MEDICAID UNIT SUPERVISOR

NYC Department of Social Services; New York (NY); On-site; USD 64,000 - 74,000; Full time

Job summary

The NYC Department of Social Services is seeking a Medicaid Unit Supervisor to oversee a team responsible for Medicaid eligibility reviews and processing. The ideal candidate should have strong supervisory and interpersonal skills, along with a robust understanding of Medicaid policies and procedures. This full-time position in Brooklyn offers a salary range of $64,137 to $73,758 annually and requires a baccalaureate degree and relevant administrative experience.

Benefits

Public Service Loan Forgiveness eligibility

Diversity and inclusion employer

Qualifications

• 3 years of administrative experience, 1 in a supervisory role.
• Education may substitute for experience at a rate of 30 semester credits for 6 months of experience.
• Must possess administrative or supervisory experience.

Responsibilities

• Oversee productivity and case processing within Medicaid units.
• Direct supervision of Medicaid eligibility staff.
• Interpret policies and ensure compliance.

Skills

Medicaid Knowledge

Supervisory Skills

Interpersonal Skills

Oral Communication

Written Communication

Creative Problem Solving

Proficiency in Word

Proficiency in Excel

Education

Baccalaureate degree from an accredited college

Associate degree or 60 semester credits

High school diploma or its educational equivalent

Job description

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APPLICANTS MUST BE PERMANENT IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE C.S.TITLE

The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who require assistance with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services through one of the HCSP programs.

Home Care Services Program (HCSP) Is Recruiting For One (1) Principal Administrative Associate III, To Function As a Medicaid Unit Supervisor In The Medicaid Eligibility Unit, Who Will

• Oversee the productivity of case processing in within the work units in order to maintain WMS error rates and at mandated levels, identify problems or trends which require correction action and initiate and/or participate in action plans to maintain or improve productivity.
• Directly supervise staff within HCSP’s Medicaid Eligibility unit, so that the required support is available to Medicaid units, which assist in maintaining/ improving the processing of Medicaid cases according to the established mandates in providing services to clients.
• Interpret Medicaid policies and procedures for assigned staff to improve or maintain continuity.
• Clarify Medicaid policy and procedures for Provider Agencies. Serve as the liaison between HCSP offices and
  
  

Provider Agencies to resolve Medicaid issues which may impact client eligibility.

• Respond to requests from the Community and Vendors for advice on Medicaid initiatives and guidelines.
• Participate in meetings and act as liaison with MAP staff involved in developing Medicaid procedures as a result of new/revised guidelines so that the procedure represents HCSP operational concerns.
• Oversee the review and response to new/revised Medicaid procedures; distribute procedures to HCSP offices.
• Establish a system and process to implement a clearing house for the exchange of case information for Medicaid specialty units which includes Tape Match, Disability Review, Institutional Services, Hospital Eligibility, Month to Month Surplus, Quality Control and Resources.
• Maintain liaison relationships with Voluntary and City hospital, WMS and other Community Organizations.
• Initiate and/or participate in the training designed to clarify Medicaid guidelines for staff. Coordinate training for Medicaid Eligibility Staff to ensure that they are proficient in new/revised procedures for WMS and Medicaid eligibility.
• Interpret and train staff in new Medicaid initiatives such as Transfer of Assets, Spousal refusal and Spousal Enrichment to ensure that staff adhere to State mandates.
  
  

Salary Range (should be at least from the new hire rate through the minimum incumbent rate for non-managerial titles): $64,137- $73,758.

Work Location: 470 Vanderbilt Avenue, Brooklyn, NY, 11238

Hours/Schedule: 9AM-5PM (FLEX)

PRINCIPAL ADMINISTRATIVE ASSOC - 10124

Minimum Qualifications

• A baccalaureate degree from an accredited college and three years of satisfactory full-time progressively responsible clerical/administrative experience, one year of which must have been in an administrative capacity or supervising staff performing clerical/administrative work of more than moderate difficulty; or
• An associate degree or 60 semester credits from an accredited college and four years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience described in "1" above; or
• A four-year high school diploma or its educational equivalent approved by a State's department of education or a recognized accrediting organization and five years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience as described in "1" above;
• Education and/or experience equivalent to "1", "2", or "3" above. However, all candidates must possess the one year of administrative or supervisory experience as described in "1" above. Education above the high school level may be substituted for the general clerical/administrative experience (but not for the one year of administrative or supervisory experience described in "1" above) at a rate of 30 semester credits from an accredited college for 6 months of experience up to a maximum of 3½ years.
  
  

Preferred Skills

• Medicaid Knowledge - Strong Supervisory and Interpersonal Skills - Excellent Oral and Written Communication - Ability to think creatively and develop resolutions for complex matters - Proficient in Word and Excel
  
  

55a Program

This position is also open to qualified persons with a disability who are eligible for the 55-a Program. Please indicate at the top of your resume and cover letter that you would like to be considered for the position through the 55-a Program.

Public Service Loan Forgiveness

As a prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs. For more information, please visit the U.S. Department of Education’s website at https://studentaid.gov/pslf/.

Residency Requirement

New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.

Additional Information

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.

, $64,137.00 – $73,758.00

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Government Administration

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