee productivity of case processing and maintain mandated WMS error rates.
• Directly supervise HCSP Medicaid Eligibility unit staff to support processing.
• Interpret Medicaid policies for staff to maintain continuity.
• Liaise with Provider Agencies to resolve Medicaid issues affecting eligibility.
• Train staff on Medicaid initiatives and procedures.

Skills

Medicaid knowledge,

Supervisory skills

Interpersonal skills

Oral and written communication

Word

Excel

City Time regulations

Timekeeping policies

Education

Baccalaureate degree with 2 years administrative experience

Associate degree with 3 years administrative experience

High school diploma with 4 years administrative experience

Education/experience equivalent with supervisory exp.

Tools

Word

Excel

Job description

NYC Department of Social Services seeks a Principal Administrative Associate III to supervise the Medicaid Eligibility unit within the Home Care Services Program (HCSP). The role focuses on overseeing case processing, ensuring productivity, and interpreting Medicaid policies for staff and providers.

You will coordinate training, liaise with hospitals and agencies, and implement procedures to support eligibility decisions while maintaining compliance with state mandates.