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DIRECTOR, MEDICAID ELIGIBILITY OPERATIONS

  1. HRA/DEPT OF SOCIAL SERVICES
Posted on: 11/22/2023
  1. Full-time

Location

BROOKLYN

  1. Exam may be required

Department

MAP MEDICAID ELIGIBILITY MGR

$74,730.00 – $161,534.00

Job Description

This vacancy has now expired.

APPLICANTS MUST BE PERMANENT IN THE ADMINNISTRATIVE MANAGER CIVIL SERVICE TITLE

The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid, for the City of New York. Applying individuals and families are approved for eligibility against applicable Federal and State guidelines. Those found to be eligible can use coverage provided to access doctors, medication and other health care services at little or no cost.

The Medical Assistance Program (MAP) is requesting to recruit for one (1) Administrative Manager NM-III, to function as a Director in MAP’s Medicaid Eligibility Program Operations, who will:

- Administer and direct the Medicaid Separate Determination review and processing for cases denoted as part of the Reynolds vs. Giuliani, Rosenberg vs. Blum, and Stenson vs. Blum Court decisions: and the Plan of Self Support (PSS) whereby participants have had their public assistance cases closed due to their employment income.

- Ensure uniformity in interpretation of policies, procedures and court ordered regulations to achieve quantitative standard practices and to prevent loss of federal and state funds through administrative error.

- Administer and direct the activities of the Client Representative (C-REP) staff engaged in the processing and recertification of Medicaid applications received from community agencies and private clinics.

- Administer and direct the Brad H Medicaid eligibility determinations for inmates discharged from City of New York correctional facilities. Ensure levels of Medicaid coverage and categorization is appropriate.

- Oversee and direct the activities of the Undercare processing staff who respond to mail, correspondence and inquiries encompassing agency and consumer requests for demographic change, coverage updates and other.

- Administer and direct the activities of staff engaged in determining eligibility for renewal/applications or processing changes requested for the various areas within Medicaid Eligibility Operations, including the Excess Income Program (EIP) and Medicaid Buy-In for Working People with Disability (MBI/WPD).

- Execute management controls to ensure that line operations and service delivery measure up to state mandated timeframes.

- Collaborate with the Executive Director in the development and implementation of strategies and approaches necessary to improve productivity.

- Direct the development of periodic reports and documents the Medicaid Eligibility Operations’ activities. Prepare required and ad hoc management reports.

- Ensure that productivity goals are met and monitors goals through various mechanisms as established by management.

- Establish appropriate linkages with Medicaid Eligibility areas to promote and facilitate overall goals and objectives of the Program.

- Participate in meetings on behalf of the Executive Director with other MAP divisions to discuss any programmatic or administrative concerns.

- Perform other related duties.


Minimum Qualifications

1. A baccalaureate degree from an accredited college and four years of satisfactory, full-time progressively responsible clerical/administrative experience requiring independent decision-making concerning program management or planning, allocation for resources and the scheduling and assignment of work, 18 months of which must have been in an administrative, managerial, executive or supervisory capacity. The supervisory work must have been in the supervision of staff performing clerical/administrative work of more than moderate difficulty; or
2. An associate degree or 60 semester credits from an accredited college and five years of satisfactory, full-time progressively responsible experience as described in "1" above, 18 months of which must have been in an administrative, managerial, executive or supervisory capacity. The supervisory work must have been in the supervision of staff performing clerical/administrative work of more than moderate difficulty; or
3. A four-year high school diploma or its educational equivalent and six years of
satisfactory, full-time progressively responsible experience as described in "1"
above, 18 months of which must have been in an administrative, managerial,
executive or supervisory capacity. The supervisory work must have been in the
supervision of staff performing clerical/administrative work of more than
moderate difficulty; or
4. Education and/or experience equivalent to "1", "2" or "3" above. However, all
candidates must possess the 18 months of administrative, managerial, executive or supervisory experience as described in "1", "2" or "3" above. Education above
the high school level may be substituted for the general clerical/administrative
experience (but not for the administrative, managerial, executive or supervisory
experience described in "1", "2" or "3" 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

- Strong management and communication skills - Experience leading teams/areas in excess of 100 staff members - Understanding and knowledge of Medicaid and Medical insurance
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.

Job ID

615717

Title code

1002C

Civil service title

ADM MANAGER-NON-MGRL FRM M1/M2

Title classification

Competitive-1

Business title

DIRECTOR, MEDICAID ELIGIBILITY OPERATIONS

  1. Experienced (non-manager)

Job level

03

Number of positions

1

Work location

470 Vanderbilt Ave

  1. Administration & Human Resources

DIRECTOR, MEDICAID ELIGIBILITY OPERATIONS

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