Job Information
City of New York MEDICAID UNIT SUPERVISOR in New York, New York
Job Description
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)
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.
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.