NY HELP Yes Agency Health, Department of Title Medicaid Eligibility Examiner 1/Trainee (NY HELPS) - 79150 Occupational Category Other Professional Careers Salary Grade 09 Bargaining Unit ASU - Administrative Services Unit (CSEA) Salary Range From $35177 to $50884 Annually Employment Type Full-Time Appointment Type Contingent Permanent Jurisdictional Class Competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 37.5 Workday From 9 AM To 5 PM Flextime allowed? No Mandatory overtime? No Compressed workweek allowed? No Telecommuting allowed? Yes County Albany Street Address Division of Eligibility and Marketplace Integration/Bureau of Program Review 99 Washington Avenue City Albany State NY Zip Code 12210 Minimum Qualifications The Medicaid Eligibility Examiner/ Trainee title is part of the NYS HELP program. For the duration of the HELP Program, this title will be filled via permanent non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the titles for which they apply. At the close of the HELP program, employees hired under the HELP Program will have their non-competitive employment status converted to competitive status. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. Depending on how the candidates qualifies, the positions could be filled as competitive or non-competitive.Non-Competitive (HELPS): There are no minimum education or experience requirements. If you are appointed to a Trainee title, upon successful completion of a 12-month traineeship, you will automatically advance to the full journey level of the title, Grade 9.Permanent Transfer: Current NYS employee with one year or more of permanent or contingent-permanent, competitive service as a Medicaid Eligibility Examiner Trainee (G6) OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a position eligible for transfer under Section 70.1 of the Civil Service Law. A list of transferrable titles can be found at https://www.cs.ny.gov/businesssuite/title-transfer-matrix.cfm.Preferred Qualifications: Preferred candidates will have strong analytical skills and the ability to pay attention to details and will also have good oral and written communication skills. Candidates should have proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team and to manage multiple priorities to meet deadlines. Professional experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health Plus and supervisory experience is a plus. Duties Description The Bureau of Program Review (BPR) monitors contractor, health plan and local district compliance with State and Federal eligibility rules and regulations. The primary responsibilities of these MEE1/Trainee positions will include: Conduct Child Health Plus (CHPlus) and Medicaid initial and peer post-eligibility reviews, designed to evaluate the appropriateness of recipient eligibility determinations and/or whether enrollment processes were properly executed. Analyze data and/or conduct case-specific research to identify cases for possible follow-up action because they appear to be at risk for irregularities or vulnerabilities, as needed. Conduct pre-review planning and preparation activities. Perform research and/or analysis in accordance with policies and procedures. Perform post-review scanning activities. Assist others in accumulating review results and properly storing review files upon project completion. Assist supervisors and managers in tallying and aggregating review results, as well as editing summary reports, when necessary. Additional Comments 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 moreFor new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. 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. 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 Some positions may require additional credentials or a background check to verify your identity.Name Human Resources Management Group, EW/MEE1/79150 Telephone 518-486-1812 Fax 518-473-3395 Email Address resume@health.ny.gov Address Street Room 2217, Corning Tower Building, Empire State Plaza City Albany State NY Zip Code 12237 Notes on Applying Please submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference EW/MEE1/79150 included in the subject line or by mail to Human Resources Management Group, EW/MEE1/79150, 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.
