Medicaid Eligibility Examiner 3
5 days ago
We are seeking a highly skilled Medicaid Eligibility Examiner 3 to join our team in the Department of Health. As a key member of our team, you will be responsible for providing supervision to lower-level staff, including training, scheduling, and monitoring workloads to ensure timely and accurate completion of tasks.
Key Responsibilities:
- Field electronic referrals from the contact center and work with staff to resolve consumer issues
- Review and approve proposed eligibility decisions
- Identify and track changes to policy and procedure documents
- Conduct quality reviews of recorded consumer calls using established QA procedures
Requirements:
- Permanent transfer: Current New York State Department of Health employee with permanent or contingent-permanent status as a Medicaid Eligibility Examiner 3, Grade 17
- Preferred qualifications: Professional experience in public health insurance programs, including New York's Medicaid, Medicare, and/or Child Health Plus
What We Offer:
- A work-life balance and a generous benefits package, worth 65% of salary
- Public Service Loan Forgiveness (PSLF)
- Pension from New York State Employees' Retirement System
- Shift and 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
About Us:
The New York State Department of Health is committed to making New York a safer, healthier, and more equitable place to live. We understand the importance of health equity, social determinants of health, and health disparities in achieving our goal of eliminating health disparities.
-
Medicaid Eligibility Examiner 3
1 week ago
Albany, New York, United States StateJobsNY Full timeJob Summary:The Medicaid Eligibility Examiner 3 will work within the DEMI Bureau of Quality Management and Change Control. The successful candidate will provide supervision to lower-level staff, including training, scheduling, and monitoring workloads to ensure timely and accurate completion of tasks. Additionally, the candidate will field electronic...
-
Medicaid Eligibility Examiner
4 weeks ago
Albany, New York, United States StateJobsNY Full timeJob SummaryWe are seeking a highly skilled Medicaid Eligibility Examiner to join our team at the New York State Department of Health. As a Medicaid Eligibility Examiner, you will play a critical role in ensuring that individuals and families receive the healthcare benefits they need.Key ResponsibilitiesReview and analyze information submitted to the...
-
Medicaid Eligibility Examiner 2
1 month ago
Albany, New York, United States StateJobsNY Full timeJob SummaryWe are seeking a highly skilled Medicaid Eligibility Examiner 2 to join our team at the New York State Department of Health. As a key member of our team, you will be responsible for determining eligibility for healthcare programs and ensuring compliance with laws and regulations.Key ResponsibilitiesDetermine eligibility for healthcare programs,...
-
Medicaid Eligibility Examiner 2 Position
2 weeks ago
Albany, New York, United States StateJobsNY Full timeJob SummaryThe Medicaid Eligibility Examiner 2 position is responsible for evaluating and monitoring health plan, local district, and/or other State agency compliance with State and federal Medicaid and Child Health Plus (CHPlus) rules and regulations involving recipient eligibility and enrollment processes.Key ResponsibilitiesParticipate in pre- and...
-
Medicaid Eligibility Examiner 1/Trainee
2 weeks ago
Albany, New York, United States StateJobsNY Full timeAbout the RoleThe Medicaid Eligibility Examiner 1/Trainee title is part of the NYS HELP program, which offers a unique opportunity for individuals to develop their skills and advance in their careers.Key ResponsibilitiesConduct Child Health Plus (CHPlus) and Medicaid initial and peer post-eligibility reviews to evaluate the appropriateness of recipient...
-
Medicaid Integrity Specialist 3
1 week ago
Albany, New York, United States New York State Civil Service Full timeJob SummaryThe New York State Civil Service is seeking a highly skilled Medicaid Integrity Specialist 3 to manage the Administrative Remedies Unit and the Enrollment Unit within the Division of Medicaid Investigations (DMI). This role requires a strong understanding of the rules and regulations impacting enrollment and sanctions, including exclusion from...
-
Medicaid Integrity Specialist 3
2 weeks ago
Albany, New York, United States New York State Civil Service Full timeJob SummaryWe are seeking a highly skilled Medicaid Integrity Specialist 3 to join our team at the New York State Civil Service. As a key member of our team, you will be responsible for managing two units, the Administrative Remedies Unit and the Enrollment Unit, within the Division of Medicaid Investigations (DMI).Key ResponsibilitiesManage two units, ARU...
-
Medicaid Integrity Specialist 3
2 weeks ago
Albany, New York, United States StateJobsNY Full timeJob SummaryThe Medicaid Integrity Specialist 3 will serve as the manager over the Administrative Remedies Unit and the Enrollment Unit within the Division of Medicaid Investigations (DMI). This role requires a strong understanding of Medicaid program rules and regulations, as well as excellent leadership and communication skills.Key ResponsibilitiesManage...
-
Medicaid Outpatient Finance Manager Position
4 days ago
Albany, New York, United States Research Foundation for Mental Hygiene Full timeJob Title: Medicaid Outpatient Finance ManagerThe Research Foundation for Mental Hygiene, Inc. is seeking a qualified candidate to fill the full-time position of Medicaid Outpatient Finance Manager at the New York State Office of Mental Health (OMH).The selected candidate will work in the Bureau of Medicaid State Plan Finance and Data Analysis within the...
-
Associate Director, Medicaid Implementation
2 weeks ago
Albany, New York, United States Humana Full timeJob SummaryWe are seeking an experienced Associate Director to lead our Medicaid Implementation efforts. As a key member of our team, you will be responsible for overseeing the development of solutions to non-standard contractual requirements and local needs of each Medicaid market.Key ResponsibilitiesLead a team of program managers supporting new Medicaid...
-
Insurance Examiner
2 weeks ago
Albany, New York, United States StateJobsNY Full timeJob Title: Employee Insurance Examiner 1Join the Department of Civil Service as an Employee Insurance Examiner 1 and play a crucial role in ensuring the success of the New York State Health Insurance Program (NYSHIP). This comprehensive health insurance program covers over 1.2 million lives, making it one of the largest public employer health insurance...
-
Driver Improvement Examiner
1 month ago
Albany, New York, United States New York State Civil Service Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Driver Improvement Examiner Trainee to join our team. As a Driver Improvement Examiner Trainee, you will be responsible for reviewing and evaluating court or other legal documents to make judgements in the issuance of driver and/or regulated business license suspensions, revocations,...
-
Driver Improvement Examiner
1 month ago
Albany, New York, United States New York State Civil Service Full timeJob Title: Driver Improvement Examiner or Driver Improvement TraineeJob Summary:We are seeking a highly skilled and detail-oriented Driver Improvement Examiner or Driver Improvement Trainee to join our team. As a Driver Improvement Examiner, you will be responsible for reviewing and evaluating court or other legal documents to make judgments in the issuance...
-
Insurance Examiner
2 weeks ago
Albany, New York, United States StateJobsNY Full timeJob Title: Employee Insurance Examiner 1This is a challenging and rewarding role that requires strong analytical and communication skills. As an Employee Insurance Examiner 1, you will play a critical role in ensuring the continued success of the comprehensive health insurance programs administered by the New York State Health Insurance Program (NYSHIP).Key...
-
Driver Improvement Examiner
2 weeks ago
Albany, New York, United States New York State Civil Service Full timeJob SummaryWe are seeking a highly skilled and detail-oriented individual to join our team as a Driver Improvement Examiner or Driver Improvement Trainee. In this role, you will be responsible for reviewing and evaluating court or other legal documents to make judgements in the issuance of driver and/or regulated business license suspensions, revocations,...
-
Medicaid Redesign Analyst
4 days ago
Albany, New York, United States StateJobsNY Full timeJob Summary:The Bureau of Social Care and Community Supports is seeking a highly skilled professional to join their team as a Medicaid Redesign Analyst. This role will play a critical part in implementing the 1115 New York Health Equity Waiver Regional Social Care Networks in accordance with State and Federal guidelines.Key Responsibilities:Act as a liaison...
-
Forensic Nurse Examiner
2 weeks ago
Albany, New York, United States Albany Medical Health System Full timeForensic Nurse Examiner Job DescriptionAlbany Medical Health System is seeking a skilled Forensic Nurse Examiner to join our team. As a Forensic Nurse Examiner, you will provide critical care to victims of violence, abuse, and neglect, while maintaining the chain of custody and preserving forensic evidence.Key Responsibilities:Collect and preserve forensic...
-
Forensic Nurse Examiner
4 weeks ago
Albany, New York, United States Albany Medical Center Full timeJob Title: Forensic Nurse ExaminerAlbany Medical Center is seeking a highly skilled Forensic Nurse Examiner to join our team.Job Summary:The Forensic Nurse Examiner will provide forensic nursing services for victims of violence, abuse, and neglect. The successful candidate will collect and preserve forensic evidence, perform forensic examinations, and work...
-
Driver Improvement Examiner
1 month ago
Albany, New York, United States New York State Department of Motor Vehicles Full timeJob SummaryWe are seeking a highly skilled Driver Improvement Examiner to join our team at the New York State Department of Motor Vehicles. As a Driver Improvement Examiner, you will play a critical role in reviewing and evaluating court or other legal documents to make informed decisions regarding driver and/or regulated business license suspensions,...
-
Driver Improvement Examiner
2 weeks ago
Albany, New York, United States New York State Civil Service Full timeJob Title: Driver Improvement Examiner or Driver Improvement TraineeJob Summary: We are seeking a highly skilled and detail-oriented individual to join our team as a Driver Improvement Examiner or Driver Improvement Trainee. As a key member of our team, you will be responsible for reviewing and evaluating court or other legal documents, making judgements in...