MEDICAID UNIT SUPERVISOR

NYC Department of Social Services; New York (NY); Sur place; USD 68 000 - 78 000; Plein temps

Résumé du poste

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.

Responsabilités

• 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.

Connaissances

Medicaid knowledge,

Supervisory skills

Interpersonal skills

Oral and written communication

Word

Excel

City Time regulations

Timekeeping policies

Formation

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.

Outils

Word

Excel

Description du poste

APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE

The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS). HRA is dedicated to fighting poverty and income inequality by providing New Yorkers in need with essential benefits such as Food Assistance and Emergency Rental Assistance. DHS is committed to preventing and addressing homelessness in New York City by employing a variety of innovative strategies to help families and individuals successfully exit shelter and return to self-sufficiency as quickly as possible.

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.

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, Who Will

• Oversee the productivity of case processing within the work units to maintain WMS error rates and at mandated levels, identify problems or trends which require corrective 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 include 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.

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

PRINCIPAL ADMINISTRATIVE ASSOC - 10124

Minimum Qualifications

• A baccalaureate degree from an accredited college and two 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 three 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 four years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience as described in \"1\" above; or
• 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 3 year.

Preferred Skills

• Medicaid Knowledge - Strong Supervisory and Interpersonal Skills - Excellent Oral and Written Communication - Proficient in Word and Excel - Strong knowledge of City Time and Leave regulations - Ability to accurately interpret and apply Timekeeping and leave policies and procedures

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.

, $68,209.00 – $78,440.00